The document summarizes the 2013 ACCJ-EBC Health Policy White Paper. It begins with introductions from the ACCJ and EBC presidents. It then discusses key topics covered in the white paper such as non-communicable diseases, women's health, infectious diseases, healthcare safety, and more. Survey results are presented showing public support for initiatives like infection control programs, electronic health records, and smoking bans. The white paper contained 156 policy recommendations across 36 topics to promote health and economic growth in Japan.
Country environments vary in terms of policy and capacity to address Hepatitis C. Check out these snapshots of how these 20 countries are addressing HCV!
Japan’s health care system is a source of great pride for the country. Japan attained universal health coverage over 50 years ago and the country's health outcomes are some of the best in the world by many measures, while health care spending is at relatively low levels.
Despite the many positive aspects of the system, it faces challenges. The demographic wave of rising numbers of elderly will put new pressures on the care delivery system and the nation’s budget. Moreover, the country has high utilization of many health care services, care delivery is often fragmented, and measures of quality are not commonly available or necessarily used for continuous improvement. How will Japan address these issues and manage the health care needs and rising costs of its aged and still aging society? What can other countries, such as the United States, learn from the Japanese experience, and can new care delivery innovations taking place around the globe help address Japan's challenges?
This second edition of the health system review of Philippines shows the major changes that have occurred over the 7 years since the last review. Channelling of funds from sin tax to Health has shown unprecedented levels of finances are now available for UHC. PhilHealth has dramatically increased coverage of people as well as service providers that it works with from both government and non-government sectors. However major challenges remain; regional and socioeconomic disparities in the availability and accessibility of resources are prominent and there is a need to improve regulation of service providers. Philippines HiT reports on the current health system reforms undertaken including challenges of incorporating primary health care as in the overall health architecture of the country.
This is primarily based on a chapter from our most recent publication.
I want to acknowledge the authors of the chapter:
Melisa Tan, Victoria Haldane, Sue-Anne Toh & Helena Legido-Quigley from NUS
Martin McKee from LSHTM
Summary of the current 4 main NCDs situation in Asia including risk factors
Examples of health system response
Challenges
Country environments vary in terms of policy and capacity to address Hepatitis C. Check out these snapshots of how these 20 countries are addressing HCV!
Japan’s health care system is a source of great pride for the country. Japan attained universal health coverage over 50 years ago and the country's health outcomes are some of the best in the world by many measures, while health care spending is at relatively low levels.
Despite the many positive aspects of the system, it faces challenges. The demographic wave of rising numbers of elderly will put new pressures on the care delivery system and the nation’s budget. Moreover, the country has high utilization of many health care services, care delivery is often fragmented, and measures of quality are not commonly available or necessarily used for continuous improvement. How will Japan address these issues and manage the health care needs and rising costs of its aged and still aging society? What can other countries, such as the United States, learn from the Japanese experience, and can new care delivery innovations taking place around the globe help address Japan's challenges?
This second edition of the health system review of Philippines shows the major changes that have occurred over the 7 years since the last review. Channelling of funds from sin tax to Health has shown unprecedented levels of finances are now available for UHC. PhilHealth has dramatically increased coverage of people as well as service providers that it works with from both government and non-government sectors. However major challenges remain; regional and socioeconomic disparities in the availability and accessibility of resources are prominent and there is a need to improve regulation of service providers. Philippines HiT reports on the current health system reforms undertaken including challenges of incorporating primary health care as in the overall health architecture of the country.
This is primarily based on a chapter from our most recent publication.
I want to acknowledge the authors of the chapter:
Melisa Tan, Victoria Haldane, Sue-Anne Toh & Helena Legido-Quigley from NUS
Martin McKee from LSHTM
Summary of the current 4 main NCDs situation in Asia including risk factors
Examples of health system response
Challenges
Japan has made numerous achievements in health most notably the world’s highest life-expectancy in the past two decades, since its founding Universal Health Insurance System in 1961. However, ageing population with low-fertility rates, stagnating economy, increasing burden of NCDs and growing use of expensive technologies pose the critical challenges in service delivery and financial stability in health. Japan HiT reports current health system reforms undertaken and also recent discussion on paradigm shift to the new system as proposed in Japan Vision: Health Care 2035.
The People’s Republic of China has made great achievements in improving health status over the past six decades, mainly due to the government’s commitment to health, provision of cost effective public health programmes, growing coverage of health financial protection mechanisms and investments in an extensive health-care delivery network.
