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Japan health care

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matthew Phillips

on 9 May 2013

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Transcript of Japan health care

Japan has system of universal health coverage system. It can be divided into two main categories: National Health Insurance and Employees Health Insurance and membership to these insurance is compulsory. Another category is the Health program for the elderly. Both public and private sectors provide the same health care services at the same costs. The cost of any and all medical related
care is dictated by the price book published
by the government every two years. care is provided by the standard
conventional doctors, nurses, dentists, etc
however they encourage just as much in
traditional medicine.
kempo and herbal well over half of the medical facilities within
Japan are privately owned. due to no facility
being able to be for profit mandated by the
government. specialty fields have been in a decline of
the past several years. have a small number of government hospitals
as well as public, corporations, and individual Management

Universal health care
Strong government regulation of health care financing and the operation of health insurance
Local governments play significant roles in fields of healthcare & social welfare

-On the whole, the Japanese public likes their health care system.
-At any clinic or hospital, they can walk in at any time and be seen by a physician (minimal waiting time).
-most visits are preventative in measure, and very short. Ex: Just a blood pressure done and prescriptions given during visit.
-Relatively no wait time for specialists "Sick Around the World". Frontline. April 15, 2008. minute 17-32. PBS

"Healthcare in Japan; Not all smiles". The Economist. Sept. 10, 2011. Print edition.

"Health Service Delivery Profile, Japan 2012". World health Organization and Ministry of Health, Labor, and Welfare, Japan. Pg 1-11

Alyssa Kim Schabloski, JD, MPH. 2008. Health Care Systems Around The World. Japan. Retrieved from
http://www.nyedu/projects/rodwin/lessons.html

Wikipedia.org (2010). Healthcare system in the japan. Retrieved from
en.wikipedia.org/wiki/Health_care_system_in_Japan

"International Profiles of Health Care Systems, 2011". The Commonwealth Fund. November, 2011. Pg 73-77

"Medical tourism - a boat to be on". Japan Times. June 5, 2012. Pg 3 Financing Delivery of services Access to health care Healthcare-related Social Welfare Aspects Healthcare Challenges Financing for Japanese healthcare system

•Health care is primarily paid for by Social Health Insurance.
Other payers
Health expenditure
Out of pocket
•Health promotions and general preventative services are funded by taxes.
Screening
Health education
Counseling Japan Technological inovation is one area of driving
force behind japanese delivering care to their
people at cheapest cost The government evaluates service
delivery using financial criteria, number of hospital beds, and health outcomes The biggest problem faced but the Japanese at present is not the public going broke but rather that weight befalling the government most health care is
provided by private
owned facilities. The health care delivery system in Japan is considered to have a three pillars that cover all people impartially
universal health insurance coverage
a framework for health care delivery cantered on the Medical Care Act
public health administration and service. “Free access” is a major characteristic
in the health care delivery system in Japan Preventative measures -The Japanese see a doctor 3 times more then people in other developed countries do. Visits are short and mostly entail Blood Pressure checks and filling prescriptions as well as other general checks. -The unemployed have been identified as a population who are most endangered for poor health. The unemployed are fully covered in Japan. Divisions of Social Health Insurance

Social health insurance is divided into “schemes” and offer over 3,500 insurers.
Enrollment is based on occupation and age.
Individuals cannot choose their plan or “scheme”.
Premiums are income based and rates are set by the insurer.
Citizens on social security are not required to enroll in a scheme and receive medical service for free. Co payment for services

Pricing is set by the Japanese government.
Evaluated every 2 years.
Co payment for general population.
30% for curative services.
10% for long term care.
Co payments vary by circumstance and age.
Preschool children, elderly (70-74), and unemployed pay only 20%.
Insurers pay the remaining balance to the hospital or clinic. Pricing for services

Both private and government hospitals must follow a fee schedule set by the government.
Private hospitals may set their own price for services only if they are not covered by insurance.
After-hours services.
Experimental treatments.
Hospitalizations of 180 days or more.
Medical costs are capped.
If medical costs exceed a certain amount, then balance is paid for by the insurer. Patients with certain medical conditions receive free health care.
Renal disease.
Plans pay patients while they are unable to work and even pay for funeral expenses. Universal Coverage Services not included
Eyeglasses
Private hospital rooms
Cosmetic surgery
Over-the-counter drugs
Most traditional medicine
Childbirth
Counseling Coverage includes
Doctor consultations
Hospital care
Ambulatory care
Approved prescription drugs
Herbal medicines
Most dental care
Psychiatric care Medical Tourism A 6 month entry visa is available to travelers for the purpose of receiving medical treatment in Japan.
Japan boasts many cancer treatment specialists and cutting-edge techniques in regenerative medicine. Policy and management POLICY

All residents of Japan are require by law to have health insurance coverage
Most patient accepting responsibility for 30% of health care service, while government pays the remaining 70%
Free to select physicians or facilities
Non-profit-run hospital - -Healthcare screening once a year (most people go much more than that). -Education for the public for better lifestyle choices Ex: Morning exercises. -Long-Term Care Insurance; meant to take pressure off of family members giving care to the elderly. At home services paid for. Some facilities are available for serious long-term care cases. -Much longer hospital stays. Preventative Care, cont. -Because the general population can show up at a hospital/ clinic at any time to be seen, there may not be any room for an incoming emergency (ambulances going from hospital to hospital looking for space for a heart attack patient)


-Aging population; huge issue in Japan. Average age is ~45 years old. In the coming years there may not be enough of a working population to be taxed for the support of the health care system Also, increasing age of population lends to the idea that there will be a higher cost of running the healthcare system in coming years. Uh-Oh!
-The cost of healthcare is CHEAP. So, cheap that the system cannot continue this way. Many hospitals (~50%) are in financial dire straits and have to take out loans to stay afloat. Reference
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