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Japanese Health Care System

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by

Taylor Wicks

on 19 April 2011

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Transcript of Japanese Health Care System

Age Religions Education Japan Shintoism 50.7%
Buddhism 43.6%
Christian 1.2%
Other 4.5% Demographics Gender 6 Years of elementary
3 Years in junior high
3 Years in senior high
2 Years at junior college
4 Years at university 90% High school graduation rate
Ranked # 4 with 53.7% College grads
Literacy rate 99% (2002) Government The Diet
House of Reps-Lower house (480 members)
House of Councillors-Upper house (242 members) Naoto Kan Prime Minister Emperor Japanese Voters Ministers of 47 "States" Akihito Elects Vote Appoints Economic Conditions 3rd Largest Economy GDP: $34,200 per capita 65 million citizens in workforce (56.3%) Average income per person $53,326 3 million unemployed (4.6%) 15.7% of population are below the poverty line < 15% of land is used for agricultural purposes Health Care System Types Of Insurance Plans Benefit Coverage Financing Model Reimbursement All funds cover a large range of medical services.
They include:
Hospital Care (Only basic charges such as room
and board are covered, not any extra amenities)
Physician Care
Dental Care
Pharmaceuticals
Some Transportations
Cash Benefits (Ex.) Maternity Leave
Hot Spring Baths
Herbalists
Accupunture
Massage Therapy Fees by all insurance plans using a uniform national fee schedule (Point-Fee-System)
For any service the same fee is paid by all insurers
Neither hospitals or physicians can bill for more than authorized fee
Each procedure is assigned a number of points each equaling 10 yen ($.12 USD)
Fee covers supplies, materials, capital depreciation, and personnel costs.
Hospitals are reimbursed on a per diem basis, contributing to lengthy hospital stays
Spends more than any other nation on drugs as total percent of health expenditure (More than twice American rate)
There is no flexibility to this rule for billing Background Health Care Statistics Present & Future Challenges Doctors are not managers 8% GDP gov't spending on health care
All hospitals and physician offices are not-for-profit
80% hospitals and 94% physician offices are privately owned
Financed by both public and private payers
Fees paid by gov't to health care workers and institutions are standardized by Medical Fee Table
For standardization on drugs they use the National Health Insurance price list Longest in the world
Females: 86 years
Males: 79 years One of the lowest in the world Highest rates for use of MRI's
2003 cost $1200
2005 changed to $98 1980-Quality Control Circles
3-5 minute appointment 2. Appearance
Atractive decoration
Professional staff appearance "Pharmacits are better able to explain care and treatment" "Word of Mouth" 1. Process characteristcs
Service speed
Interaction between patient and Dr. Elderly
Cost containment
Preventative care insurance coverage
Tsunami/Earthquake Smoking is the #1 preventable cause of death in Japan, yet the country has 500,000 cigarette vending machines, weak anti-tobacco laws and few smoke-free public areas
In 2009, the # of suicides exceeded 30,000 for 12th straight year, making it the leading cause of death under 30 years of age 15.8/1000 Inpatient Hospital beds (Highest)
1.6/1000 practicing physicians (5th Lowest)
95/10,000 nurses per inhabitants
Tied with Austria for lowest hospital staffing ratios

How can

YOU help? Pre WWII
Started in 1905 with Kamegafuchi Textile Company offering benefits to employees
1922 health insurance law enacted inspired by German system
1st law extended health insurance coverage to industrial workers and miners
Implemented in 1927, giving gov't a role in health insurance and those uncovered
By 1938 health insurance was extended to farmers, fishermen, and other groups not covered under previous law Post WWII
Began working towards universal health care coverage
1958 law was revised to include remaining citizens uncovered
This allowed all persons employed or unemployed to recieve health insurance
By 1961 every gov't jurisdiction was required to provide to every resident
Health Care system is based off of the Bismarck Model Pop. 126,800,000
Japanese 98.5%
Korean .5%
Chinese .4%
Other .6%
Full transcript