日本的疾病管理（英文版）.ppt

Japanese Government started “ Particular Health Check-up System (PHCS = Tokutei Kenshin)” from April 2008 All of 40～74yo Japanese citizen (56 million) will have to take standard health examination List of basic examination Questionnaire (weight change, smoking, exercise) A physical examination Height, Weight (BMI), Waist, Blood Pressure Blood/Urine chemistry TG, HDL-C, LDL-C, GOT, GPT, γ-GTP, Fasting Blood glucose HbA1c, Hemoglobin, glucosuria Moderate and high risk groups are required to receive standard healthcare counseling Flow from health check-up to healthcare counseling Stratification Logic in PHCS Expected Privacy Problem of PHCS Verification study of PHCS in 2007 by the Carna (results of stratification) Conclusion Please send all presentation files to * * * 6/Aug/2008 in Queen’s town Outcomes of Japanese Disease Management for Metabolic Syndrome Medical WG in APAN Queen’s town Naoki Nakashima, M.D., Ph.D. Department of Medical Informatics Kyushu University Hospital Background of the project Pre-Diabetes Not Cared Specialist Doctors Cared 130 million citizen in Japan 10 million 4 million 1million Family doctors Dropout Acute and Chronic Diabetic Complications Increase of Medical Cost 3million Diabetes Mellitus Problems １．Continuously increasing patients and complications ２．Low hospitalization rate of patients (51%)　　　 ３．Shortage of specialist Drs. (=3,300） for diabetes Patients QOL Medical cost Low risk group Moderate risk group High risk group Information provide Face to face counseling (once) Follow up (e-mail, phone) 75.1％ 13.4％ 11.5％ Intervention 2 Intervention 1 Data Accumulation And Stratification Arrangement of Health Check-up Annual Health Check-up Arrangement of Health counseling Navigation system of counseling Health counseling Dunning of Health Check-up Planning next year Data analysis Daily Health counseling and Support Encourage to attend a clinic Dunning of Health counseling Information Provided for all Motivation Support for