Abstract
Health services based on the law for health and medical services for the aged have been carried out in Japan since 1983. Health services, except medical care, have been carried out on the responsibility of local governments (cities, wards, towns and villages), but there are much differences among them in the health services provided. Therefore, we thus tried to develop a new method for self-evaluation of health services. Each local government must submit a report of its health services to the national government every year. We analyzed the reports by various indices, which could be easily calculated from the reports and the populations. From these, we made evaluation tables of the 10th, 25th, 50th, 75th, and 90th percentiles for each index. The tables consist of three kinds of sheets: ‘villages and towns’, ‘cities’and‘ordinance-designated cities and special wards in Metropolitan Tokyo’, and they can be evaluated by considering characteristics of the areas. The method should enable persons in charge of health services in various local governments to evaluate their achievements during each work day, and these evaluations should be useful in planning the health services.
