Program (Tentative)

• Program at a Glance
• Day 1 (May 15)
• Day 2 (May 16)
• Day 3 (May 17)
• Day 4 (May 18)

• Keynote Speech 1
• Keynote Speech 2
• Keynote Speech 3
• Plenary Session 1 : Elderly Care
• Plenary Session 2 : Generalist
• Plenary Session 3 : Mental Health
• Plenary Session 4 : Right Care
• Plenary Session 5 : Cost-effectiveness
• Plenary Session 6 : Research
• Plenary Session 7 : Young GP/ FPs

• YDM Pre-Conference of the Rajakumar Movement

Keynote Speeches

Keynote Speech 1

May 16 (Thu) / 14:00-15:00

Chairs

Prof. Meng-Chih Lee
Department of Family Medicine, Taichung Hospital, Ministry of Health and Welfare, Taiwan Bio

Dr. Nobutaka Hirooka
General Internal Medicine, Saitama Medical University, Japan Bio

• Co-creating primary care research: with us not on usBio Prof. Felicity Goodyear-Smith Department of General Practice & Primary Health Care, University of Auckland, New ZealandBio

Keynote Speech 2

May 17 (Fri) / 11:00-12:00

Chairs

Prof. Amanda Howe
Norwich Medical School, University of East Anglia, United KingdomBio

Prof. Ryuki Kassai
Department of Community and Family Medicine, Fukushima Medical University, JapanBio

• Doctors of the FutureBio Sir David Haslam National Institute for Health and Care Excellence (NICE), United Kingdom

Keynote Speech 3

May 18 (Sat) / 12:10-12:55

Chairs

Dr. Izumi Maruyama
Japan Primary Care Association, JapanBio

Prof. Shinn-Jang Hwang
Department of Family Medicine, Taipei Veterans General Hospital, TaiwanBio

• The expectations and challenges for "Certified Family Doctors" in supporting a society aging rapidly against a declining birth rateBio Ms. Natsuko Iino News Commentators Bureau, Japan Broadcasting Corporation (NHK), Japan

Plenary Sessions

Plenary Session 1 : Elderly Care
Primary health care for the elderly in community settings

May 16 (Thu) / 8:30-10:00

Details

The world is affected by the aging population and the National Health Service faces problem with sustainability. In these circumstances, innovative challenges are being conducted in each country and region to build a sustainable health care system. Challenge continues in each municipality towards the development of the integrated community care system in Japan.
In this session, we would like to discuss the challenges of the activities aiming at elderly citizens in social security system in each country, aiming for "Elderly people in the area familiar to the end".

Chairs

Prof. Michiko Moriyama
Graduate School of Biomedical and Health Sciences, Hiroshima University, Japan

Dr. Akira Matsushita
Family Practice Center of Okayama, Okayama University Medical School, Japan

Speakers

US Demonstration Projects to create sustainable,
effective systems of care for the elderlyDr. Christine Arenson
Department of Family and Community Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, USA

Elderly care at home: a nursing-based projectDr. Elena Abelló-Riley
Department of Nursing, Universitat Rovira i Virgili, Tarragona, Spain/ABS El Morell, Institut Català de la Salut, Spain

Caring for the seniors: beyond hospital to communityDr. Su Fee Lim
Speciality Nursing, Singapore General Hospital, Singapore

Elderly care in JapanDr. Akira Matsushita
Family Practice Center of Okayama, Okayama University Medical School, Japan

Plenary Session 2 : Generalist
Generalism in clinical practice, education, and research: global discussion

May 16 (Thu) / 10:30-12:00

Details

Medical generalism in health care system from several countries will be presented. Based on their historic experience of medical generalism in each situation, issues and its potential solution for generalists’ clinical practice will be discussed. Also several important topics of our specialty such as efficient work with specialists and subspecialists in each system, subspecialty training for generalists, research directions will be elaborated. Discussion will take the Asian and Pacific regional issues such as disparity, rapid aging, rurality into considerations. This will create further discussion platform to talk how to enrich our specialty, generalist, in the future.
To achieve this aim of the session, guest speakers who have vast knowledge of generalism in different countries including Singapore, UK, USA, and Japan will be participate as speakers. Active and fruitful participation with audience after the presentation by the guest speakers will also be expected.

