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Upended by Meth, Some Communities Are Paying Users to Quit
Upended by Meth, Some Communities Are Paying Users to Quit

New York Times

time6 days ago

  • Health
  • New York Times

Upended by Meth, Some Communities Are Paying Users to Quit

Jamie Mains showed up for her checkup so high that there was no point in pretending otherwise. At least she wasn't shooting fentanyl again; medication was suppressing those cravings. Now it was methamphetamine that manacled her, keeping her from eating, sleeping, thinking straight. Still, she could not stop injecting. 'Give me something that's going to help me with this,' she begged her doctor. 'There is nothing,' the doctor replied. Overcoming meth addiction has become one of the biggest challenges of the national drug crisis. Fentanyl deaths have been dropping, in part because of medications that can reverse overdoses and curb the urge to use opioids. But no such prescriptions exist for meth, which works differently on the brain. In recent years, meth, a highly addictive stimulant, has been spreading aggressively across the country, rattling communities and increasingly involved in overdoses. Lacking a medical treatment, a growing number of clinics are trying a startlingly different strategy: To induce patients to stop using meth, they pay them. The approach has been around for decades, but most clinics were uneasy about adopting it because of its bluntly transactional nature. Patients typically come in twice a week for a urine drug screen. If they test negative, they are immediately handed a small reward: a modest store voucher, a prize or debit card cash. The longer they abstain from use, the greater the rewards, with a typical cumulative value of nearly $600. The programs, which usually last three to six months, operate on the principle of positive reinforcement, with incentives intended to encourage repetition of desired behavior — somewhat like a parent who permits a child to stay up late as a reward for good grades. Research shows that the approach, known in addiction treatment as 'contingency management,' or CM, produces better outcomes for stimulant addiction than counseling or cognitive behavioral therapy. Follow-up studies of patients a year after they successfully completed programs show that about half remained stimulant-free. Want all of The Times? Subscribe.

Japan Point-Of-Care Testing Market Set to Reach US$ 4,557.56 Million By 2033
Japan Point-Of-Care Testing Market Set to Reach US$ 4,557.56 Million By 2033

