Now in Japan the Ministry of Health and Welfare is developing the new health promotion program and national campaign gHealthy Japan 21.h Although the plan values process indicators such as lifestyle, outcome indicators and their objectives have not been clearly identified yet. This study aims to develop the method to set target indicators and their objectives for cancer mortality in Japan. First, we estimated the objective in 2010 for cancer mortality in Japan. Second, we investigated what is more suitable as target indicator. For setting the objectives, we combined the benchmarking method and time trend method. Ranking mortality rate by prefecture, the average of top 10 % were considered as benchmarks. Then, using regression analysis and extrapolation in the time trend of mortality for past 10 years, the mortality in 2010 was calculated. By benchmark and expected mortality, the objectives in 2010 were finally set. Second, we compared the time trend of overall age-adjusted mortality rate and premature mortality rate among persons under 65 years of age for the period of 1950-1997 in Japan. A decline in the under 65 mortality rate preceding a decline in the overall mortality rate was observed as a trend for stomach cancer and liver cancer. The result showed that premature mortality rate is more sensitive for preventive strategy than overall mortality rate, therefore it is more suitable as target indicators. In developing the nationwide and community based health planning, above mentioned methods allow to set target indicators and their objectives.
Keywords: Mortality, Planning
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
The 128th Annual Meeting of APHA