Chairs

Dr. Nobutaka Hirooka
General Internal Medicine, Saitama Medical University, Japan

Dr. Shunzo Koizumi
Shichijo Clinic, Japan

Speakers

Revitalising medical generalism: “more of the same won’t do”Prof. Joanne Reeve
Academy of Primary Care, Hull York Medical School, United Kingdom

Hospital medicine: indispensable element in generalist trainingProf. Masahiro Morikawa
Family Medicine & Community Health, Case Western Reserve University, USA

Restoring generalism: the new mission for family medicineProf. Kheng Hock Lee
Integrated Care Services, Singapore General Hospital, Singapore

New era of generalism in JapanDr. Nobutaka Hirooka
General Internal Medicine,Saitama Medical University, Japan

Plenary Session 3 : Mental Health
Primary mental health care in Asia-Pacific: challenges and opportunities

May 16 (Thu) / 15:30-17:00

Details

Common mental health problems such as depression are now the leading cause of disability worldwide. Yet there is a substantial treatment gap: less than one-quarter of those who would benefit from evidence-based interventions actually receive them. The integration of mental health and primary care is an international priority, and family medicine is well placed to provide effective patient care close to home. Family doctors have recently identified mental health issues as their most pressing educational need.
This symposium, presented by leaders of the WONCA Working Party for Mental Health, will provide up-to-date information on key challenges and opportunities for the delivery of primary mental health care in the Asia-Pacific region.
We will begin by describing the core competencies needed by family doctors to deliver high quality primary mental health care, using case examples to explain how they can work in daily clinical practice.
Then we will give the first international conference presentation of a Train the Trainers in Depression Course for family doctors in Japan, organised by WONCA and EACH (Internaional Association for Communication in Healthcare). This course is an excellent example of how to enable family doctors to increase their knowledge, skills and confidence in managing common mental health problems in primary care.

Chairs

Prof. Christopher Dowrick
Department of Health Scieneces, University of Liverpool, United Kingdom

Prof. Ryuki Kassai
Department of Community and Family Medicine, Fukushima Medical University, Japan

Speakers

Core competencies of family doctors in primary mental health careProf. Christopher Dowrick
Department of Health Scieneces, University of Liverpool, United Kingdom

Family doctors and depression: the Japanese Train-the-Trainers Programme

Associate Prof. Evelyn van Weel-Baumgarten
Primary and Community Care, Radboudumc.nl; EACH: International Association for Communication in Healthcare, The Netherlands

Dr. Juan Mendive
La Mina Primary Health Care Academic Centre, University of Barcelona, Spain

Associate Prof. Jill Benson
General Practice, ModMed Institute for International Health Education and University of Adelaide, Australia

Prof. Ryuki Kassai
Department of Community and Family Medicine, Fukushima Medical University, Japan

Plenary Session 4 : Right Care
Right care for sustainable healthcare system of the 21st century

May 17 (Fri) / 8:30-10:00

Details

In recent years, overuse of healthcare has been recognized as one of the major drivers of increasing healthcare costs and as an urgent priority for healthcare quality and patient safety in developed countries. There have been a number of attempts to address this issue by health care profession and the public. Notably, the Preventing Overdiagnosis Conferences, launched in 2013 and convened every year have led this awareness internationally. Similarly, “Too Much Medicine” by the BMJ, “Less Is More” by JAMA and “Right Care” by the Lown Institute/the Lancet are among the most influential in campaigns against overuse. The “Choosing Wisely” campaign, launched in 2012 by American Board of Internal Medicine Foundation, advocates for shared decision making in choosing care best-suited for each patient. Proposed by over 80 medical societies and supported by evidence, the “Top Five List” of procedures to be re-considered has been the cornerstone of the international success of this campaign. In order to implement these recommendations within the current healthcare environment which includes heightened public expectations of medical technologies, clinicians should embrace the professional ethical code outlined in the “Medical Professionalism in the New Millennium - a Physician Charter” (2002). In this session, international efforts to counter the healthcare overuse will be reviewed.

