抄録
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 individual's 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.
