일본의 건강증진 정책의 방향 -생활습관병 대책을 중심으로- (The New Health Promotion Strategy in Japan -focusing on life-style related diseases)

서지정보

· 발행기관 : 한국보건교육건강증진학회
· 수록지 정보 : 보건교육건강증진학회지 / 25권 / 3호 / 167 ~ 181페이지
· 저자명 : 이정수, 이원철, 이경수, 고광욱, 최은진, 박천만

초록

The prevention of life-style related diseases is an increasingly important issue in Japan, because not
only have the number of patients with life-style related diseases increased but also medical care costs. This
paper gives recent strategies for the prevention of cardiovascular diseases through life-style modification.
Health objectives for the year 2010, called “Healthy Japan 21”, were established in 2000 by the
Ministry of Health, Labour and Welfare and the Health Promotion Act was enacted in 2002 to promote
this health policy. However, the prevention efforts for life-style related diseases have not been effective in
regard to the evaluation of the strategy objectives.
The reform of the medical care system which included a new nationwide prevention strategy for
life-style related diseases was presented in 2006. The new strategy starting from April 2008 included a
“specific health checkup” and “specific health education” for those with metabolic syndrome. The specific
health checkup is used to screen people according to criteria of the metabolic syndrome and divide them
into 3 groups. These groups will receive specific health education.
The purpose of this strategy is the early detection of those who have cardiovascular risk factors, and
the early management of the clustering of cardiovascular risk factors of obese people aged 40-74 years old.
It is mandatory for every insurer to conduct a specific health checkup and specific health education under
the new Act. The implementation rate of the specific health checkup and the specific health education, and
a reduction rate of individuals with metabolic syndrome among insured people will be evaluated every year.
The national objective is to increase the rate of those undergoing the specific health checkup to 80% and
the rate of those receiving the specific health education to 60% by the year 2015. The national objective
also targeted a reduction rate of 25% for those with metabolic syndrome.
This new strategy will be the biggest intervention trial in the world, and it will produce a big health
care market in Japan. Not only public administrative institutions but also private institutions are now
preparing to take part in this new strategy. However, various tasks remain, such as training more
professionals in health education, developing more evidence based practices, and encouraging cooperation
with various sectors, to enforce this new strategy.

영어초록

The prevention of life-style related diseases is an increasingly important issue in Japan, because not
only have the number of patients with life-style related diseases increased but also medical care costs. This
paper gives recent strategies for the prevention of cardiovascular diseases through life-style modification.
Health objectives for the year 2010, called “Healthy Japan 21”, were established in 2000 by the
Ministry of Health, Labour and Welfare and the Health Promotion Act was enacted in 2002 to promote
this health policy. However, the prevention efforts for life-style related diseases have not been effective in
regard to the evaluation of the strategy objectives.
The reform of the medical care system which included a new nationwide prevention strategy for
life-style related diseases was presented in 2006. The new strategy starting from April 2008 included a
“specific health checkup” and “specific health education” for those with metabolic syndrome. The specific
health checkup is used to screen people according to criteria of the metabolic syndrome and divide them
into 3 groups. These groups will receive specific health education.
The purpose of this strategy is the early detection of those who have cardiovascular risk factors, and
the early management of the clustering of cardiovascular risk factors of obese people aged 40-74 years old.
It is mandatory for every insurer to conduct a specific health checkup and specific health education under
the new Act. The implementation rate of the specific health checkup and the specific health education, and
a reduction rate of individuals with metabolic syndrome among insured people will be evaluated every year.
The national objective is to increase the rate of those undergoing the specific health checkup to 80% and
the rate of those receiving the specific health education to 60% by the year 2015. The national objective
also targeted a reduction rate of 25% for those with metabolic syndrome.
This new strategy will be the biggest intervention trial in the world, and it will produce a big health
care market in Japan. Not only public administrative institutions but also private institutions are now
preparing to take part in this new strategy. However, various tasks remain, such as training more
professionals in health education, developing more evidence based practices, and encouraging cooperation
with various sectors, to enforce this new strategy.

참고자료

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