Cooperation Request
For the International Survey on Integrative Medicine
Integrative Medicine Japan
International Committee
Recently, diseases including cancer, heart disease, diabetes and depression are on the
rise in the entire world. Development of more effective treatments and a system of medicine
and healthcare which promotes a society of healthy aging is strongly needed and in demand.
Integrative medicine is recently receiving attention from the public. There are differences
and commonalities in each nation with regards to the ideals of medicine and their healthcare
systems because the circumstances of healthcare, culture and customs are different in each
country.
We have decided to conduct an international survey about integrative medicine in order to
think about the common framework of the medical healthcare system beyond the differences
of various nations. A system of medicine and healthcare that enables healthy aging based on
the concept of integrative medicine is very important for our future and therefore, creation of
such framework would be a great contribution for our future society.
We hope that you will cooperate with this survey with this understanding.
This survey is conducted by the International Committee of Integrative Medicine
Japan with the cooperation of Legislators Alliance on Promoting Integrative
Medicine. It is composed by the legislators of the Liberal Democratic Party which is the
present ruling party of the Japanese Government.
◇ Who can participate in this survey?
People who understand the meaning of this survey, who are over 30 years old and
have lived in a specific country for more than 10 years may answer the questions
on his/her own.
◇ Contents of the Survey
By following the directions of the person in charge, we want you to answer the
questions on a computer. The time expected to answer the questions is about 30
minutes.
◇No Charge for Taking Survey
There is no charge to you for taking the survey. We appreciate your
participation.
◇ Please read the following statement carefully before you participate in the
survey.
• This is a preliminary survey that is being taken prior to the full scale survey which will be
conducted later. We want to conduct this survey in about 20 countries with approximately
50 to 100 people participating who have lived in their country for 10 years or more.
• ALL INFORMATION IS CONFIDENTIAL. We are planning to publicize the data
obtained through the survey in professional publications but please be assured that we will
not publicize your personal data with it.
• Also, please understand that neither benefit nor loss of benefit shall emerge by
participating in this survey. Even if you choose not to participate in the survey,
it won’t create a loss of benefit to you.
• Even after you participate in the survey, if you want, we will destroy your data
at that point. Please inform the person in charge.
By understanding the above-mentioned statement, if you will cooperate with us, please sign
the following consent form.
Consent Form
By understanding that my personal data that was disclosed by
participating in this International Survey on Integrative Medicine will be
protected and will not cause any lack of benefit to me, I will participate in this
survey.
I also confirm that this consent can be revoked anytime from my side and
no lack of benefit would emerge from such action.
Date: _________/__________/_____________
Address：
Name:
※If you have questions, please contact the following:
Representative: Kiyoshi Suzuki, M.D., Chair, International Committee, IMJ
Cooperative Researcher：Seiya Uchida, Ph.D.
Senior Researcher, MOA Health Science Foundation
E-mail: imj_research@mhs.or.jp
International Survey on Integrative Medicine
１. Question about yourself （Required）
① Date you answered this survey：
② Country：
, City：
③ Age：
④ Gender：
Male
Female
⑤ Occupation：
Medical Doctor
Politician
Other Medical Professionals
Educator
Others (
⑥ Work Place：
)
Governmental Office Legislator's Office
Medical Institute
Corporation
Others(
)
２. Let me ask your impression about Integrative Medicine
①
Have you heard about Integrative Medicine？
(Choose one answer)
1. Yes, I heard about it frequently.
2. Yes, but sometimes.
3. I scarcely heard about it.
4. 4.This is the first time I heard about it.
②
Do you know what is Integrative Medicine？(Choose one answer)
1. Yes, I know it very well.
2. I understand it more or less.
3. There are things I don't understand.
4. 4. I don't have much idea.
③ Which of the following is closest to your image of Integrative Medicine?
(Choose one answer)
1. To use therapies other than the Western Medicine.
2. To combine Western Medicine with other treatment methods
(Complimentary and Alternative Medicine)
3. It is a medical practice to combine whatever treatments effective for
the patients. Therefore, what you combine is not the point.
4. In addition to the concept described in 3., it also includes prevention
and health promotion in addition to the treatments. It supports the
improvement of lifestyle and one's joy of life.
5. In addition to the concept described in 4., it also includes efforts of
creating environment and healthy communities in order to realize a
society of healthy aging.
6. I am not sure.
7. 7. Others (Please describe it in detail.)：
④ How do you think the government and the medical professionals of the
country you live understand Integrative Medicine? (Choose one answer)
1. To use therapies other than the Western Medicine.
2. To combine Western Medicine with other treatment methods
(Complimentary and Alternative Medicine)
3. It is a medical practice to combine whatever treatments effective for
the patients. Therefore, what you combine is not the point.