Chairs

Dr. Shunzo Koizumi
Shichijo Clinic, Japan

Dr. Tadao Okada
Department of Family Medicine, Tessyoukai Kameda Family Clinic Tateyama, Japan

Speakers

Diagnostic error and overdiagnosis in JapanDr. Yasuharu Tokuda
Muribushi Okinawa, Japan

Facilitating shared decision making: from a layperson’s perspectiveProf. Kyoko Kitazawa
Kyoto Pharmaceutical University, Japan

Life, death and the over-use of healthcare resourcesDr. Iona Heath
Past President, Royal College of General Practitioners, United Kingdom

Plenary Session 5 : Cost-effectiveness
How to tackle NCDs in the era of tightening budget constraints:
expert opinions

May 17 (Fri) / 13:30-15:00

Details

Non-communicable diseases (NCDs) kill 41 million people annually, representing 71% of all deaths. Unhealthy diets, smoking, and physical inactivity increase the risk of NCDs. Most NCDs are preventable and manageable if appropriate screening and care are provided through the continuous monitoring of (potential) patients. Primary care is therefore critical, and investing more in primary care may be the most cost-effective approach for reducing NCD mortality and its societal burdens. There exit no health systems that have enough resources to afford all healthcare interventions regardless of price. We must therefore consider the costs and effectiveness of each medical intervention to achieve health systems that are catch-all and sustainable, especially in this era of fiscal decline. Health technology assessments (HTAs) are increasingly used internationally to help determine “best-buy” interventions and clinical guidelines. This session invites national experts in HTA from four Asia-Pacific countries (Indonesia, Japan, South Korea, and Thailand). Each speaker will discuss the roles and challenges of HTA policies for preventing and treating NCDs at the primary care level in their country. A panel discussion with all speakers will follow to share experiences and ideas to strengthen primary care systems and tackle NCDs through HTA-based approaches.

Chairs

Prof. Masako Ii
School of International and Public Policy, Hitotsubashi University, Japan

Dr. Ryota Nakamura
Hitotsubashi Institute for Advanced Study, Hitotsubashi University, Japan

Speakers

Why do we need health technology assessments (HTAs)?Prof. Masako Ii
School of International and Public Policy, Hitotsubashi University, Japan

Korean policy on strengthening universal healthcare coverage: role of HTA and NECAProf. Jeonghoon Ahn
Department of Health Convergence, Ewha Womans University, Korea

The role of health professionals in conducting and
using cost-effectiveness evidenceDr. Yot Teerawattananon
Ministry of Public Health, Health Intervention and Technology Assessment (HITAP), Thailand

HTA implementation in Japan:
achievement and future developmentDr. Ryota Nakamura
Hitotsubashi Institute for Advanced Study, Hitotsubashi University, Japan

Plenary Session 6 : Research
Scaling-up regional comparative outcome studies on countries’ health systems and primary care status

May 17 (Fri) / 15:30-17:00

Details

Since 2013, the WONCA Working Party on Research has organized comparisons between WONCA Member Organizations of the status of primary health care and the policy to implement health systems reforms, in their country. These presentations were standardized through the use of an 11 slides’ power-point template – ‘the panel method’ and aimed to present, critically appraise and compare countries. The WONCA Asia Pacific region organized two highly successful comparisons that provided important insights in the regional status of family medicine and primary health care.
Built on this success, the WONCA Working Party on Research proposes more in-depth comparisons between countries, of the role, structure, organization, training and performance of primary health care. The aim of this Workshop is to review the experiences with the panel method, and explore how its findings can inform policy makers. Presentations will explore recent primary health care innovations in Hong Kong, Taiwan and Thailand, the importance of empirical primary health care data for health-economists and how the International Classification of Primary Care (ICPC) in its current revision to ICPC-3 can support comparisons.
Based on the Workshop findings, future comparative studies – in the region and/or at a WONCA global level – can be planned.

