Japan's health care system: Containing costs and attempting reform - Japan cut medical spending in 2002 for the first time in its history, adding fuel to proposals for more radical reforms

Naoki Ikegami, John Creighton Campbell

Research output: Contribution to journalReview article

76 Citations (Scopus)

Abstract

As Japan's economy declined, more intensive control of prices and even volume through the fee schedule, plus increases in various copayment rates, led to an actual reduction of medical spending in 2002 for the first time in history. To augment established mechanisms of cost containment, case-mix-based inclusive fees for inpatient care were introduced in university hospitals in 2003 and are planned for subacute and long-term care. However, substantial reform, including the introduction of market-based medicine, is not likely to occur in other areas. Progress in making the delivery system more accountable to patients has been meaningful but slow.

Original languageEnglish
Pages (from-to)26-36
Number of pages11
JournalHealth Affairs
Volume23
Issue number3
DOIs
Publication statusPublished - 2004 May 1

ASJC Scopus subject areas

  • Health Policy

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