4. In addition to the concept described in 3., it also includes prevention
and health promotion in addition to the treatments. It supports the
improvement of lifestyle and one's joy of life.
5. In addition to the concept described in 4., it also includes efforts of
creating environment and healthy communities in order to realize a
society of healthy aging.
6. I am not sure.
7. 7. Others (Please describe it in detail.)：
⑤ Do you think that we should promote Integrative Medicine?
(Choose
one
answer)
1. Yes, definitely.
2. Yes, but it depends on what we can actually do.
3. No, we should not promote Integrative Medicine.
4. I am not sure.
5. Others (Please describe it in detail.)：
３. Let me ask you about the concept of Integrative Medicine that is being
discussed in Japan.
① How do you think by reading the following statements?（Required）
Integrative Medicine is a concept of medicine whose main goals are the
following 4 points.
1. Work toward the prevention and health promotion.
2. By respecting the desire of the patients, provide treatments that are
more effective and less expensive. (It includes hospice care.)
3. Support the improvement of one's lifestyle.
4. Support the enhancement of QOL (Quality of Life) and the joy of life.
Integrative Medicine has both "Medical Model" and "Social Model."
"Medical Model" is a medicine to incorporate not only Western Medicine
but any methods which fit the patient so that the effectiveness of
treatment and the patient's QOL will be enhanced.
"Social Model" is a method for the community to play a leadership in
enhancing each other's QOL by utilizing various knowledges.
"Medical Model" and "Social Model" should work hand in hand to balance the
medical expense to an appropriate level and work toward a society of healthy
aging. At the same time, it is to create a sustainable mutual-help
communities that support such goal.
1. It is close to my image of future medicine.
2. There are both aspects that are close to my image and different from my
image of future medicine.
3. They are quite different from my image of future medicine.
4. 4. I don't know.
② Please share with us your thoughts on the concept of Integrative Medicine which
was described in ①. （Optional）
４. Let me ask you the condition of healthcare in your country
① In the country you live now, what are the therapeutic methods often
combined in the treatments other than the Western Medicine? (Choose as
many as you want)
They are combined so that the effectiveness of
treatments and the QOL would be enhanced.
Traditional Medicine
・Chinese Medicine
・Ayurveda
・Other Traditional Medicine
Therapies which uses various materials.
・Various Diet Method
・Herbs, Natural Medicine
・Vitamins, Minerals
・Homeopathy
Therapies that utilize various manipulations.
・Acupuncture, Moxa cautery
・Massage
・Chiropractic
Psychosomatic therapies
・Yoga
・Meditation
・Art Therapy
Energy Healing
・Therapy using energies including electricity, magnet field, heat, etc.
・Biofield energy therapy
Others (Please describe them in detail)
②
What are the traditional medicine(s) of the country you live now?
(Optional)
③ What does the government do as its policy to protect and foster the
traditional medicine of the country you live now? (Optional)
④ Does the country you live promote community enrichment actively in order
to realize a society of healthy aging? (Choose one answer)
1. Yes and they are producing good results.
2. Yes, but we don't kow their effects yet.
3. Ye, but they are not producing good results.
4. It is in the stage of putting it into execution.
5.
It is scarcely discussed.
6. I don't know.
⑤ How is the traditional culture and customs of the country you live being
utilized in the healthcare and creation of healthy communities? (Optional)
５、Let me ask you about Spiritual Care
① People talk about the importance of spiritual care for those who lost sight of
the meaning of their lives due to various reasons. In the country you live, do
they incorporate spiritual care in medicine? (Choose one answer)
1. Yes, they incorporate it extensively and producing good results.
2. Some medical institutions incorporate spiritual care.
3. Though they think it is important but it is scarcely incorporated.
4. It is not regarded important.
5. I don't know.
② Spiritual care often relates to religion. Do you think that spirituality and
religion is important in the treatment of disease? (Choose one answer)
1. Yes, I think it is important.
2. I think it is important to certain degree.
3. There are cases when it is important.
4. I don't think it is important.
5. I don't know.
③ Please share your thoughts about spiritual care. (Optional)
④ From your viewpoint, what are the challenges in incorporating traditional
medicine and the spiritual/mental aspect of religions into modern medicine?
(Optional)
6、Let me ask you about the education of Integrative Medicine
① In the country you are now living, how does the education of Integrative
Medicine conducted at colleges and hospitals? (Choose one answer)
1. Education of IM is already extensively conducted at colleges and
hospitals.
2. There are colleges and hospitals where they teach IM, but they are not
many.
3. There are some colleges and hospitals where they teach IM.
4. There are no colleges and hospitals where they teach IM.
5. I don't know.
② Please share your thoughts about the education of Integrative Medicine.
(Optional)
７、Finally, if you have opinions about the Integrative Medicine in general, please
share it with us. (Optional)
Thank you very much