Yahoo

time10-07-2025

  • Health
  • Yahoo

Japan Point-Of-Care Testing Market Set to Reach US$ 4,557.56 Million By 2033

Japan's point-of-care testing sector is mature, driven by an ageing population, strong domestic champions, supportive reimbursement, and global firms introducing connectivity, yet competitive pressures sustain innovation and ensure secure supply chains across clinics and hospitals. Chicago, July 10, 2025 (GLOBE NEWSWIRE) -- The Japan point-of-care testing market is projected to hit the market valuation of US$ 4,557.56 million by 2033 from US$ 2,361.59 million in 2024 at a CAGR of 7.91% during the forecast period 2025–2033. Japan point-of-care testing market continues to gain strong momentum as the nation's rapidly ageing demographic pushes hospitals, clinics, and community pharmacies to secure nearly instantaneous answers at the bedside. In 2024 the Cabinet Office reports 36 million Japanese residents aged over 65, and this cohort presents the highest per-capita burden of diabetes, heart failure, and chronic respiratory disease nationwide. Traditional central-lab workflows stretch turnaround time to three hours or more, an interval that often triggers avoidable ambulance transfers and overnight admissions. By contrast, handheld HbA1c, BNP, and CRP cartridges now deliver actionable readings within fifteen minutes, enabling physicians to titrate medication in the same visit. Growth is especially visible inside 1,500 geriatric specialty hospitals, where ward nurses increasingly run creatinine or urinalysis strips before nephrologist rounds, preventing dosing errors for renally cleared drugs. Global momentum is supportive; the broader point-of-care diagnostics segment climbed further in 2023, reflecting brisk cartridge replenishment rates across Asia-Pacific. Download Free Sample: Clinical leaders underscore that the Japan point-of-care testing market benefits from strong continuity-of-care objectives under the national 'Community‐based Integrated Care System.' Because nearly one in three ambulance calls involves patients over 75, emergency departments are deploying desktop troponin analyzers at triage to reduce coronary ruling-out time from 170 to 40 minutes. Home-visit nurses, whose numbers surpassed 110,000 in 2024, now carry Bluetooth glucose meters that push encrypted data to family physicians through the MHLW-certified Medical Information Cloud. The keyword impetus is also seen in rehabilitation facilities, where physiotherapists use portable lactate meters to individualize exercise loads. Further demand stems from family caregivers purchasing hemoglobin self-test kits online; e-commerce sales for these kits more than doubled between 2021 and 2023. Altogether, the Japan point-of-care testing market is evolving from hospital-centric instrumentation toward a pervasive, elder-support ecosystem that travels with the patient. Key Findings in Japan Point-Of-Care Testing Market Market Forecast (2033) US$ 4,557.56 million CAGR 7.91% By Product Type Testing Kits & Consumables (65.50%) By Test Type Immunological PoC Tests (45.50%) By Indication Infectious Diseases (35.70%) By Technology Biosensor Technology (30.8%) By Sample Type Blood (62.7%) By Mode of Purchase Prescription-based Testing (53.77%) By End User Hospitals & Clinics (58.5%) By Distribution Channel Retail Pharmacies (46.2%) Top Drivers Aging Population Needs: Rising elderly demographic demands rapid POCT diagnostics in both nations. Chronic Disease Prevalence: Increasing chronic conditions boost POCT demand for early screening. Government Support: Funding from public and private sectors drives POCT market growth. Top Trends Decentralized Testing Growth: Shift to decentralized diagnostics enhances faster decision-making in healthcare. Mobile Device Adoption: Growing use of mobile POCT devices in middle-income regions. Technological Advancements: Innovations in POCT platforms like microfluidics improve testing accuracy. Top Challenges Accuracy Concerns: Inaccurate results reduce trust in POCT versus lab testing. Cost Barriers: High costs limit POCT adoption in resource-constrained settings. Regulatory Hurdles: Stringent regulations in India and Japan complicate market entry. Policy Reforms Accelerate Decentralized Testing Reimbursement And Procurement Pathways Expansion Japan point-of-care testing market immediately felt the impact of the April 2022 revision to the National Health Insurance (NHI) tariff schedule, which created distinct specimen-specific codes for QR-linked lateral-flow assays. Under the update, providers receive a bundled consultation fee when antigen or molecular tests are performed in non-hospital settings, a mechanism that saved clinics an estimated US$ 9.6 million in administrative time during the first twelve months. Likewise, the October 2023 Pharmaceutical and Medical Device Act (PMD Act) amendment simplified importation dossiers for CE-marked cartridge systems, shaving the average approval review period from 14 to 8 months. The Ministry of Economy, Trade and Industry (METI) complemented the regulatory streamlining by launching a four-year, US$ 120 million subsidy program that reimburses up to 50,000 yen per analyte-specific device installed in rural municipalities. Globally, payers that adopt similar outcome-based reimbursement have spurred quicker diagnostics diffusion. Strong fiscal signals guarantee sustained velocity for the Japan point-of-care testing market going into fiscal 2025. The government's 9th Medical Fee Revision allows pharmacists to bill for inflammatory marker testing when undertaken as part of medication therapy management, a first in the OECD community. Prefectural procurement offices are also turning to digital auctions: Tokyo, Kanagawa, and Osaka jointly sourced 280,000 influenza-SARS-CoV-2 combo cassettes via an online reverse-bid in January 2024, securing a 12-day delivery window that supported uninterrupted clinic operations during a severe seasonal surge. Parallel efforts inside the Self-Defense Forces Medical Service have cleared portable blood gas units for disaster drills, providing another reimbursable pathway once units transition to civilian trauma centers. These multilayered fiscal and regulatory levers ensure that the Japan point-of-care testing market is not only expanding its installed base but also lowering the total cost of ownership for frontline providers. Technological Convergence Spurs Multiplex Molecular Panels In Primary Settings Evolution Japan point-of-care testing market registers a clear pivot from single-analyte lateral-flow strips to palm-sized multiplex PCR readers capable of detecting ten respiratory or gastrointestinal pathogens in one cartridge. Domestic