The Solomon Islands HiT determines that the country’s health system has significant weaknesses but also considerable strengths. Despite the range and difficulty of issues facing policy-makers in the Solomon Islands, there have been significant achievements in health, including considerable progress in advancing population health status. The performance of the health system is positive, achieving high coverage, high satisfaction levels, and steady progress on health outcomes. Nonetheless, the country faces important health challenges that could undermine development gains made to date
The Cambodia HiT reports that the national health sector reforms initiated two decades ago have had a positive impact on Cambodia’s health sector. The country’s health status has substantially improved since 1993 and is on track to achieve the Millennium Development Goal targets. Improving the quality of care is now the most pressing imperative in health-system strengthening.
Slides used to deliver presentation on Korean healthcare system overview. Main topics are: payer, healthcare delivery system, regulation, stakeholders.
Go-to-Market Strategy: Launching a Diabetes Treatment in ChinaKristy Burton
Complete go-to-market strategy for launching an endoscopic diabetes treatment in China. Presentation includes landscape assessment and strategic analysis of the diabetes treatment market in China.
Masahiko Hayashi: Long-term care insurance in JapanNuffield Trust
In this slideshow, Masahiko Hayashi, Deputy Assistant to the Minister for International Affairs, Ministry of Health, Labour and Welfare, Japan, provides an overview of long-term care insurance in Japan and considers its’ future.
As the burden of NCDs increases, various countries have introduced new and innovative modes of managing them in primary healthcare setting. APO, in conjunction with Duke Kunshan University, China, conducted a 4-country study (Bangladesh, China, Nepal and Viet Nam) to understand the different approaches used in involving CHWs in preventing and managing NCDs. Access full publication here http://bit.ly/2XnWwcd
The Thailand HiT reports that sustained political commitment to the health of the population since the 1970s has resulted in significant investment in health infrastructure, in particular primary health care, district and provincial referral hospitals, and strengthened the overall functioning of the Thai health system. After Thailand achieved universal health coverage in 2002, public expenditure on health significantly increased from 63% to 77% and out-of-pocket expense was reduced from 27.2% to 12.4% of the total health spending in 2011.
The Kingdom of Bhutan has made great achievement in establishing and sustaining public financed and managed health system in the past five and a half decades. As enshrined in the Constitution, health services are free in the integrated traditional and allopathic medicines. The report also notes the epidemiological and health system challenges and the way forward to overcome in line with achieving SDGs.
Health Economics and Health Finance :Jordan Health Policy Directions Musa Ajlouni
This presentation includes general introduction to health economics,the concept of market failure in health, health financing including health insurance and major challenges related to healthcare financing in Jordan and some policy directions to face these challenges.
Japan has made numerous achievements in health most notably the world’s highest life-expectancy in the past two decades, since its founding Universal Health Insurance System in 1961. However, ageing population with low-fertility rates, stagnating economy, increasing burden of NCDs and growing use of expensive technologies pose the critical challenges in service delivery and financial stability in health. Japan HiT reports current health system reforms undertaken and also recent discussion on paradigm shift to the new system as proposed in Japan Vision: Health Care 2035.
The People’s Republic of China has made great achievements in improving health status over the past six decades, mainly due to the government’s commitment to health, provision of cost effective public health programmes, growing coverage of health financial protection mechanisms and investments in an extensive health-care delivery network.
The Solomon Islands HiT determines that the country’s health system has significant weaknesses but also considerable strengths. Despite the range and difficulty of issues facing policy-makers in the Solomon Islands, there have been significant achievements in health, including considerable progress in advancing population health status. The performance of the health system is positive, achieving high coverage, high satisfaction levels, and steady progress on health outcomes. Nonetheless, the country faces important health challenges that could undermine development gains made to date
The Cambodia HiT reports that the national health sector reforms initiated two decades ago have had a positive impact on Cambodia’s health sector. The country’s health status has substantially improved since 1993 and is on track to achieve the Millennium Development Goal targets. Improving the quality of care is now the most pressing imperative in health-system strengthening.
Slides used to deliver presentation on Korean healthcare system overview. Main topics are: payer, healthcare delivery system, regulation, stakeholders.
Go-to-Market Strategy: Launching a Diabetes Treatment in ChinaKristy Burton
Complete go-to-market strategy for launching an endoscopic diabetes treatment in China. Presentation includes landscape assessment and strategic analysis of the diabetes treatment market in China.