Chairs

Prof. Chris van Weel
Department Primary and Community Care, Radboud University Nijmegen, the Netherlands/Department Health Services Research and Policy, Australian National University, Australia

Prof. Felicity Goodyear-Smith
Department of General Practice and Primary Health Care, University of Auckland, New Zealand

Speakers

Scaling-up regional Comparative Outcome Studies on countries health systems and primary care status.Prof. Chris van Weel
Department Primary and Community Care, Radboud University Nijmegen, the Netherlands/Department Health Services Research and Policy, Australian National University, Australia

Primary health care data to support health-economics:
turning soft values in hard dataProf. Masako Ii
School of International and Public Policy, Hitotsubashi University, Japan

Family Practice Integrated Care Project could improve primary healthcare performances in TaiwanProf. Shinn-Jang Hwang
Department of Family Medicine, Taipei Veterans General Hospital, Taiwan

Capture data on reform: experience from ChinaProf. Cindy Lam
Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong

Capture data of model of success: ThailandDr. Sairat Noknoy
Royal College of Family Physician of Thailand, Thailand

Organising further regional studies: how to turn good intentions into study data & publicationsProf. Felicity Goodyear-Smith
Department of General Practice and Primary Health Care, University of Auckland, New Zealand

How can the ICPC-3 classification support a brighter future for PHC?Dr. Kees van Boven
Department of Primary and Community Care, Radboud University Nijmegen, The Netherlands

Plenary Session 7 : Young GP/ FPs
Talk beyond the boundaries about Young Doctors Movement
- To find out the light for younger generations -

May 18 (Sat) / 8:45-10:15

Details

WONCA has declared the importance of Young Doctors Movement to promote the implementation of UHC: Universal Health Coverage that WHO already has put forward and the education for bringing up younger family doctors. On the other hand, Japan has just introduced the new education and certification system designed by Japanese Medical Specialty Board, expecting younger generations to have their own career as family doctors/general practitioners to care the patients, the community, and the nation.
In this session, firstly, we want to discuss why we emphasize YDM for our academic activities. The campaign of YDM has expanded gradually so far. Secondly, leaders of YDM from the Asia-Pacific Region and other regions will make a brief presentation of their own viewpoints regarding the situations of their own countries, why they commit to YDM, and the challenges of nowadays. These presentations will be expected to trigger our ideas and motivations, and give awareness of the importance of thinking globally and having action plans for achieving UHC. We also expect the ex-chair of WONCA, Amanda Howe to listen to the voice of younger generations and give us brilliant advice for the future.

Chairs

Dr. Tesshu Kusaba
The Hokkaido Centre for Family Medicine, Japan

Prof. Amanda Howe
Norwich Medical School, University of East Anglia, United Kingdom

Speakers

How to encourage Young Doctors Movement over
Asia-Pacific Region and the world?Dr. Ana Nunes Barata
Family Medicine, WONCA, Portugal

Finding your tribe: lessons learnt from EuropeDr. Sonia Tsukagoshi
Department of Community and Family Medicine, Fukushima Medical University, Japan/Junior International Committee, Royal College of General Practitioners, United Kingdom

How to encourage Young Doctors Movement within Asia-Pacific Region and all over the worldDr. Shin Yoshida
Department of General Internal Medicine, Iizuka Hospital/Kaita Hospital, Japan

Young Doctors Entrepreneurship to anticipate disruptive era of the 4th industrial revolutionDr. Erfen Gustiawan Suwangto
The Rajakumar Movement (Young Doctors Movement in Asia Pacific Region), WONCA of Asia Pacific Region, Indonesia

Young family doctors - the brightest future for medical generalism Prof. Amanda Howe
Norwich Medical School, University of East Anglia, United Kingdom