Development, Success Factors, and Challenges of Government-Led Health and Productivity Management Initiatives in Japan.

OBJECTIVE This study aimed to describe the Japanese government-led health and productivity management (HPM) strategy, specific initiatives, and success factors. METHODS Self-described corporation data obtained from the Ministry of Economy, Trade and Industry for 2014-2019 were analyzed descriptively. RESULTS Nationally, more than 8,000 corporations participated in the HPM initiative, and performance improved each year. The range of public and private sector incentives supporting the government initiatives also increased. CONCLUSIONS Success factors include matching the approach to the company's business environment, reinforcing government-led initiatives and programs, and partnering with the healthcare sector. Despite many challenges, early experience with the countrywide HPM strategy and initiatives may lead to better business outcomes and support the sustainability of Japanese society.