## 4 Measures by area and individual goals

### 1. Cancer medical care

(1) Further improvement of radiotherapy, chemotherapy, and surgical therapy, and promotion of team medical care

(2) Development of medical professionals who specialize in medical cancer care

The aim of improving the quality of medical cancer care through developing specialized medical professionals to engage in medical cancer care.

(3) Promotion of palliative care from when first diagnosed with cancer

Ensuring all medical professionals that engage in cancer treatment understand basic palliative care and acquire the necessary knowledge and skills within five years. The effort to enhance palliative care teams and outpatient palliative care within three years, mainly at core hospitals.

(4) Establishment of regional medical/long-term care service provision systems

Discussing ideal core hospitals within three years and further enhancing their functionality within five years. The additional aim of establishing in-home medical/long-term care services provision systems.

(5) (New) Efforts in the rapid development/approval of drugs/medical devices, etc.

Consistent effort to rapidly provide the people with effective and safe drugs.

(6) Other (rare cancers, pathological diagnoses, and rehabilitation)

2. Cancer consultation support and information provision

Establishment of a consultation support system that alleviates the worries of patients and their families and can easily be used by them.

### 3. Cancer registry

Improvement of the accuracy of cancer registry through establishing an effective prognosis investigation system and increasing the number of medical institutions that utilize the hospital-based cancer registry, including discussing its legal establishment.

### 4. Cancer prevention

Achieving an adult smoking rate of 12%, underage smoking rate of 0%, passive smoking rate of 0% at administrative/medical institutions, 3% at home, and 15% at eating/drinking places by FY2022, and with no passive smoking at workplaces by FY2020.

### 5. Early detection of cancer

Achieving a cancer screening rate of 50% within five years (40% with gastric, lung, and colon cancer for the time being).

* The Health Promotion Act stipulates that all people subject to cancer screening be of a certain age or older but with no upper limit in terms of age having been established. With calculating the percentage of people receiving cancer screening, however, those aged 40-69 (20-69 for uterine cancer) are major subjects when compared with foreign countries.

* Pertinent items and methods of cancer screening get separately discussed.

* The target values will be reviewed if necessary after taking interim evaluations into account.

### 6. Cancer research

Further promotion of research that contributes to cancer measures. Formulation of new comprehensive cancer research strategies that specify the future direction of cancer research and concrete research items in the respective areas within two years in cooperation with relevant ministries and agencies.

### 7. (New) Childhood cancer

Establishment of core childhood cancer hospitals and commencement of the establishment of core institutions for childhood cancer within five years.

8. (New) Education/dissemination/enlightenment on cancer

Discussions on ideal cancer education for children and promoting cancer education within health education.

9. (New) Social issues that include the employment of cancer patients

Aim to establish a society in which people can work and live with a sense of security, even though they have cancer, through facilitating understanding at workplaces and improving consultation support systems after clarifying their employment needs and issues.

## 5 Matters required in the comprehensive and systematic promotion of cancer measures

1. Further enhancement of cooperation between the relevant parties, etc.

2. Formulation of prefectural plans by prefectures

3. Airing of opinions of relevant parties, etc.

4. Efforts made by the people, including cancer patients

5. Implementation of necessary financial measures and a more efficient/prioritized budget

6. Identification of the status of achievement of goals and formulation of indices for assessing cancer measures

7. Review of the Basic Plan