"Covering the period from the Meiji Restoration to the Abe administration, this book examines what has driven the development of health politics, particularly regarding health insurance policy, of Japan and what role the government and medical professionals have played in the policy development"--

The Japanese health care system provides universal coverage to a healthy but aging population. Its costs are among the lowest in the world and have remained nearly constant as a share of the economy for more than a decade. Americans concerned about runaway medical spending need to know about the successes that Japan has experienced and the problems the country has encountered in its effort to control costs while maintaining quality of care. Offered here is an analysis of the key issues of cost-containment by specialists followed by reactions from some of America's best-known experts on health care delivery and finance. Topics include the macro-and microeconomics of health care, technology and costs, institutions and costs, attitudinal and behavioral aspects, and the politics of health care. This collection provides an authoritative study of successful cost-containment in the Japanese health care system---a chronicle of success that is neither a statistical illusion nor a result of sociocultural factors. Detailed here is information on the key mechanism of cost constraint: a fee schedule that covers virtually all medical services and rewards inexpensive services while making expensive services unprofitable. This system has resulted in the provision of quality health care to the entire population at roughly half the cost of American health care. Is it a single-payer system? Would the United States have to introduce a dramatically altered health care structure to benefit from the Japanese experience? No. Japan relies mainly on fee-for-service medicine financed by multiple insurers---a system familiar to Americans and one from which many lessons may be learned. Based on conferences held in Washington, D.C., and Izu, Japan, this volume collects original chapters on the overall cost structure, how the negotiated mandatory fee schedule works, specific mechanisms for cost control, the politics of health care financing, and the impact of cost cutting on quality, among other topics. These pathbreaking studies will be a significant resource for policymakers and scholars interested in comparative health care systems as well as those interested in health care reform in the United States.

Healthcare in most developed countries face a complex and partly contradictory mix of financial, social and political challenges. Fiscal strains combined with New Public Management agendas have caused severe cutbacks and calls for greater efficiency in public healthcare, resulting in a growing concern about service quality. Co-production and Japanese Healthcare explores a possibility to address these issues from a new perspective that emphasizes greater collaboration between the staff and patients. Here professionals and patients/clients act as 'partners to co-produce healthcare through their mutual contributions'. Japan has a unique system of two user-owned healthcare providers with nearly 200 hospitals, 500 clinics and 50,000 beds. However, they differ from each other and from public hospitals, in terms of their work environment, service quality, governance models and social values. This volume compares cooperative and public healthcare providers at ten hospitals across Japan with survey data from the staff, as well as from the patients and volunteers at four hospitals. It will be of interest to researchers, academics, and students in the fields of healthcare management, public and non-profit management, human resource management.

In the 1970s and 80s Japan experienced some deep-rooted social changes which affected attitudes to health care services among both professionals and consumers alike. Health Care in Japan provides an introduction to and overview of health and medical services in Japan at that time. It describes the historical development of modern medical care; the social, political, and cultural factors which have influenced the development of the system for the provision of health and medical services. It also discusses and analyses those aspects of the health care system which are of concern to the government and assesses how the existing system of health care will meet the needs of Japanese society in the future.

