The impact of an aging population is most pronounced in Japan. How the delivery of expensive, high-technology care is structured for the elderly will have profound implications for the future costs of care in both countries. canadian neighborhood pharmacy
In the United States, there is also a growing realization that we must better define suitable and sustainable goals for medical care, especially for decisions around the end of life. These data provide insight into the biases that are determinative of ICU resource allocation in two different but aging societies. In Japan, where the use of “do-not-resus-citate” orders is limited as a consequence of cultural proscriptions, decisions to forgo aggressive therapy are made more often before ICU admission, thereby precluding the use of critical care resources as evidenced by the extremely small proportion of patients admitted who are > 85 years old in Japan (1.2%) when compared to the United States (4.5%).
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