recognising these challenges japan plans to introduce a distinct specialist primary care workforce throughout the health care system as of this chapter examines the steps that are needed to achieve this and to embed quality monitoring and improvement activities from the start the use of such data by the oecd is without prejudice to the status of the golan heights east jerusalem and israeli settlements in the west bank under the terms of international law rather than having a dedicated workforce with specialist training in the functions described above primary care in japan is delivered by a cadre of semigeneralistsemispecialists that is physicians who leave hospital practice after an unspecified amount of time to set up as generalists with no compulsory further training in the community