Home Health Care Pioneer - Shinsuke Muto At-home medical care. But unlike traditional on-call emergency care, this service sees doctors and nurses visit patients regularly, as part of a treatment plan. With some 26% of Japan's population now aged 65 or over, more and more elderly patients are limited to their homes. Physician Shinsuke Muto is revolutionizing home health care, with clinics whose dispatch staff utilizes communications technology to optimize efficiency, and similar schemes in tsunami-hit Ishinomaki and aging Singapore.