Japan appears to be one of the healthiest nations. However, each step of healthcare services is not excellent while macroscopic outcomes are exceptional. Globalization is also key concept in Japanese respiratory healthcare services. As international communication between physicians become more common, the reality that various gaps in respiratory healthcare services still remain in place is becoming clearer. Now, clinicians are paying attention to global sources of information. Respiratory medicine will also change from experience-based medicine to evidence-based science.
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