As Japan's population continues to age, it is estimated that the number of people aged ≥75 years will exceed 20 million by 2025. Furthermore, over the past 10 years, we have not reduced the difference between life expectancy and healthy life expectancy. Therefore, the extension of healthy life expectancy and the development of a healthy society are the most urgent issues. In terms of medical care, the changing times have inevitably led to changes in disease structures and medical demands; therefore, the medical delivery system has had to be changed to meet these demands. As dementia rapidly increases, it is important to address “frailty,” a condition in which people become more vulnerable to environmental factors as they age, and there is a need to provide services to older people, particularly the old-old, that emphasize quality of life in addition to medical care. To realize a super-aged society that will remain vigorous and vibrant for many years, we need to rethink the future of Japanese medicine and healthcare, and the state of society.

中文翻译：

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迈向充满活力的超老龄化社会：日本医学和社会的未来

随着日本人口不断老龄化，预计到2025年≥75岁的人口将超过2000万。而且，过去10年，我们并没有缩小预期寿命与健康预期寿命之间的差距。因此，健康预期寿命的延长和健康社会的发展是当务之急。在医疗方面，时代的变迁必然导致疾病结构和医疗需求的变化；因此，必须改变医疗输送系统以满足这些需求。随着痴呆症的迅速增加，重要的是要解决“虚弱”问题，即随着年龄的增长，人们变得更容易受到环境因素的影响，需要为老年人，特别是老年人提供服务，除了医疗保健，还强调生活质量。为了实现多年保持活力和活力的超老龄化社会，我们需要重新思考日本医疗保健的未来以及社会状况。