Masahiko Hayashi: Long-term care insurance in JapanNuffield Trust
In this slideshow, Masahiko Hayashi, Deputy Assistant to the Minister for International Affairs, Ministry of Health, Labour and Welfare, Japan, provides an overview of long-term care insurance in Japan and considers its’ future.
As the burden of NCDs increases, various countries have introduced new and innovative modes of managing them in primary healthcare setting. APO, in conjunction with Duke Kunshan University, China, conducted a 4-country study (Bangladesh, China, Nepal and Viet Nam) to understand the different approaches used in involving CHWs in preventing and managing NCDs. Access full publication here http://bit.ly/2XnWwcd
The Thailand HiT reports that sustained political commitment to the health of the population since the 1970s has resulted in significant investment in health infrastructure, in particular primary health care, district and provincial referral hospitals, and strengthened the overall functioning of the Thai health system. After Thailand achieved universal health coverage in 2002, public expenditure on health significantly increased from 63% to 77% and out-of-pocket expense was reduced from 27.2% to 12.4% of the total health spending in 2011.
The Kingdom of Bhutan has made great achievement in establishing and sustaining public financed and managed health system in the past five and a half decades. As enshrined in the Constitution, health services are free in the integrated traditional and allopathic medicines. The report also notes the epidemiological and health system challenges and the way forward to overcome in line with achieving SDGs.
Health Economics and Health Finance :Jordan Health Policy Directions Musa Ajlouni
This presentation includes general introduction to health economics,the concept of market failure in health, health financing including health insurance and major challenges related to healthcare financing in Jordan and some policy directions to face these challenges.
IV Congresso Internacional CBA2017
17 a 19 de setembro de 2017
Medicina Digital e as Novas Fronteiras: da Assistência à Pesquisa
Roberto Botelho MD, PhD
Connectacare
Health co morbidity effects on injury compensation claims in NZ, and evidence...John Wren
This PPT presents the results of a suite of research undertaken to explore the evidence for health comorbidity effects on the cost of injury compensation claims, and what might be done about them. Comorbidity effects were shown to add approximately 10% extra to the cost of claims. There is good evidence that workplace health and wellness programmes are effective if well designed
People in the world’s most populated continent are living longer, but not necessarily healthier, lives with overburdened, provider-led healthcare systems. As life expectancy across Asia-Pacific continues to rise, the region now carries a huge global burden of non-communicable diseases such as cancer and mental illnesses. As a result, governments in the Asia-Pacific region will need to consider policies and initiatives that prioritise improvements in care for people with a wide range of chronic conditions—but they must maintain vigilance against infectious diseases such as tuberculosis, HIV/AIDS and hepatitis.
These are among the findings of a new study by The Economist Intelligence Unit (EIU): The shifting landscape of healthcare in Asia-Pacific: A look at Australia, China, India, Japan and South Korea, sponsored by Janssen. Through in-depth desk research and interviews with healthcare experts, the study examines the disease-burden challenges facing healthcare systems in these countries.
For more information, please visit: http://www.economistinsights.com/healthcare/analysis/shifting-landscape-healthcare-asia-pacific
SILS 2015 - Future Longevity and Population Health Improvements: An Economic ...Sherbrooke Innopole
By: Pierre-Carl Michaud, Industrial Alliance Research Chair on the Economics of Demographic Change
At Sherbrooke International Life Sciences Summit - 2nd edition | September 28/29/30 2015
www.sils-sherbrooke.com
Dr John Wren
Principal Researcher Advisor
New Zealand Accident Compensation Corporation
PO Box 242, Wellington, New Zealand
john.wren@acc.co.nz
(P23, Thursday 27, Civic Room 3, 1.30)
G7 high-level side event in Niigata: Healthy ageing and prevention
Date: Wednesday 10 May 2023
Time: 2.00pm – 3.30pm (JST), followed by networking with refreshments
Location: Niigata, Japan
Presentation by our Keynote Speaker, Leslie J. Kohman, MD at our Cancer Mission 2020 28th Congressional District Summit in Buffalo, NY. Dr. Kohman is the Professor of Surgery Medical Director at Upstate Cancer Center in Syracuse, NY.
| Jose Poulose | Preventive health services by Dr jose poulose |Dr. Jose Poulose
Doctors of internal medicine concern on adult medicine and also had special study and best training focusing on the prevention and treatment of adult diseases or sickness
NPSF Seminar
Patient Safety Awareness Week
Patient Safety Is a Public Health Issue
Distributed by NPSF for attendees of this web seminar.
