Abstract
The purpose of this research is to evaluate the effect for countermeasure services for circulatory diseases, carried out for the past six years in Taiho-cho, Kochi Prefecture, from the following three aspects: 1. to identify high-risk people, 2. to reduce the number of high-risk people, 3. to decrease the number of cerebral apoplexy patients and to improve the care during the rehabilitation process.
Available materials from 1978 to 1983, which are related to countermeasure services for circulatory diseases were analyzed.
The ratio of identified high-risk people was raised by a rise of number of people received the medical treatment and the follow-up care. Especially, hypertensive persons were remarkably reduced by half for the past six years. As compared the first term with the latter term of countermeasure services, the hypertensive persons among the age of 40 to 69 were significantly decreased. This demonstrates that the countermeasure services were spread throughout the community and their effect was highly evaluated.
The both the number and ratio of cerebral apoplexy patients were reduced, and no stroke person among the age of 30 to 59 was found in 1983. In comparison of cerebral hemorrhage with cerebral infarct, it was found that the former tended to be decreased.
In regard to the evaluation for countermeasure services for circulatory diseases, it seems that the effect for the services can be judged in reference to a shift of subject and prevention of cerebral apoplexy.