Policy Relevance of Health Expectancy in Health Promotion
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As the concept of health expectancies can influence politicians and the general public, health expectancies are useful to stimulate health promotion policy. A scientific conference on the epidemiology of ageing of the World Health Organization (WHO) suggested the use of “the expectation of autonomous or disability-free life” in 1983. In Healthy People 2000 by the US, published in 1990, Goal 1 was increasing the span of healthy life for Americans. Healthy Life Years (HLY) was selected in 2004 to be one of the structural indicators for assessing the Lisbon Strategy in Europe. In the Health Japan 21 (the 2nd term), published in 2012, health expectancy was set as the most important target, and current values were also described in Japan. Moreover, health expectancy has become an important index for evaluating the progress of health promotion plans for local governments as well as economic development strategies in Japan. In this chapter, the history and current situation of policy development including health promotion and other policy fields will be reviewed and the contribution of health expectancy discussed.
KeywordsHealth promotion policy Public health Local governments Healthy people Health Japan 21 Lisbon strategy
- CDC. (1990). Healthy People 2000: National health promotion and disease prevention objectives. https://eric.ed.gov/?id=ED332957.
- CDC. (2001). Healthy People 2000 final review. https://www.cdc.gov/nchs/data/hp2000/hp2k01.pdf
- CDC. (2003). Healthy People 2010 summary measures of population health. Report of findings on methodologic and data issues. https://www.cdc.gov/nchs/data/misc/pophealth.pdf.
- CDC. (2012). Healthy People 2010 final review, 2012. https://www.cdc.gov/nchs/healthy_people/hp2010/hp2010_final_review.htm.
- DHEW (U.S. Department of Health, Education, and Welfare). (1979) Healthy People: The Surgeon General’s report on health promotion and disease prevention. https://profiles.nlm.nih.gov/ps/access/NNBBGK.pdf
- EC (European Commission). (2005a). Communication to the Spring European Council – Working together for growth and jobs – A new start for the Lisbon Strategy – Communication from President Barroso in agreement with Vice-President Verheugen. https://eur-lex.europa.eu/legal-content/EN/ALL/?uri=celex:52005DC0024.
- EC (European Commission). (2005b). Healthy life years in the European Union: Facts and figures. https://ec.europa.eu/health/archive/ph_information/reporting/docs/hly_en.pdf.
- EC (European Commission). (2018). EU Health Programme 2003–2007. https://ec.europa.eu/health/funding/key_documents_en.
- Hashimoto, S., Hayashi, M., & Ojima, T. et al. (1999). Technical report of research on standardization and validity of regional index for health care and welfare. (in Japanese) http://toukei.umin.jp/kenkoujyumyou/#other_report.
- Hashimoto, S., Tsuji, I., & Ojima, T. et al. (2008). Healthy life expectancy calculation guidelines (in Japanese) http://toukei.umin.jp/kenkoujyumyou/syuyou/heikinjiritu1.pdf. Healthy life expectancy calculation guidelines (English translation) http://life.umin.jp/.
- MHLW (Ministry of Health, Labour and Welfare) Japan. (2012). Technical report to promote Health Japan 21 (the 2nd term) (in Japanese). https://www.mhlw.go.jp/bunya/kenkou/dl/kenkounippon21_02.pdf.
- MHLW (Ministry of Health, Labour and Welfare) Japan. (2018). 11th Specialized Promotion Committee for Health Japan 21 (the 2nd term). Materials. March 9. (in Japanese) https://www.mhlw.go.jp/stf/shingi2/0000196943.html.
- MHLW (Ministry of Health, Labour and Welfare) Japan. (2019). Report of expert study group on health expectancy. (in Japanese) https://www.mhlw.go.jp/stf/newpage_04074.html.
- Ojima, T., Hashimoto, S., & Tsuji, I. et al. (2013). Healthy life expectancy in Japan and comparison with EU. Eur J Public Health, 23(suppl1), 44.Google Scholar
- Ojima, T., Okada, E., & Shibata, Y. et al. (2017). Use of healthy life expectancies in municipal governments in Japan. The 29th REVES (Réseau espérance de vie en santé) Santiago, Chile.Google Scholar
- Sugiyama, K., Tomata, Y., & Takemi, Y. et al. (2016). Awareness and health consciousness regarding the national health plan “Health Japan 21” (2nd edition) among the Japanese population in 2013 and 2014. Nihon Koshu Eisei Zasshi, 63 (8), 424–431.Google Scholar
- Tsuji, I. (2016). Survey of state of and shifts in health awareness and recognition of Health Japan 21 (the 2nd term). Health and labour sciences research grant. Research on the promotion of Health Japan 21 (the 2nd term). FY2015 general summary and collaborative research report.Google Scholar
- WHO. (1978). Declaration of Alma-Ata. International conference on primary health care, Alma-Ata, USSR, 6–12 September 1978. https://www.who.int/publications/almaata_declaration_en.pdf.
- WHO. (1986). The Ottawa charter for health promotion. In First international conference on health promotion, Ottawa, 21 November 1986. https://www.who.int/healthpromotion/conferences/previous/ottawa/en/.
- WHO Regional Office for Europe. (1985). Targets for health for all. Targets in support of the European regional strategy for health for all. http://www.euro.who.int/__data/assets/pdf_file/0006/109779/WA_540_GA1_85TA.pdf.
- WHO Scientific Group on the Epidemiology of Aging & World Health Organization. (1984). The uses of epidemiology in the study of the elderly: Report of a WHO scientific group on the epidemiology of aging [meeting held in Geneva from 11 to 17 January 1983]. World Health Organization. http://www.who.int/iris/handle/10665/39136.