I do not own any rights to the content of this presentation and am sharing it for educational purposes only.
Speaker information and credentials are included in the presentation.
What is the Evidence and Return on Investment (ROI) of Obesity Prevention and...ICF
Originally presented at George Washington University's and ICF International's Research and Evaluation Forum (#GWICF2015), Dr. Ron Goetzel demonstrates why employers should look at value on investment (VOI) rather than return on investment (ROI) of workplace health promotion. Dr. Goetzel goes through:
• The severity and cost of obesity
• Why the workplace is the optimal environment for health programs
• Evidence and examples of how workplace health programs can bring VOI
• How employers can get VOI
To watch the video of Dr. Goetzel presenting these slides at the GW/ICF Research and Evaluation Forum, visit: http://www.icfi.com/ObesityPreventionRonGoetzel
The goal of this webinar was to help healthcare professionals improve care coordination for patients with advanced illness and to reduce hospital readmissions and length of stay.
Similar to ACCJ-EBC Health Policy White Paper 2013 (20)
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
3. About American Chamber of Commerce in
Japan
Established
1948
Committee structure drives Chamber
activities around three pillars:
• Information
• Networking
• Advocacy
Approximately
2700 members
representing
1000 companies
Over 500 events
per year in three
chapters across
Japan
Approximately
half of members
are Japanese
4. Achieving Growth Together
Japan Economic
Growth
ACCJ Membership
Growth
ACCJ Member
Personal Growth
ACCJ’s Three Primary Areas for Growth
成 長 共 就
5. Preventive Health Investment Drives Growth
Japan’s aging is rapidly increasing healthcare utilization
Worker productivity is key to sustain healthcare and grow
the economy
• Disease costs Japanese economy 3.3 trillion yen per year in lost
productivity (2011 ACCJ National Survey)
A shift to prevention and early detection is necessary to:
Increase healthy life years
Lower economic burden of disease
Support economic growth
6. • Gaps between average life expectancy and healthy life expectancy
represent an unhealthy period with daily life constraints
• There may be medical and nursing expenses during this period
70.42
79.64
60
73.62
86.39
65 70 75 80 85 90
Year
9.22 years
12.77 years
Average life expectancy Healthy life expectancy (No daily life constraints)
Gap between average and healthy life expectancy
Male
Female
Source: Healthy Japan 21 (Second Version)
Importance of Healthier Life Expectancy
7. ACCJ-EBC Health Policy White Paper 2013
Promoting economic growth in Japan
through policies to lengthen healthy
lifespans and
reduce economic burden of preventable,
detectable and treatable diseases
36 healthcare topics
Over 150 policy
recommendations
9. About European Business Council in Japan
Trade policy arm
of 17 European
National
Chambers of
Commerce and
Business
Associations in
Japan
Working to improve the trade and
investment environment for European
companies in Japan since
1972
Approximately 3000 local European
corporate and individual members
Approximately
400 companies
participating
directly
10. Rise in Non-Communicable Diseases Is a
Leading Threat to Global Economic Growth
WHO report: each 10% rise in non-
communicable diseases is linked to a
0.5% dip in annual economic growth;
recent global rise in NCDs is
“economically unsustainable.”
The World Economic Forum forecasts
that NCDs will cost the global economy
$47 trillion over the next 20 years.
• Stuckler D. “Population causes & consequences of leading chronic diseases: a comparative analysis of prevailing explanations.”
Milbank Quarterly, 2008, 86:273–326. Reported in Global Status Report on Noncommunicable Diseases 2010,” WHO,
http://www.who.int/nmh/publications/ncd_report2010/en/
• Working Towards Wellness: The Business Rationale. World Economic Forum, Geneva, 2008. Bloom, et al., 2011.
11. NCDs account for about 30% of national healthcare expenditure and
about 60% of total deaths
Healthcare Expenditure
Cancers 11.1%
Hypertension-related
diseases 7.1%
Cerebral vascular
diseases 6.3%
Diabetes 4.4%
Cardiovascular
diseases 2.9%
Others
68.3%
Cancers
29.5%
Cardiovascular
diseases 15.8%
Cerebral vascular
diseases 10.3%
Diabetes 1.2%
Hypertension-related
diseases 0.6%
Others
42.6%
Mortality
Source: Healthy Japan 21 (Part 2)
Non-Communicable Diseases in Japan are
Costly, Deadly and Often Preventable
12. “Every 1 year increase in life
expectancy is linked to a 4.3%
increase in global GDP.”