The only book of its kind in English, Japanese for Healthcare Professionals, is a proficiency-based conversation textbook offering a complete Japanese language course that teaches Japanese grammar along with the vocabulary of medical care. With nearly three million Japanese tourists visiting the United States last year, and another five hundred thousand expatriates residing in the US and other English-speaking countries, it is inevitable that many Japanese speakers find themselves in need of healthcare but unable to communicate. Important highlights of this book are: Accompanying MP3 Audio Disc. No prior knowledge of Japanese necessary. For all professionals seeking to communicate in healthcare situations. Includes an English-Japanese dictionary of medical terms, a glossary of common complaints, and a sample bilingual medical questionnaire. Japanese for Healthcare Professionals offers a complete language course for classroom study or independent learners that teaches Japanese grammar along with the Japanese medical vocabulary. The chapters cover every step of a patient's interaction with care providers, from appointments and admissions to the physical examination, symptoms and illnesses, diagnosis, treatment, instructions to the patient, discharge, and follow-up. Chapters are devoted to the major branches of medicine as well as dentistry and to the corresponding bodily systems. There are also chapters on anatomy, infection and disease, and visits to the pharmacy. Each chapter follows a natural progression designed to help the learner comprehend the new material and acquire the language as effortlessly as possible. Each includes: basic Japanese vocabulary, a situational dialogue, Japanese grammar points and key Japanese language and culture notes, exercises and practice drills, and a quiz to sharpen comprehension. The culture and language notes seek to help the provider understand better a Japanese patient's cultural framework and patterns of belief, as well as the "un-translatable" meaning conveyed by certain idioms. The accompanying MP3 audio disc tries ties in core parts of each chapter, allowing learners to practice their spoken language skills outside a classroom setting. The book also includes thirty illustrations to help with vocabulary acquisition, a pronunciation guide, an English-Japanese dictionary of medical terms, a glossary of Japanese expressions for common complaints, a sample bilingual medical questionnaire, and answers to the quizzes. Emphasizing the learner's practical use of the Japanese language for healthcare settings and the importance of culture in understanding, Japanese for Healthcare Professionals reflects the national standards in foreign-language education set by the American Council on the Teaching of Foreign languages (ACTFL).

In the latter half of the 20th century, Japan developed into a thriving economy, and the Japanese remain one of the healthiest populations in the world to this day. However, in the past 25 years, low-growth, mounting debt, and rapid ageing have complicated this image, and global interest in the longevity and social cohesion of the Japanese populace is now greater than ever. Health in Japan brings together the perspectives and research of Japan's leading social epidemiologists in English for the first time, creating an enriching reading experience for both Japanese and international readers. With chapters on key topics such as Chronic Disease, Disasters and Health, and Mental Health and Wellbeing, this textbook offers a comprehensive examination of all major health issues facing the country. Focusing on the primary, upstream causes of health and disease, as well as novel evidence on the wider determinants of well-being and illness, this is a must-read for any public health professional or researcher with an interest in Japanese society, culture, and healthcare.

This is one of the first attempts to explore the effects of social, political, and cultural variables on the interpretation of ideas about health, illness, and medical care in a technologically rich society. In this collection of essays, five anthropologists and one political scientist demonstrate that modern medical care in Japan is not a uniform, value-free scientific endeavor, but rather a culturally shaped part of a complex pluralistic medical system that is, itself, the product of a specific historical and social tradition. The comparative study of health, illness, and medical care provides a rich source of cross-fertilization of ideas among the social sciences. This collection of essays offers new insights on and raises new questions about contemporary Japanese society, biomedicine as a cultural product, and the transformation that occurs when medical knowledge and techniques are used in a different cultural milieu.

Ageing population poses a set of complex policy and dilemmas for social security systems, intensifying the concerns about rising expenditures in health care and long-term care for elderly. In this context, ageing societies has many valuable lessons to learn by studying Japan's experience dealing with its hyper-aged society and particularly from its strategies to ensure the financial sustainability of the Long-Term Care Insurance (LTCI) system. Based on an exhaustive literature review, and the results from six original researches on long-term care expenditures in Japan (LTCE) conducted during a doctoral program, the book provides a comprehensive view in analyzing trends and factors associated with increasing expenditures in the Long-Term Care Insurance system in Japan. The book address relevant topics such as; the main socio-demographic changes experienced by the Japanese society during the last three decades, predictors of the LTCE, measuring efficiency in nursing homes, the impact of the LTCI 2005-reform to contain expenditures, cost-effectiveness of the in-home and community based services and institutional LTCE in the last year of life. The book end with a discussion on futures challenges and strategies oriented to contribute with the sustainability of LTCI system in Japan.

This book provides an examination of the American health care system, a benchmark for cost-containment efforts, exploring two worlds: that of cost containment and that of the patient experience. It emphasises on the quality of care as perceived by the individual patient.