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Top Causes of Death

1. Cancer 30%
2. Heart disease 16%
3. Cerebrovascular disease 12%

Prevalence of Big Five Chronic Diseases

• CAD
• HF
• Stroke
• Diabetes
• Asthma
• COPD

Prevalence of Other Health Risks

• Relatively high suicide rate (2.8% of deaths)

Population Health Improvement Initiatives

• Healthy Japan 21: primary disease prevention campaign

Wellness & Health Promotion Programs and Progress

• National Metabolic Syndrome screening and management program for lifestyle related disease prevention
  • Currently in year 2 of 5 year initial program
  • All payers responsible for cost of implementation
  • Doctors and public health nurses are primary care managers
  • First year data due in Fall 2009
  • All insured and dependents between age 40 and 74; 57.5 million people

Disease-Specific Management Programs & Progress

• Numerous pilot and small scale programs
• Some performed by payers; others outsourced to small companies; a few regional integration efforts between local clinics and hospital specialists

General Disease Management Programs & Progress

• Same as above

Population Health Improvement Programs & Progress

• See Metabolic Syndrome above

Population Health Improvement Associations

• Japan Society for Health Support Sciences
• Disease Management Association of Japan

PHI Leaders and Stakeholders

• KOLs mainly board member of above two organizations
• Sompo Japan Research Institute publishes newsletter on DM in Japan: Disease Management Reporter in Japan

National or regional conferences addressing PHI

• See above two organization Web sites for latest meetings scheduled

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