Sources: Stuckler D. “Population causes & consequences of leading chronic diseases: a comparative analysis of prevailing explanations.”
Milbank Quarterly, 2008, 86:273–326. Reported in Global Status Report on Noncommunicable Diseases 2010, WHO,
http://www.who.int/nmh/publications/ncd_report2010/en/.
Spending to Promote Health is a Very Good
Economic Investment
15. 2011 Health Policy White Paper
2011
Scope:
• 27 Topic Sections
• 124 Recommendations
Results:
• 46 of 124 recommendations (roughly 37%)
fulfilled “in part" or in whole
Areas of Progress:
• Continued government funding of national
cancer screening
• Substantial increased funding to enhance
infection prevention and control at hospitals
in Japan (four fold for hospitals with >300
beds).
• Expanded use of IVD Rapid Diagnostics
• Diabetes Management
• Osteoporosis Prevention
• Chronic Pain Research Funding
• Vaccination Policy
• Hepatitis Screening & Awareness Initiatives
16. Source: Inhibitex
Nearly 6 million HAIs
annually in U.S., Europe and
Japan
1.7 million cases and 99,000
deaths annually in the U.S.
In some developing countries,
more than 25% of patients
admitted to hospitals acquire
HAIs
Hundreds of millions of
patients impacted worldwide
each year
Healthcare Associated Infections (HAIs):
A Global Healthcare Issue
Millions of Infections
8
6
4
2
0
2002 2005 2009 2010 2015
5.6 5.9
6.3 6.4
6.9
Japan
Europe
U.S.
17. Q. How important do you think it is for the government to have a national
program to reduce the risk of infections associated with hospitals, clinics
or other healthcare facilities?
75.7% of General Public in Japan Think it is
Important to Have a National Program to Reduce
the Risk of HAIs (80% for population over 65)
■ Important ■ Slightly important ■ Neither nor ■ Do not know ■ Not very important ■ Not important
52.4
48.9
48.5
43.0
37.3
31.4
29.4
40.8
40.2
40.5
27.4
30.6
32.9
36.2
36.4
39.2
38.1
35.9
34.4
35.2
7.7
12.9
11.2
12.1
15.9
17.6
18.6
14.4
14.2
14.3
10.6
5.6
5.6
5.9
7.4
7.9
7.4
6.3
7.2
6.8
1.9
1.4
1.2
2.1
1.8
2.5
6.6
2.0
2.2
2.1
0% 20% 40% 60% 80% 100%
80+ yrs old (n=208)
70-79 yrs old (n=790)
60-69 yrs old (n=882)
50-59 yrs old (n=779)
40-49 yrs old (n=800)
30-39 yrs old (n=863)
20-29 yrs old (n=678)
Female (n=2599)
Male (n=2401)
Overall (n=5000)
Is Important
75.7%
74.6%
76.6%
67.4%
70.6%
73.6%
79.2%
81.4%
79.5%
79.8%
Not Important
3.3%
3.9%
2.6%
6.6%
3.9%
3.2%
2.9%
1.8%
2.0%
1.9%
Survey on Prevention, Early Detection and the Economic Burden of Disease in Japan (2011) by The American Chamber of Commerce in
Japan. Internet survey conducted October 31 – November 2, 2011. 5,000 respondents from Rakuten Research’s registry that represent
the Japanese population.
