We will create the future of community medicine centered on education and research.
Community medicine is closely related to the society surrounding it. Due to the declining birth rate and population aging in Japan, demands for home medical care and general medicine are increasing. In order to make effective use of limited medical resources, the concept of regional medical care is being promoted through discussions among medical professionals, residents, and the local governments.
In regional medical care, economic and population problems and the allocation of medical resources are intricately intertwined. Many issues cannot be solved on their own. As part of community medicine, we will generate evidence that will lead to the solution of as many issues as possible. We have conducted a cohort study based on annual health checks of residents in Goto City and Saza Town with the understanding and cooperation of local governments and residents. We have reported the relationship between disease and lifestyle, especially in the elderly, through the Bio–Psycho–Social (BPS) approach. In the future, we would like to lead the further evolution of community medicine through an effect verification system for social interventions such as health promotion and long-term care prevention activities.
Furthermore, we will participate in joint medical and dental medicine and wide-ranging research activities based at the Collaboration Center for Community Medicine. We will support the lives of residents utilizing information and communication technology in regional medical care, introduce telemedicine, and revitalize the region. We aim to develop practical community medical science that can contribute to the health of the entire region, toward the realization of a healthcare model that can improve the health of all regional residents.
The spread of COVID-19 has completely changed the field of medicine and the social environment. Community medicine is in the midst of that change. The ‘natural’ of the past has collapsed, and the world is now wandering in search of a new daily life, but evidence is needed to find a new landing point for community medicine. In order to maintain a global perspective rather than staying in a local shell, I would like to deepen academic exchanges with researchers in Japan and overseas and refine the “glocal” perspective.
This course originates from the Remote Island / Remote Medical Science Course endowed by Nagasaki Prefecture and Goto City, which was held in 2004. It was started to train professionals who can contribute to regional medical care.
We will continue to promote community-based medical education in an environment that fosters a lifestyle model perspective. In addition, the field of multidisciplinary learning will continue to be expanded in multidisciplinary collaborative education that fosters practical competencies in the field of healthcare, as well as co-education across the Departments, Schools, and University.
Finally, to students and young doctors who are interested in community medicine, the Department of Community Medicine will support community activities beyond those offered in the Medical School and the University. Through these activities, we hope that you will grow into professionals who support regional medical care and experience the fun and rewards of regional medical care, even if that day occurs in 5 or 10 years. If you are interested, please join us. Let’s work together.
We will promote research and education related to community medicine together, support community medical care, and strive to contribute to the revitalization of community health care. We appreciate your support and cooperation.
Community medicine is a new academic field of medicine that is concerned with the health of members of a community，municipality or region. Our department has three main components: 1) Providing comprehensive care, including routine clinical care and preventive care depending on the needs of the community; 2) Providing community-based medical education at various medical and welfare institutions in Nagasaki prefecture, including remote islands, which is effective and practical in fostering health professionals in the community. The target persons who are intended to take this education comprise not only undergraduate students but also postgraduate students in medical science, dental science, pharmacy, and health science; 3) The last component is research activities. Our research activities basically originate from multipurpose epidemiological studies that mainly use data collected from annual health checkups in Goto city and Saza town. By connecting health data, medical data including disease onset and death information, long-term care data, multiple biomarkers and genome data including HLA haplotypes and gene mutations, we can analyze the onset of risk factors for lifestyle-related diseases such as cardiovascular disease, osteoporosis, rheumatoid arthritis, auto-inflammatory diseases including familial Mediterranean fever (FMF), HTLV-1 related diseases, IgG4-related disease, frailty, and periodontal diseases, in order to prevent disease onset. Since many departments of Nagasaki University participated in these community research fields, the purposes of the studies are extremely diversified.
Moreover, in cooperation with Goto city, we established a sharing system for medical information and management of prescription information for all citizens of Goto (numbering approximately 40,000) on a cloud database. By using this database, we have performed medical economic studies, preventive medicine studies, and polypharmacy investigations.
Graduate School of Biomedical Sciences, Nagasaki University