RECOMMENDATION 4SUPPORT PROGRAMS TO EXPAND THE ROLEOF TELEHEALTH, VIRTUAL CARE, AND DIGITALTHERAPEUTICS IN PROVIDING HEALTHCARETO VULNERABLE POPULATIONSThe novel coronavirus pandemic has highlightedthe challenge of accessing healthcare for the mostvulnerable in the population. Those with high riskcomorbidities, or who live in remote areas wereeither unable to attend essential checkups andaccess emergency care, or faced the risk ofinfection if visiting in person. The Japanesegovernment rightly supported telehealth in thisperiod, and it is essential for patient well-being thatthis continue post-covid. To realize the full benefit,it is essential to couple the support for telehealthwith support for digital prescriptions and to enablepharmacies to offer home delivery of importantmedications, all while expanding the overall role ofdigital technologies in delivering care. Thesemeasures will help support the ageing populationlong after covid, and enable new approaches totriaging, screening and following up with patients,customizing the patient experience, and improvingthe ability of doctors to monitor and communicatedirectly with their patients.RECOMMENDATION 3THROUGH BROADER PRIVATE-PUBLICPARTNERSHIP, PURSUE THE COLLECTION OFDATA THAT BENEFITS EVEN THE MOSTVULNERABLE POPULATIONS, BUILDING THEINFRASTRUCTURE NECESSARY TO COLLECTDATA THAT SUPPORTS A STRONGEREVIDENCE-BASE FOR THE USE OF MEDICINESAND MEDICAL TECHNOLOGIESDigital data is not only for the purpose ofobserving the big picture. It should also be activelyutilized to identify the needs of individuals thatmay not be visible from a broad overview of thestatus quo and to render assistance to vulnerablegroups in society. In that sense, it is absolutelyessential for there to be close collaborationbetween businesses, the government, civil society,and patients (e.g., patient groups and relatedparties in the case of supporting terminally illpatients) as well as other affiliated parties invarious fields with knowledge of where the data is,how to collect it, how to store it securely and howto evaluate its value in an appropriate manner. Toachieve this, it is also important to work onensuring both individual organisations andnational institutions have access to the informationinfrastructure required for accumulating data on alocal and a decentralized scale.There are many areas of healthcare that willbenefit from such efforts. National data onpharmaceutical products and medical equipmentcan facilitate more rigorous verification and theappropriate evaluation efficacy, and support theidentification of technologies without significantmedical need or limited clinical benefits and thosewith genuinely high levels of need. Linkage ofprimary and secondary healthcare data, coupledwith new data sources such as genomics, wearabledevices, or daily activity tracking, will enable newapproaches to understanding disease diagnosis,progression, spread, and epidemiology.| ACTION 1PAGE | 06RE-IMAGINING DATA INFRASTRUCTUREINVESTMENT SCHEMESThe equivalent of a real estate REIT in Big Data would be a"Big Data Investment Trust" (BDIT). This type of "collectiveinvestment scheme" could be created for rights derivedfrom big data, IoT and artificial intelligence to catalyze a datarevolution in Japan.
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