18. 2013
2013 ACCJ-EBC Health Policy White Paper
Scope:
• 36 Topic Sections
• 156 Recommendations
Chapters:
1. General Health Themes
2. Non-communicable Disease
(NCD) Topics
3. Women’s Health Topics
4. Key Infectious Disease Topics
5. Importance of Enhanced Safety
& Infection Control
6. Special Focus Needed on
Healthcare Worker Safety
20. Deaths Caused by and Patients of
Cerebrovascular Diseases
100
125
150
175
200
0
250
500
750
1,000
1,250
1,500
1,750
2,000
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
# of death
(1,000 ppl)
# of Patients
(1,000 ppl)
# of
Patients
# of
Death
Source: Ministry of Health, Labor, and Welfare (Trend of Medical Institution)
25. 71.5% of Japanese Back Introduction of Electronic
Health Records at Hospitals, Clinics
Support/Agree Slightly Support/Agree Neither
Don’t know Slightly Oppose/Disagree Oppose/Disagree
50.0
48.2
52.4
42.2
40.3
35.9
36.1
37.9
48.7
43.1
23.6
28.0
24.3
28.4
28.3
33.4
29.8
31.6
25.0
28.4
14.4
16.1
17.1
22.2
22.8
20.4
20.8
21.8
17.2
19.6
10.1
5.1
4.4
5.4
5.9
6.6
8.3
5.9
6.2
6.0
0.5
1.9
1.5
1.2
2.3
2.5
2.9
2.2
1.7
2.0
0% 20% 40% 60% 80% 100%
80+ yrs old (n=208)
70-79 yrs old (n=790)
60-69 yrs old (n=882)
50-59 yrs old (n=779)
40-49 yrs old (n=800)
30-39 yrs old (n=863)
20-29 yrs old (n=678)
Female (n=2599)
Male (n=2401)
Overall (n=5000) 71.5%
73.7%
69.4%
65.9%
69.3%
68.5%
70.6%
76.6%
76.2%
73.6%
Support Oppose
2.9%
2.9%
2.9%
5.0%
3.7%
2.9%
1.8%
1.8%
2.7%
1.9%
Q: Do you support or oppose the introduction of electronic health records at
hospitals and clinics in Japan?
Source: ACCJ National Survey on Prevention, Early Detection & the Burden of Disease in Japan, Nov, 2011.
26. Supporters of EHR System Expect
More Efficiency, Safer Medical Service
(n=3,574)
Q: Why do you support the introduction of an electronic health record (EHR) system
at hospitals and clinics in Japan? (multiple answers)
Source: ACCJ National Survey on Prevention, Early Detection & the Burden of Disease in Japan, Nov. 2011.
27. 24.3%
70% 75%
Breast Cancer Screening Rates Lower Than
OECD Average
Sources:
http://www.mhlw.go.jp/stf/houdou/2r9852000001igt0.html, http://www.oecdto
Mammography
screening rates
in Japan rising,
but still low
62.2%
Free National Breast Cancer Screening
Launched in 2009
Scope: Women aged 40, 45, 50, 55, and 60
Funding: 100% by central government
Japan Goal: 50% screening rate by 2011
Recruitment: Send coupons to eligible women
28. Has a 28% survival
rate over five years
Costs up to ¥4
million to treat
Has 96% survival
rate over five
years
Costs about
¥760,000 to treat
Breast cancer diagnosed
in early stages
Breast cancer diagnosed
after it has metastasized
Breast Cancer Screening:
Cost Effective and Saves Lives
Sense no need, as have no
lump
Lack of opportunity
High fees
Top three reasons
women do not have
a mammogram
30. Two Thirds Support a Mandated Indoor
Worksite Smoking Ban
Question: What would you think if the national or local governments legally required
a complete smoking ban in all indoor workplaces and public spaces, including
restaurants, bars and taxis, to protect the health of non-smoking workers?
Source: Japan national survey on passive smoking in the workplace for 8,000 indoor workers by Johnson &
Johnson K.K. Consumer Company, released on July 19th, 2012
31. 70% of Indoor Workers: Legal Smoking Ban
Would Not Negatively Impact Business
Question: How would your business be impacted if national or local governments
legally required a total smoking ban in all indoor workplaces and public
spaces, including restaurants, bars and taxis, to protect the health of non-smoking
workers?
Source: Japan national survey on passive smoking in the workplace of 8,000 indoor workers by Johnson & Johnson K.K. Consumer Company, July 2012
32. 322011 MHLW’ National Survey on Getting-tested status of Hepatitis Screening (Interviewed 74,000 Japanese people aged 20 thru 79 years old)
Only Half of Adults in Japan Have Been
Screened for Hepatitis
Japanese government has provided free hepatitis screening since 2002 as the
time of regular health checkup services by municipal governments. Free
screening was first provided at public health centers and later also available at
hospitals and clinics.
Need to further increase screening rate, especially for people aged 40 and over.
