Abstract Objectives: This article presents a review of cancer control measures implemented in Phase One of the National Cancer Control Plan (

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1 2012Vol.61No.6p The Japanese National Cancer Control Plan: A Review of Phase One and lessons learned for Phase Two Ken-ichi HANIOKA Cancer Policy Information Center, Health and Global Policy Institute , Kojimachi, Chiyoda-ku, Tokyo, , Japan. T e l: -- Fax:

2 Abstract Objectives: This article presents a review of cancer control measures implemented in Phase One of the National Cancer Control Plan ( ) with the objective of obtaining lessons to be applied in Phase Two ( ). Since a comprehensive approach is required to fight cancer, not only was the National Cancer Control Plan reviewed but also its related aspects, including budgeting, as well as measures taken at both the national and prefectural levels. Further, as multi-stakeholder involvement is vital in cancer control, the activities of diverse stakeholders were observed. The Phase One plan was output oriented, but the Phase Two plan should be outcome oriented. Thus, the structures of the outcome evaluation frameworks in the National Cancer Control Plan (Phase Two) and the 12 draft versions of the Prefectural Cancer Control Plans (Phase Two) were analyzed. Rather than focusing on specific topics, this article attempts to present a comprehensive overview of the subject. Methods: A wide variety of publicly available documents, were reviewed and analyzed, including material used by the National Cancer Committee. Results: In Japan, activities related to cancer control have been stimulated through the introduction of the concept of a Cancer Control System. The system consists of an integrated package of laws, committees, plans, budgets, and the like, as well as the collaborative, co-working formula comprising patients, politicians, governments, health care providers, the private sector, and the media, or the sixstakeholders-as-one model. Cancer control plans at the national and prefectural level can play a tremendous role in maintaining the momentum of the Cancer Control System through the utilization of the six-stakeholders-as-one model. During Phase One, it has been difficult to evaluate the impact of cancer control plans since they were designed as output-based schemes. Though Phase Two of the National Cancer Control Plan has been designed as an outcome-based scheme, few stakeholders fully recognize this. Conclusion: In Japan, comprehensive activities to promote the Cancer Control System through the sixstakeholders-as-one model have been developed to some extent. However, numerous problems remain to be solved, including an overall mapping of cancer measures, total coordination among the stakeholders, program management, a clarification of the roles of stakeholders, and the development of ways to evaluate outcomes. It is important to cope with those issues in order to make the Cancer Control System both productive and sustainable. In this regard, cancer control plans offer the potential for promoting a comprehensive the Cancer Control System. keywords: Cancer control, National Cancer Control Plan, Prefectural Cancer Control Plan, cancer ordinance, policy evaluation (accepted for publication, 28th December 2012) [] 525

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