Post on 10-Jan-2016
description
Health Profile of JapanHealth Profile of JapanHealth Profile of JapanHealth Profile of Japan
M.P.H. international 2008M.P.H. international 2008
Kumi Matoba, Maiko Hashimoto, Shigeru TomitaKumi Matoba, Maiko Hashimoto, Shigeru Tomita
BackgroundBackgroundBackgroundBackground Before 1950’s;
- Low average life span- Main cause of death = Infectious disease TB had been called as “National Disease”
After 1950’s;- Infectious disease = Decrease- Lifestyle-related disease = Increase
Since 1984;- The average life span = Top in the world- Disabilities such as immobility, dementia- Super-aging society is coming
Health Indicator (1)Health Indicator (1)Health Indicator (1)Health Indicator (1)
Source: CIA, Ministry of Health, Labour and Welfare (Japan)
Total area (2005) 377,835 (sq km)Total Population (2008) 127,288,419Population Density (2005) 343 (people/km²)
Percentage of population (2006) <15 years old >65 years old
14 %21 %21 %
Rate of natural increase of pop. (2006) 0.00
Crude birth rate (2006) 8.7 (per 1000 pop.)
Crude death rate (2006) 8.6 (per 1000 pop.)
Life expectancy at birth (2006) - Total - Male - Female
82.5 (years)82.5 (years)79 (years) 79 (years) 86 (years)86 (years)
Health Indicator (2)Health Indicator (2)Health Indicator (2)Health Indicator (2)
Source: Ministry of Health, Labor and Welfare (Japan), WHO
IMR (2006) 2.6 (1000 IB)MMR (2006) 4.8 (100,000 IB)CMR < 5 years old (2006) 4.0 (1000 IB)Population with safe water (2006) 97.2%
Health man power (2006) -Physicians -Professional Nursing and Midwifery Personnel
206 (per 100,000 pop.)986 (per 100,000 pop.)
Fully immunized (2004) - TB, - Polio 3, - DPT 3 99 %, 97 %, 99 %GDP US$ 4,883,000
(US$ 34,155 per capita) GDP expenditure on health 8.2%Expenditure on health per capita US$ 2,936 (8.6%)US$ 2,936 (8.6%)
Medical Service InfrastructureMedical Service InfrastructureMedical Service InfrastructureMedical Service Infrastructure
Ministry of Health, Labor and Welfare
National Hospitals (218)76 National Hospitals,
138 National Sanatoriums, National Cancer Center,
National Cardiovascular Center, National Center of Neurology and Psychiatry,
International Medical Center of Japan
Research Institutions (6)
Social Insurance Agency
Health and Welfare Bureau for Elderly
Health ServiceBureau
General Affairs Division, Specific Disease Control Division,
Tuberculosis and Infectious Diseases Control Division, Environmental Health Division, Water Supply Division
General Hospital 9,000Clinic 10,000
Prefecture level(81 )Local municipal level(2000)
Regional Social Insurance Bureau (47)
"Long-term Care Insurance"
Medical Insurance SystemMedical Insurance SystemMedical Insurance SystemMedical Insurance System
Patients
HospitalsSocial Insurance
(Government Sector)
Medical Insurance PremiumMedical
Service
Quota payment
Quota payment
Claim
>75 yrs.10%
General30%
<3yrs. 20%
Trend of Major cause of Death 1899-Trend of Major cause of Death 1899-19991999Trend of Major cause of Death 1899-Trend of Major cause of Death 1899-19991999
Others
Infectious Disease
Unknown
Stroke
Heart Disease
Cancer
Tuberculosis
1.Cancer 30.5%
2.Heart Disease 15.7%
3.Stroke 13.0%
Pneumonia 9.3%
Suicide 3.2%
Accident 3.8%
Natural Death 2.3%
Natural death
Toward Aging Society… (1)Toward Aging Society… (1)Toward Aging Society… (1)Toward Aging Society… (1)
National Institute of Population and Social Security Research, Japan. General population statistics 2008.National Institute of Population and Social Security Research, Japan. Estimated population database 2008.
Toward Aging Society… (2)Toward Aging Society… (2)Toward Aging Society… (2)Toward Aging Society… (2)
age million
>75yrs12
9.3%
65~ 7514
11.1%
<65101
79.6%
total127millio
n
Medical expenditure
$1,600/ person <65yrs vs $6,600/person >65yrs
4times larger!
2004
% annual incom
e
Hundreds B
illion
☆Rapid-Aging population☆Life-style related diseases☆Long Life (post retirement)
Dementia & Bed-ridden ↑↑↑Financial and
Social Burden ↑↑↑
How to keep elder people healthy ( & minimize burden)?
★Set 9 AreasNutrition, Diet, Exercise, Diabetes ,Cancer, Dental, Smoking, Alcohol, Mental
★Set Realistic Goals in municipal level
★Follow up !
Toward Aging SocietyToward Aging Society “People‘s Health Promotion Campaign for the 21st Century (Health Japan 21)”“People‘s Health Promotion Campaign for the 21st Century (Health Japan 21)” ~~ Plan-Do-SeePlan-Do-See ~~
Toward Aging SocietyToward Aging Society “People‘s Health Promotion Campaign for the 21st Century (Health Japan 21)”“People‘s Health Promotion Campaign for the 21st Century (Health Japan 21)” ~~ Plan-Do-SeePlan-Do-See ~~
3pilers1.Primary Prevention 2.Secondary Prevention3.Health Promotion and Education at all Ages
Health Japan 21 2000 ~ 2012
Behavior Change for Brighter Aging Life
ConclusionConclusionConclusionConclusion Public Health Problem
-Life-related diseases-Disabilities such as bed-ridden, mental illness, and dementia
Super-aging society-Bringing huge burdens of disease
Primary prevention of not only premature death but also disabilities of the elderly
The new challenge of creating a society in which elderly people enjoy a healthy life based on health promotion strategy
JapanJapan
Kumi Matoba, Maiko Hashimoto, Shigeru TomitaKumi Matoba, Maiko Hashimoto, Shigeru Tomita