HCV Screening Rate: Est. 48%HCB Screening Rate: Est. 57%
Tested at time
of
surgery, pregn
ancy, blood
donation 40%
No, I have
not or do
not know
42%
Yes, I have
been tested
(self-
reported)
18%
Yes, I have
been tested
(self-
reported)
18%
No, I have
not or do
not know
52%
Tested at time
of
surgery, pregn
ancy, blood
donation 30%
33. Large Company
Employers
Small and Medium
Company Employers
Self-Employed and
Others
Type of health
insurance in which
employee enrolls
Managed by health
insurance societies or
associations
Managed by members
of Japan Health
Insurance Association
Managed by
municipalities, National
Health Insurance
associations
Provision of health
checkups based on
Industrial Safety &
Health Act
Yes, required
(Employers are required to provide)
Not required
Provision of special
health checkups based
on Law for the Welfare
of the Elderly (aged 40
or over)
Yes, provision is required
(Insurance provider is required to provide)
Rate at which hepatitis
screening is part of
special health checkup
Approx. 50% Approx. 95%
Individuals must pay ¥595
as co-payment and apply
separately for this optional
hepatitis virus testing.
Approx. 80%
Free but implementation
varies by town, city.
Screening notices usually
go to specific age groups.
Source: MHLW, “Status of implementation of Specific Medical Checkups/Health Guidance in FY2010”
http://www.mhlw.go.jp/bunya/shakaihosho/iryouseido01/info03_h22.html
Provision of Hepatitis Screening Varies
Widely According to Type of Insurer
34. 2013 ACCJ-EBC Health Policy White Paper
• Paradigm shift from treatment to prevention
Focusing on prevention, screening, early detection and early treatment of
disease
• Efficient allocation of healthcare resources
Enhancing productivity and reducing waste
• Evidence-based global best practices
Recommendations with potential to yield significant positive impact
• Alignment with government growth policy goals
Recommendations with potential to boost economic growth
Disease prevention • Cost effective interventions
• Better patient outcomes and quality of life •
Enhanced labor productivity
35. Presenting the ACCJ-EBC
Health Policy White Paper 2013
May 31, 2013
Lengthening Healthy Lifespans
to Boost Economic Growth
Editor's Notes
Established in 1948Approximately 2700 members representing 1000 companiesOver 500 events per year in three chapters across Japan:Tokyo, Chubu (Nagoya), Kansai (Osaka)Approximately half of the members are JapaneseCommittee structure drives Chamber activities around three pillarsInformationNetworkingAdvocacy
In 2013, ACCJ is addressing three primary areas for growth:Japan’s economic growthACCJ membership growthACCJ member personal growth
Japan is an aging society with a declining population.High productivity level of the labor force is a primary source of Japan’s international competitiveness and economic growth.ACCJ’s 2011 national survey shows that disease costs Japanese economy 3.3 trillion yen per year in lost productivity, and higher level of absenteeism and disability. This figure does not include economic loss due to medical expenditure.Investment in health now focuses on lowering the economic burden and supporting economic growth, by reducing the burden of preventable, detectable and treatable disease through prevention, screening, early detection and the early treatment of disease.Such investment will improve patient outcomes, improve quality of life, increase worker productivity and ultimately support economic growth.
There is a significantgap between Japan’s average life expectancy and its healthy life expectancy.People are living longer but many of those life years are spent ill or in need of treatment or care.It is critical to raise the healthy life expectancy to the level of average life expectancy, because:It enhances people’s livesIt increases labor productivity It shifts healthcare expenditure from treatment to prevention, which is an investment in growth
ACCJ and EBC are pleased to offer this white paper in an effort to support economic growth in Japan through policies that lengthen healthy lifespans and reduce the economic burden of preventable, detectable and treatable diseases.Recommendations are aimed at putting a greater emphasis on prevention and early detection and are based on global evidence and best practices.The ACCJ and EBC agreed to work together to issue our first joint Health Policy White Paper, to enhance the scope and quality of our recommendations and to align our recommendations with current government growth policy goalsWe believe the 2013 ACCJ-EBC Health Policy White Paper represents our most comprehensive set of healthcare policy recommendations to date.Now I will turn to Duco Delgorge, our valued partner in this very exciting endeavor.
The European Business Council in Japan (EBC) is the trade policy arm of 17 European National Chambers of Commerce and Business Associations in Japan and has been working to improve the trade and investment environment for European companies in Japan since 1972. The EBC currently works for around 3,000 local European corporate and individual members with some 400 companies participating directly in the EBC’s 30 sector-based committees.The common bond among the members of the EBC and ACCJ is the desire to improve the quality of healthcare in Japan and the wellbeing of the Japanese people.
