Prof. Masako Ii 1 (Japan) - Tokyo Development Learning Center

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Outline of My Presentation 1. Overview the history and characteristics of Japanese healthcare system including health insurance. 2. What is the weakest point of Japanese healthcare system ? 3. Primary care system is a key aspect to learn by comparison with other countries' cases 4. What can developing counties learn from Japan's healthcare system history ?
Health Care System in Japan 1. Good access to health care Universal health insurance system since 1961 - Can visit any medical institutions regardless of type of health insurance, residence, and referrals - No gate-keeper system - Long waiting time 2. Closed-system operation of hospitals Unified payment to hospitals and physicians 3. Fee-for-service under a national uniform price schedule Official prices for medical treatment - Control of healthcare expenditures by the government 4. Dominance of (non-profit) private hospitals 7
Page 1 and 2: Health Care Reform in Asia: Key iss
Page 3 and 4: “Health Care Systems: Efficiency
Page 5: According to Table 2 Total health c
Page 10 and 11: The characteristics of Japanese hea
Page 12 and 13: Lack of clear definition of hospita
Page 18 and 19: General Account Tax Revenues and Go
Page 20 and 21: Japanese Government Expenditure ¥9
Page 22 and 23: National Medical Expenditure ¥34.1
Page 24 and 25: National Accounts: health sector (2
Page 26 and 27: Inefficient primary care system! 26
Page 30 and 31: Diabetes Dementia Backache Hearing
Page 32 and 33: Hospital-centrism: health systems b
Page 34 and 35: Table 1 shows that Japan does not h
Page 36 and 37: Japanese healthcare system needs in

Prof. Masako Ii 1 (Japan) - Tokyo Development Learning Center

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