#Japan #Health Management #Tokyo #Corporate Wellness #Tokyo Chamber of Commerce

Overview of the 2026 Health Management Survey

The Tokyo Chamber of Commerce, led by Chairman Ken Kobayashi, has released results from its latest investigation into health management practices among companies in the Tokyo area. This survey marks a significant eight-year interval since the last assessment and reveals increased recognition and varying levels of implementation across different business sizes.

Health management is defined as a strategic approach to employee health promotion and management viewed as an investment. The survey aims to interpret the current state of awareness and practical applications in health management within businesses, identify challenges faced by companies that have not yet adopted these practices, and determine necessary support required for effective implementation.

Key Findings of the Survey

1. Rising Awareness

The survey indicates that more than 90% of companies are now aware of health management principles, with 90.6% reporting they have some knowledge of its contents. Notably, firms with fewer than 300 employees have seen a dramatic increase of 37.6 percentage points in recognition from the previous survey conducted in 2018, rising from 29.0% to an impressive 66.6%. This change suggests that the concept of health management is steadily permeating corporate culture in Japan, with the percentage of companies unaware of such practices diminishing from around 30% to just 10%.

2. Implementation Rates

Currently, 54.7% of surveyed companies claim to be actively practicing health management, representing a significant increase. Among those with fewer than 300 employees, there has been a noteworthy spike of 26.9 percentage points since 2018, rising from 20.8% to 47.7%. However, there remains a considerable portion of companies, totaling 16.5%, that recognize the importance of health management but have not yet implemented it, indicating that barriers still exist.

3. Disparity Based on Company Size

The implementation rate reveals a stark difference based on company size. Businesses with 100 or more employees boast a 74.5% health management adoption rate, compared to just 43.9% in smaller firms, resulting in a 30.6-point gap between the two categories. Interestingly, around 30% of firms with fewer than 100 employees expressed a desire to implement health management in the future, highlighting the potential for further support and resources to encourage this shift.

Survey Details

The health management survey was conducted between July 16 and August 17, 2026. Using an online questionnaire, a total of 13,013 member companies were targeted, with 395 responses collected, resulting in a response rate of 3.0%.

Moving forward, the Tokyo Chamber of Commerce aims to enhance support for small- and medium-sized enterprises by providing case studies and effective measurement methodologies for health initiatives. Such efforts are intended to ensure that these companies can engage with health management effectively and sustain their practices over time.

For full results and specific data points, follow the link here.