Globally and in Japan, more people are living longer.However, many of those years are increasingly spent under care for chronic – often preventable --disease.A shift from a purely disease treatment paradigm to a prevention paradigm that focuses on prevention, screening, early detection and the early treatment of disease holds the promise of not only preventing disease and enhancing quality of life and worker productivity, but in yielding cost effective interventions and better patient outcomes.
Many forms of chronic disease can be prevented or detected early, but health policies in Japan have traditionally focused on the treatment of disease after it occurs or grows critical, which can result in higher treatment costs.Here, you can see the significant proportion of healthcare expenditure and deaths that are due to non-communicable diseasesThese are conditions that, if prevented or detected earlier, would pose a much lighter burden on Japanese healthcare system, which is surely a benefit to society.
Finally, not only does preventative health and early detection of disease improve patient outcomes and create efficiencies in the healthcare system, it is an investment in the overall economic output and competitiveness of Japan.A more efficient allocation of healthcare resources that provides better patient outcomes boosts the economy in two important ways: it enhances labor productivity and reduces waste. Our goal is to provide recommendations founded on evidence-based global best practices and to offer these as examples of the kinds of policies likely to yield significant positive potential impact.
Background Since 2008, the ACCJ Healthcare Committee has released a series of Viewpoints advocating a shift from a purely disease treatment paradigm to a prevention paradigm that focuses on prevention, screening, early detection and the early treatment of disease which holds the promised of not only preventing disease and enhancing quality of life and worker productivity, but in yielding cost effective interventions and better patient outcomes.
Slide #1In 2010, the first Health Policy White Paper was issued as a companion document covering healthcare reform recommendations for the ACCJ white paper “Charting a new Course for Growth – Recommendations for Japan’s Leaders” issued by the ACCJ Growth Strategy Taskforce, which highlighted the initiatives that will enable Japan to achieve the goal of enhancing economic growth.
Slide#2In 2011, the ACCJ Health Policy White Paper was greatly expanded from 12 topic sections to 27 topic sections under the title “Investing in Health as a Competitive Advantage- Proposals to Reduce the Burden of Disease by Promoting Prevention and Early Detection”. Again, the goal was to support Japan’s economic growth strategy. It has been our goal to provide recommendations founded on evidence-based global best practices and to offer these as examples of the kinds of policies likely to yield significant positive potential impact. That being said, to gage the effectiveness of the 2011 white paper recommendations, a review was conducted after the implementation of reforms on April 1, 2012. In brief, forty-six (or roughly 37%) of the one hundred twenty-four (124) recommendations in the 2011 Health Policy White Paper were found to have been fulfilled "In Part" or in whole. Notable progress was made in: Expansion of IVD Rapid Diagnostics; Diabetes Management; Osteoporosis Prevention; Chronic Pain Research Funding; Vaccination Policy and Hepatitis Screening and Awareness Initiatives. The most significant progress was seen in the continued government funding of national cancer screening initiatives and in the substantial increase in government funding to enhance infection prevention and control at hospitals in Japan (four fold for hospitals with >300 beds).
Slide #5To update and further enhance the quality of the Health Policy White Paper and to align our recommendations with current government growth policy goals, the ACCJ and EBC agreed to work together to issue our first joint health policy white paper, “ACCJ–EBC Health Policy White Paper 2013 - Lengthening Healthy Lifespans to Boost Economic Growth”. Several new or expanded topic sections were added to the 2013 white paper including new topics sections for mental health, noncommunicable diseases, infection prevention & control and healthcare worker safety. The 2013 white paper is divided into Six Chapters, covering 36 topic sections and over 150 policy recommendations.General Health Themes Noncommunicable Disease (NCD) TopicsWomen’s Health TopicsKey Infectious Disease TopicsImportance of Enhanced Safety & Infection ControlSpecial Focus Needed on Healthcare Worker Safety Again, our goal is to provide recommendations founded on evidence-based global best practices and to offer these as examples of the kinds of policies likely to yield significant positive potential impact. Thanks to our collaboration with our European colleagues, we believe the 2013 ACCJ-EBC Health Policy White Paper represents our most comprehensive set of healthcare policy recommendations to date.