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Science 23 October 1992:
Vol. 258. no. 5082, pp. 614 - 618
DOI: 10.1126/science.1411572
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Articles

Science, Vol 258, Issue 5082, 614-618
Copyright © 1992 by American Association for the Advancement of Science

articles

The economics of health care in Japan

N Ikegami

Faculty of Policy Management, School of Medicine, Keio University, Tokyo, Japan.

Japan's health care system balances universal coverage at reasonable cost. The government has taken on the responsibility of acting as insurer and subsidizing health care spending for the employees of small enterprises and the self-employed. Despite the fee-for-service form of payment, costs have been contained by the use of a nationally uniform fee schedule that is mandatory for all providers. However, the increasingly affluent and aging population is making new demands on the system that can only be met by a major restructuring.


THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES:
The Implementation of Long-Term Care Insurance in Japan: Focused on the Trend of Home Care.
S. Murashima, A. Yokoyama, S. Nagata, and K. Asahara (2003)
Home Health Care Management Practice 15, 407-415
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Illness behaviour and patient satisfaction as correlates of self-referral in Japan.
Y. Guo, T. Kuroki, S. Yamashiro, and S. Koizumi (2002)
Fam. Pract. 19, 326-332
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Transitions in Living Arrangements Among Elders in Japan: Does Health Make a Difference?.
J. W. Brown, J. Liang, N. Krause, H. Akiyama, H. Sugisawa, and T. Fukaya (2002)
J. Gerontol. B. Psychol. Sci. Soc. Sci. 57, S209-220
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When the Mountain Dwarfs Danced: Aboriginal Traditions of Paleoseismic Events along the Cascadia Subduction Zone of Western North America.
A. D. McMillan and I. Hutchinson (2002)
Ethnohistory 49, 41-68
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Patterns of Hospital Care and Physician Perspectives from an Italian, Japanese, and USA Hospital.
D. Z. Louis, F. Taroni, E. J. Yuen, Y. Umesato, and J. S. Gonnella (1996)
American Journal of Medical Quality 11, 123-134
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