Healthcare in Japan
Healthcare Belief Systems and Perspectives
As most developed nations, the primary healthcare belief of Japan is the biomedical/scientific model. Japan has a universal healthcare system, in which health insurance is funded both publicly and privately. This puts a strong emphasis on patient care and strengthens the medical institutions that care for the health of Japanese people. Again, hierarchy is a foundational element of Japanese culture, meaning the medical authority is regarded very well and trusted deeply. Japan takes a “patient-centeredness” approach to health care, consisting of "medical team approach", "nutrition management", and "infection controls" (Kondo, 2022). Child vaccinations in Japan are relatively high as well (Jwa et al., 2022), displaying a dominant biomedical perspective on healthcare.![]() |
| Kumamoto University Hospital |
In addition to a biomedical perspective, Japan also has a minority traditional belief regarding healthcare. This belief is more holistic as it aims to restore complete body balance, in contrast to a more biomedical approach that would treat specific symptoms and disease. Kampo is the term used for this Japanese traditional medicine, it is a mixture of herbs and natural plants. According to Iwai et al. (2025), Kampo was prescribed alongside biomedical treatment in 13.6% of hospitalizations in Japan. This shows an integration of holistic and traditional beliefs into a modernized biomedical healthcare system.
Traditions and Perspectives on Death
Japanese culture places strong emphasis on death, influenced by their beliefs in Buddhism and Shintoism. Death is considered a natural passage, much like birth, in Japanese culture. As a collectivist culture, Japanese individuals feel connected to people even after they have died. Funeral traditions ensure that a family has a moral obligation to care for their deceased members, usually with offering of food and practicing rituals. There is normally a structured morning process. This includes a wake, funeral ceremony, and offerings to the deceased. Peace before death is the highest priority for Japanese people, as a way to maintain harmony even in the afterlife. Japan also has the highest cremation rate of any nation at over 99.9% (Hiatt, 2015). This is due to Buddhist beliefs that cremating helps release the soul from the physical body.
Hypothetical Scenario
If I had a friend that worked with an NGO providing healthcare in Japan, there are several communication practices that I would suggest. The first thing I would mention is the existence of Kampo, and that many people may want a holistic cure in addition to their medical treatment. I would also stress the importance of different communication norms, such as silence, indirect communication, politeness, respect for hierarchy, and nonverbal norms. I would explain that harmony is a high priority in Japanese workplaces, and that speaking out of turn or talking about controversial topics may receive negative reactions. I would explain that trust in authority is also high, and that physicians would be seen as the authority figure for medical decisions. Preventive care is also very high in Japan, and my friend may find it easier to suggest routine checkups, masks, diets, and other preventive practices than they would in the United States.Sources:


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