Interdisciplinary team activities play an important role in maintaining the quality, safety and efficiency of preventative health checkups. At the same time, participation of examinees is critical, as well. To understand and improve satisfaction of one-day health checkup examinees, we conducted a self-administered 5-point Likert questionnaire using 10 items designed to assess patients' satisfaction. We analyzed responses from 710 participants. The response rate was 94.5%. The average age of subjects was 50.9 (±12.4) years. Of all respondents, 60.1% answered that they would visit our facility again. 58.9% of respondents indicated satisfaction due to staff courtesy, 49.2% for privacy, 23.1% for time spent for the checkup. 21.5% for waiting time for examinations, 20.3% for the breadth of the examination items, 40.1% for upper gastrointestinal endoscopy, 38.7% for interview with a physician, 35.1% for lifestyle counseling, and 20.7% for fasting time required. When asked if participants felt anxiety or fear about the checkup, 4.9% answered affirmatively and 18.5% said they felt some anxiety or fear. For health checkup examinees, pleasant interactions with staff and ensuring privacy are important factors for satisfaction. To compensate for limitations in preventative health screenings, examinees are requested to undergo regular screenings, pursue further examinations when advised, and to change their lifestyle if necessary.

View full abstract

 There are various medical checkups in workplace. Some medical checkups are based on Industrial Safety and Health Act in Japan. In workplace, global competitions cause excessively heavy labor and mental disorder. Act on Assurance of Medical Care for Elderly People plays the important part to over 40 years old. This way, in workplace, we have at least two laws. And a health insurance society has a support system of health evaluation and promotion in general. We'd like to make use of various medical checkups and health evaluation and promotion. In order to be a healthy during a life cycle, we must offer healthy information continuously.

View full abstract

 The main purpose of health examination in enterprises based on Industrial Safety and Health (ISH) law is implementation of employer's responsibility for health and safety care of employees. It is often difficult to implement this responsibility for employers in small-scale enterprises (SSEs) as an occupational physician (OP) may not be available in the SSE. Occupational health service (OHS) organization is expected to support decision-making in SSEs on work load of employees with ill health. OPs in Kyoto Industrial Health Association (KIHA) are now preparing health examinationbased criteria to limit work load of employees.
 Aftercare of health examination is important for health of employees. OHS organizations should make efforts to improve quality of health guidance to be delivered by their staff. KIHA has been executing quality control of health guidance with support from University of Occupational and Environmental Health.
 When cancer screening is implemented in enterprises, it is regarded as population-based screening. Therefore, the screening in enterprises should be limited to the cancers with high quality evidence (i.e., colorectal cancer, stomach cancer, cervical cancer of uterus, breast cancer, and lung cancer). Approval on purpose of screening and protection/utilization of personal information by the Safety and Health Committee should be obtained before the implementation of screenings. Staff in OHS organization is expected to have enough knowledge on these issues. Because implementation rates of such screenings with quality evidence are still low especially for cancers of women, OHS organization should establish good measures to increase the rates.

View full abstract