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conferenceseries
.com
Volume 7, Issue 5 (Suppl)
Epidemiology (Sunnyvale), an open access journal
ISSN: 2161-1165
Epidemiology 2017
October 23-25, 2017
EPIDEMIOLOGY & PUBLIC HEALTH
October 23-25, 2017 | Paris, France
6
th
International Conference on
PROMOTING EVIDENCE-BASED HEALTHANDWELFARE POLICIES FOR PEOPLEWITH
DISABILITIES:APROPOSED“DEFINITIONOFHEALTH” FORACARE-FOCUSEDMATURE
SOCIETY
Tomoko Tachibana
a
and
Hiroshi Mizushima
a
a
National Institute of Public Health, Japan
Background
and aim: Disease structure has been changing in many countries, and the global burden is shifting to non-
infectious diseases. Due to the growing ratio of the aged population in Japan, medical and social security systems need to be
transformed from “cure” to “support”. The definition of “health” in care-focused mature societies is discussed based on Japan’s
current health policies.
Methods
: Evidence-based public health policies were compared between cancer and trauma (injuries, damage, and sequelae).
Findings
: Public health policy for cancer follows the Cancer Control Act. Evidence such as survival rates is useful not only for
health care providers and policymakers but also for cancer patients in executing the right to self-determination in promoting
health. Meanwhile, evidence about long-term outcomes of trauma in Japan is overwhelmingly lacking, although the incidence
of trauma is estimated to be comparable to that of neoplasms in the 2014 National Patient Survey. We have proposed to
review health and welfare policies for people with disabilities from the viewpoint of longitudinal epidemiological studies that
understand disease conditions from the viewpoint of the people concerned as ordinary citizens by redefining the prognoses
of trauma as “the outcomes of acquired disability”. To realize this review in the community-based integrated care system, we
focus on the database of diagnoses, treatments, treatment effects, etc. of patients visiting medical institutions, and intend to
develop a disability registry.
Interpretation
: Developing this registry utilizing clinical effect information is expected to enhance quality as evidence in
health and welfare policies for people with disabilities. In care-focused mature societies such as Japan, the following concept
needs to be included in the definition of health: Taking into consideration the disease burden, and various other “social,
physical and psychological problems,” health pertains to maintaining the patient’s quality of life, enabling his/her control over
his/her own life, offering things that he/she can do him/herself, and fostering his/her self-actualization.
Biography
Tomoko Tachibana has her expertise in research and passion in improving the health and wellbeing. Her research on regional models for progressing toward
establishment of a “Disability Registry,” using the Clinical Efficacy Database creates new pathways for improving health and welfare policies for people with
disabilities. She has been building this model over years of experience in clinical medicine, research, evaluation, teaching and administration in a hospital,
public health centres and an education institution. For supporting independent decision-making and activities by people with disabilities, and putting into practice
evidence-based health and welfare policies for them, she has been advancing research to promote accumulation and utilization of epidemiological evidence data
which are needed for policy evaluation, cooperation between medicine and welfare, etc. The National Institute of Public Health, whose mission is to carry out human
resources development and to conduct research in public health, was established in 2002, integrating the (former) National Institute of Public Health, National
Institute of Health Services Management, etc.
tachibana.t.aa@niph.go.jpTomoko Tachibana et al., Epidemiology (Sunnyvale) 2017, 7:5(Suppl)
DOI: 10.4172/2161-1165-C1-018