Bureau of Health Promotion

1. Bureau of Health Promotion Non-communicable Disease Prevention The growing burden of non-communicable disease (NCD) represents a major challenge to health development. We must overcome by giving higher priority to NCD prevention, control and surveillance in its program of work.

2. The main services of non-communicable diseases prevention • The disease prevention and health promotion of five diseases: • Diabetes • Heart disease • Cerebrovascular disease • Asthma • Kidney disease

3. Non-communicable Diseases Control Plan • Enhanced diseases cognition and promote lifestyle program of people. • Health promotion of high risk group. • Early diseases detection and early diseases control. • Establishing the diseases care quality monitor system. • Empower diseases support system. • The plan of insurance payment to diseases. • Conducting relevant research and surveys.

4. Integrated Preventive Health Service (IPHS) Community Integrated Screening Case Management Health Promotion Health Education Referral System Integrated Preventive Health Service (IPHS)

5. Implementing screening and care management • NHI provides periodical health examination age 40-64 once every 3 year ≧ 65 once every year • Provides integrated on-the-site screenings in community of chronic diseases for adults and the elderly. • Extensively implementing community healthcare management programs to follow-up cases detected.

6. 2003~2005 IPHS Referral Rate

7. Diabetes prevention and control • Develop Monofilament screener and teaching materials, andrevise diabetes prevention guidelines. • 2 . Conducta variety of promotional activities to raise the awareness and to subsequently lead to a healthy lifestyle. • 3 . Develop early warning detection blood sugar and promote taking actionto prevent diabetes of high risk groups.

8. Diabetes prevention and control 4. Develop a shared care system in 25 cities and counties. Publish the booklet Instructions on shared care of diabetes. 5. Set up 5 diabetic training centers and 116 diabetic health promotion centers. 6. Set up 423 diabetic patient self-help groups to share self- care behaviors in effectively controlling diabetes, and to support psychological adaptation for diabetes.

9. Framework of diabetes shared care Bureau of health department of health (BHP) 縣（市）政府衛生局 Board of health hospital of diabetic share care net and diabetic team care canter Diabetes share care net 社區 the payment improvement program for diabetes (NHI) nurse Doctor internal medicine, family medicine, endocrine, metabolism diabetic patients Inspector and other specialist Diabetic group dietician The specialist of cardio-vascular、ophthalmology、dental

10. Bureau of Health Promotion Mortality of Diabetes Mellitus

11. Cardiovascular diseases Prevention and Control 1. Promote World Heart Day campaign in September. 2. Update and develop several series of cardiovascular diseases educational materials. 3. Provide integrated on-the-site screenings and healthcare in community of chronic diseases for adults and the elderly. 4. Develop national guidelines on hypertension and dyslipidemia .

12. Cardiovascular diseases Prevention and Control 5. Expand health promotion programs for high risk groups of cardiovascular diseases. 6. Set up a complete prevention model including early diagnosis, health education, and case management . 7. Promote shared care to upgrade the care quality of chronic disease. 8. Set up stroke preventive center to establish an entire service structure including prevention, diagnosis, treatment, and rehabilitation.

13. Mortality trend of cardiovascular diseases (Age-Standardized Rate,1980-2004) Data from Department of Health, 2004

14. Asthma prevention and care 1. Promote The Asthma Patient Health Consultation Services, 78 hospitals included . 2. Administer governmental medical staff 、families of children with asthma, and caretakers in kindergartens trainings on the care and treatment of asthma in children. 3. Create a asthmatic patients’ self-help booklet in 2004, and promote the material in 2005. 4. Conduct epidemiologic studies and construct case management model.

15. Mortality of asthma

16. kidney disease prevention 1. Promote World Kidney Day campaign in June. 2. Update and develop several series of kidney diseases educational materials. 3. Health counseling and promotion agencies for kidney disease at 19 medical care institutions. 4. Follow up the patient’s therapeutic outcome by integrating the health care providers to prevent the aggravation of renal function and lower the incidence of ESRD.

17. kidney disease prevention 5. Promote the personnel training of kidney disease prevention for nurses from the health bureaus and medical professional personnel at the public and private health sectors. 6. Implement the case management of kidney disease. 7. Establish the research for kidney disease prevention.

18. Mortality of Kidney

19. The main programs at present 1.Create community hypertension, hypercholesterolemia, hyperglycemia screening and high risk cases management model . 2.Promote integrated preventive health service. 3. Life-style health promotion for diabetic high risk group. 4.Promote metabolic syndrome program. 5.Enhance diabetic share care network. 6.Strengthen diabetic self-care support system. 7.Promote metabolic syndrome health management. 8. Promote community health management for stroke patient. 9. Promote COPD case management. 10.Set up health counseling and promotion agencies for kidney disease.