論文

査読有り
2017年7月1日

Japanese healthcare: Fostering competition and controlling costs

Healthcare Management Forum
  • James H. Tiessen
  • ,
  • Ken Kato

30
4
開始ページ
175
終了ページ
180
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1177/0840470417698485
出版者・発行元
SAGE Publications Inc.

Japan's universal healthcare system is relatively inexpensive, provides accessible services, and was established nearly 10 years before Canada's. Two aspects of Japan's system are particularly interesting. The first is that there is active competition for patients between a variety of hospital providers, which can be privately or publicly owned. This competition is based on service quality because prices are set centrally. The second feature is that these prices are adjusted biannually by a National Council, the Chuikyo, that includes payers (employers), providers, and third-party experts in public negotiations. This process improves transparency, reduces political stakes, and allows for appropriate fee adjustments. Recent movements in Canada toward more activity-based funding and greater management accountability are developing the capabilities of healthcare executives to embrace these ideas, if introduced in Canada. The increased autonomy afforded to providers will empower their leaders to make strategic decisions to improve the quality and efficiency of healthcare services.

リンク情報
DOI
https://doi.org/10.1177/0840470417698485
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/28929871
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85021816084&origin=inward
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85021816084&origin=inward
ID情報
  • DOI : 10.1177/0840470417698485
  • ISSN : 0840-4704
  • PubMed ID : 28929871
  • SCOPUS ID : 85021816084

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