Study of Medecal Economics on Evaluation of Community care for Mild Hypertension by Cost-benefit Analysis

个人社群关怀与mild hypertensionmass health examination plays an important role in Japan. in this research, at first，卫生试验的效果是在预防和控制的调查中的作用mild hypertension. As for prevention，health examination acts to improve eating habits for prevention of cardiovascular diseasesthough no effect on smoking nor drinking habits. In the aspect of control存在于卫生保健examination has a tendency to urge relatively mild hypertensives toparticipate in the health examination and to decrease the need of medication for hypertension，rather than to detect hypertensives. In addition，health examination effectiveness of the health examination is investigated from long - term point of view with recordlinkage of the files of the health examination and stroke register system. the health examinationrelates with decrease of incidence and mortality from stroke. For evaluation of this relation，however,有些人已经采取了在consideration.那些是提供hypertensives among theparticipants in the health锻炼药物条件after the participation and so on.As self care，mild hypertensives need to begin to control blood pressure by restraining from excess salt intakeand drinking,这些生活-style and physical conditions related with the life-style arevery important for community care，因为这些都是effective for prevention of hypertension or retardation of the outbreak ofhypertension. It is up in this retrospective study that physical exercise atyouth age has desirable effect on blood pressure at adult. In order to clarify how such life-styleeffects on prevention of hypertension，cohort study should be performed. Hypertension is ill the最重要的目标community-based primary prevention of cardiovascular diseases in日本。

As community care of persons with mild hypertension, mass health examination plays an important role in Japan. In this research, at first, effectiveness of the health examination is investigated in the aspects of prevention and control of mild hypertension. As for prevention, the health examination acts to improve eating habits for prevention of cardiovascular diseases, though no effect on smoking nor drinking habits. In the aspect of control, existence of the health examination has a tendency to urge relatively mild hypertensives to participate in the health examination and to decrease the need of medication for hypertension, rather than to detect hypertensives. In addition, the effectiveness of the health examination is investigated from longーterm point of view with record linkage of the files of the health examination and stroke register system. The health examination relates with decrease of incidence and mortality from stroke. For evaluation of this relation, however, some points have to be taken in consideration. Those are proportion of hypertensives among the participants in the health examination, medical condition after the participation and so on.As self care, mild hypertensives need to begin to control blood pressure by restraining from excess salt intake and drinking, and improving overweight. These lifeーstyle and physical conditions related with the life-style are very important for primary prevention in community care, because these are effective for prevention of hypertension or retardation of the outbreak of hypertension. It is pointed up in this research of retrospective study that physical exercise at youth age has desirable effect on blood pressure at adult. In order to clarify how such life-style effects on prevention of hypertension, the cohort study should be performed. Hypertension is still the most important target for community-based primary prevention of cardiovascular diseases in Japan.