Examination and Speculation Regarding Policy and Strategies for Health Promotion in the Local Community in Japan
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概要
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Until the idea of the “health promotion” was advocated by the Ottawa charter in 1986, the purpose of health care was only seen as the improvement of an individuals health. Up to that time, social environmental factors and the processes involved in carrying out health projects and physical fitness promotion — its practice, evaluation, public participation and so on — had not been appreciated. In keeping with the basic concept of health promotion, and with the effort of individuals, it is essential to establish public policy for the support of health care. This implies that specialist groups, including administration, must respond to the demands of health care and physical fitness promotion. Furthermore, we can say that health care and physical fitness promotion must be carried out with regard for social policy. However, the ideals of health promotion have not been achieved so far. We examined the actual status of Health Japan 21 health promotion in two surveys, a basic survey in October 2003 and the main examination in October 2004. All local governments were examined in order to propose a community system for promoting life function and social participation for the elderly. We analyzed and assessed the questionnaire including 1) the planning and practice of Health Japan 21 strategies (a concrete assessment of the status of each of the nine items and of the details of each sub-item of plans in administrative divisions, government-designated major cities, special districts, and cities, towns, and villages); 2) the level of recognition of public participation in and opinion of projects, during execution and evaluation, and the level of cooperation with civilian organizations; 3) ways of spreading awareness of projects; 4) project evaluations (intermediate evaluation); and 5) the importance of and prospects for the future of health care Health Japan 21 projects. It is thought that research into these factors will become a reference point for an intermediate evaluation of Health Japan 21, and will help solve various problems facing health improvement in our country.
著者
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木村 友昭
広島大学大学院医歯薬学総合研究科公衆衛生学
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Kuno Shinya
Graduate School Of Comprehensive Human Sciences Tsukuba University
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木村 友昭
東海大学医学部医用工学情報系:財団法人エム・オー・エー健康科学センター Moa生命科学研究所
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KIMURA Tomoaki
Department of Public Health and Health Policy
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木村 友昭
広島大学医歯薬学総合研究科公衆衛生学教室
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Kimura Tomoaki
Graduate School Of Advanced Science And Engineering Waseda University
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Kawaguchi Takeshi
Department Of Applied Biological Chemistry College Of Agriculture University Of Osaka Prefecture
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Kobayashi Toshio
Graduate School Of Health Science Hiroshima University
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Nakamura Hiroyuki
Department of Advanced Materials, University of Tokyo, Kashiwa, Chiba 277-8561
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Sone Tomofumi
Department of Public Health Administration
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KAKEHASHI Masayuki
Graduate School of Health Science, Hiroshima University
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Eboshida Akira
Graduate School of Biomedical Sciences, Hiroshima University
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Kitagawa Akira
Graduate School of Health Sciences, Hiroshima University
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Kuroiwa Sumiko
Graduate School of Health Sciences, Hiroshima University
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Moriwaki Mutuko
Graduate School of Health Sciences, Hiroshima University
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Hayashida Kenshi
Kyoto University, School of Public Health
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Yasutake Shigeru
Faculty of Health and Welfare, Prefectural University of Hiroshima
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Araki Yoshimitsu
Graduate School of Biomedical Sciences, Hiroshima University
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Yamaguchi Noboru
Mitsugi General Hospital
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Nobukuni Yoshitaka
Research Institute for Radiation Biology and Medicine, Hiroshima University
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Kobayashi Toshio
Graduate School of Health Sciences, Hiroshima University
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