innovators, often in partnership with microfluidic design houses from Silicon Valley, have shrunk thermal-cycling volumes to under two microliters, trimming reaction times to 20 minutes without sacrificing analytical sensitivity. The 2024 Kanto Respiratory Trial demonstrated that a clinic-based multiplex panel correctly identified 219 out of 222 adenovirus cases compared with central-lab RT-PCR, while allowing same-visit antiviral prescription. On the chronic-disease front, electrochemical immunosensors embedded in chip-on-board assemblies now quantify hs-CRP down to 0.2 mg/L, enabling earlier statin initiation for patients who appear low-risk by LDL alone. These advances mirror the global move toward high-throughput, cartridge-based POCT solutions that continue to attract strategic investment. Interoperability standards are equally decisive in directing capital toward the Japan point-of-care testing market. Every major cartridge platform released since mid-2023 ships with FHIR-compatible middleware, meaning encounter data slip seamlessly into the nationwide KokusaiDenso distributed ledger used for claims adjudication. That single feature shortened claim reconciliation cycles by four days for 380 pilot clinics across Saitama Prefecture. Additionally, the Japan Electronics and Information Technology Industries Association (JEITA) published a common battery-safety profile that lets clinicians hot-swap lithium-ion packs without rebooting the analyzer—a critical requirement for disaster preparedness hospitals in quake-prone regions. The confluence of microfluidics, cloud APIs, and ruggedized industrial design places the Japan market on a trajectory where precision diagnostics are not compromised by footprint, power, or data-security constraints. Modify Report as Per Requirements: Domestic Champions Compete With Multinationals In Connected Device Arena Dynamics Japan point-of-care testing market features a vibrant mix of home-grown players—Sysmex, ARKRAY, HORIBA, and Nihon Kohden—alongside multinational heavyweights Abbott, Roche, and Siemens Healthineers. Local manufacturers leverage intimate knowledge of reimbursement nuance and facility layout; Sysmex's XW-1000 hematology analyzer, purpose-scaled to fit on Japan's standard 600-millimeter dispensing counter, reached 4,200 community clinics within its first 18 months of launch. Multinationals counter with global R&D budgets, introducing connectivity features such as Abbott's ID NOW Japanese-language voice guidance that reduces operator training time by 60 minutes per staff member. Market watchers observe that platform loyalty increasingly hinges on cartridge supply resilience—domestic suppliers maintained 98 percent monthly fill rates during the Q1 2024 influenza surge, whereas two overseas brands reported week-long back orders. Competitive intensity keeps pricing disciplined, but the bigger story is ecosystem control within the Japan point-of-care testing market. Sysmex secured an exclusive middleware contract with the National Cancer Center Hospital East, linking 65 desk-top coag meters and 22 urinalysis imagers across five buildings; the network transmits 1.2 million results annually into a single data lake for AI-driven antimicrobial stewardship. The system's first-year pilot cut average empirical-antibiotic days of therapy (DOT) by 14 % and flagged 230 mismatches between antibiograms and prescription patterns—metrics that Sysmex now packages into a subscription analytics module to be rolled out to 40 prefectural cancer centers by 2026. Rivals have responded quickly: Roche coaxed its cobas® h 232 cardiac POC line onto NHO's national VPN, while Nihon Kohden embedded FHIR-ready hooks in the new Life Scope PT vitals monitor so that sepsis alerts flow directly into Cerner and Fujitsu HIS instances without middleware. Japan Point-of-Care Testing Market Major Players: Abbott Laboratories F. Hoffmann-La Roche Ltd Sekisui Diagnostics BD (Becton, Dickinson and Company) FUJIFILM Sysmex Corporation Other Prominent Players Key Market Segmentation: By Product Devices & Instruments Diagnostic Analyzers & Testing Devices Blood Gas & Electrolyte Analyzers Cardiac Biomarker Analyzers Glucose Monitoring Devices Coagulation Testing Analyzers Urinalysis Analyzers Routine Clinical Chemistry Analyzers Others Monitoring Devices Blood Pressure Monitors Thermometers Pulse Oximeters Others Testing Kits & Consumables Blood Gas & Electrolyte Test Kits Cardiac Biomarker Test Kits Routine Clinical Chemistry Test Kits Hematology Test Kits Coagulation Testing Kits Urinalysis Test Strips & Kits Cholesterol Test Strips Drugs Abuse Testing Kits Pregnancy And Fertility Testing Kits Others By Test Type Immunological PoC Tests Nucleic Acid-Based PoC Tests Biomarker-Based PoC Tests By Indication Infectious Diseases HIV COVID-19 Others Oncology Cardiovascular Diseases Metabolic Disorders Respiratory Diseases Neurological Disorders Gastrointestinal Disorders Others By Technology Biosensor Technology Microfluidic Lab-On-A-Chip Technology Molecular Diagnostics Immunoassays Others By Sample Type Blood Urine Saliva Others By Mode Of Purchase Prescription-based Testing Over the Counter (OTC) Testing By End User Hospitals & Clinics Diagnostic Centers Homecare Settings Research Laboratories Others By Distribution Channel Direct Distribution Retail Pharmacies Online Pharmacies Others Have Questions? Reach Out Before Buying: About Astute Analytica Astute Analytica is a global market research and advisory firm providing data-driven insights across industries such as technology, healthcare, chemicals, semiconductors, FMCG, and more. We publish multiple reports daily, equipping businesses with the intelligence they need to navigate market trends, emerging opportunities, competitive landscapes, and technological advancements. With a team of experienced business analysts, economists, and industry experts, we deliver accurate, in-depth, and actionable research tailored to meet the strategic needs of our clients. At Astute Analytica, our clients come first, and we are committed to delivering cost-effective, high-value research solutions that drive success in an evolving marketplace. Contact Us:Astute AnalyticaPhone: +1-888 429 6757 (US Toll Free); +91-0120- 4483891 (Rest of the World)For Sales Enquiries: sales@ Follow us on: LinkedIn | Twitter | YouTube CONTACT: Contact Us: Astute Analytica Phone: +1-888 429 6757 (US Toll Free); +91-0120- 4483891 (Rest of the World) For Sales Enquiries: sales@ Website: while retrieving data Sign in to access your portfolio Error while retrieving data Error while retrieving data Error while retrieving data Error while retrieving data

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