RESUMEN
[Objective]To estimate the number and market size of clinics for acupuncture, moxibustion and amma (traditional Japanese massage) in operation to provide a baseline for regional medical care resources. <BR>[Method]We conducted a postal survey by sending out questionnaires to 5,000 clinics and 1,000 on-call practitioners selected from 16,271 therapists (accounting for 21.0%of the total number in Japan) registered at 98 regional public health centers. <BR>[Results]The survey yielded a response rate of 23%, out of which the rates of non-existing clinics and on-call practitioners at the registered addresses accounted for 20.6%and 31.5%respectively. The rates of the two categories, out of business or suspended, accounted for 12.4%and 41.3%respectively. From these figures complemented by a telephone directory survey, it is estimated that 49,710 clinics were in operation in early 2007. The average annual income for private clinics was 4.88 million yen, and 2.84 million yen for private on-call practitioners, while that of corporate clinics was 34.85 million yen and 16.33million yen for corporate on-call practitioners. Accordingly, the market size of the subject business is estimated at 315 billion yen as of 2006. <BR>[Discussion]A major downward revision should be made in the data included in the national public health statistics. Considering the fact that there are over 16,000 clinics whose current status is unknown, it is desired that the government conduct a national fact-finding survey at an early date.<BR>Conclusion:The total number of acupuncture, moxibustion and amma (traditional Japanese massage) clinics is estimated at 50,000 constituting a market size of 325 billion yen as of 2006.
RESUMEN
The health service system in Japan has changed remarkably in the past 20 years. One feature of the changes is the introduction of evidence-based medicine (EBM) and another is medical economics. These approaches were not taken into account in the health services though they were very common in economic work. The rapidly aging population and economic crisis call for a new evaluation system in the health service field in Japan.<BR>There are some studies on medical economics in clinical services at present; however few studies have been reported in preventive medicine. Especially, studies on medical economics in prim ary prevention in the community are very few in our country.<BR>The activity of primary prevention is very important not only for medical economics but also for health promotion which is represented by The Healthy Japan 21. This article introduces some studies on medical economics for prevention in the United States and European Countries as well as some reports in the fields of industrial health in Japan.<BR>Regretfully, only one study on medical economics has been found in the community; however this study did not show enough reliability and validity epidemiologically.<BR>Kuno and his group conducted a new primary prevention study for aged people in a community. And medical economic evaluation programs are induced from the beginning in each project. These results may have a strong influence on primary prevention work in the community in Japan.