Universal Health Coverage for Inclusive and Sustainable Development : Lessons from Japan.
Title:
Universal Health Coverage for Inclusive and Sustainable Development : Lessons from Japan.
Author:
Ikegami, Naoki.
ISBN:
9781464804090
Personal Author:
Physical Description:
1 online resource (203 pages)
Contents:
Front Cover -- Title Page -- Copyright Page -- Contents -- Foreword -- Acknowledgments -- Abbreviations -- Overview -- Overview of Current Status -- Current Status of Health Financing -- Current Status and Policies for Human Resources for Health -- Sequencing of Reforms -- Key Lessons from Japan -- Case Studies on Japan -- Bibliography -- Chapter 1 The Political-Historical Context of Japanese Health Care -- Abstract -- Context and Objectives -- Origins of Health Care in Japan -- Health Insurance for All -- Drive for Equality and Expansion -- Switch to Spending Restraint -- Continued Attempts to Control Public Spending -- "Collapse of Medical Care" -- Insights -- Notes -- Bibliography -- Chapter 2 Macroeconomic Context and Challenges for Maintaining Universal Health Coverage in Japan -- Abstract -- Objectives -- Decline in Economic Growth and Its Impact on Fiscal Space -- Widening Income Disparities -- Redistribution Effects of Taxes and Social Security -- Changes in Funding Sources -- Impact of Aging on Fiscal Space -- Prospects for Improving Fiscal Space -- Insights -- Notes -- Bibliography -- Chapter 3 Fiscal Disparities among Social Health Insurance Programs in Japan -- Abstract -- Objectives and Context -- Overview of SHI Programs -- Changes in the Fiscal State of CHI -- Effects of Fiscal Transfers to Reduce Disparities in CHI Premium Rates -- Fiscal Disparities among CHI Programs -- Fiscal Disparities within SMHI Programs -- Insights -- Notes -- Bibliography -- Chapter 4 Japan's Long-Term Care Insurance Program as a Model for Middle-Income Nations -- Abstract -- Objective and Context -- Current System Operations -- Two Issues: High Expectations and Cost -- Services, Not Cash -- Older People Only, Not Disabled Younger People -- Eligibility by Social Insurance Criteria, Not Case by Case -- Mixed Provision -- Insights -- Notes -- Bibliography.
Chapter 5 Controlling Health Expenditures by Revisions to the Fee Schedule in Japan -- Abstract -- Objectives and Context -- Macro: The Global Revision Rate -- Micro: Item-by-Item Revisions -- Recent Trends -- Insights -- Annex -- Notes -- Bibliography -- Chapter 6 The Political Economy of the Fee Schedule in Japan -- Abstract -- Japanese Characteristics -- The Macro Process -- The Micro Process -- Insights -- Interviews Conducted for the Chapter -- Notes -- References -- Chapter 7 Factors Determining the Allocation of Physicians in Japan -- Abstract -- Objectives and Historical Context -- Status of Physicians and Hospitals -- Variations in Physician Incomes -- Specialization versus Primary Care -- Urban versus Rural Areas -- Providing Services in Rural Hamlets -- Insights -- Notes -- Bibliography -- Chapter 8 Licensed Practical Nurses: One Option for Expanding the Nursing Workforce in Japan -- Abstract -- Objectives and Context -- Education -- Regulation -- Employment -- Insights -- Notes -- Bibliography -- Chapter 9 National Hospital Reform in Japan: Results and Challenges -- Abstract -- Objectives and Context -- Management Reforms -- Financial Improvements -- Insights -- Notes -- Bibliography -- Chapter 10 Improving Population Health through Public Health Centers in Japan -- Abstract -- Context -- History -- The Contributions of PUBHCs in Achieving Good Health -- The Changing Role of PUBHCs -- Insights -- Notes -- Bibliography -- Boxes -- Figures -- Tables -- Back Cover.
Abstract:
The goals of universal health coverage (UHC) are to ensure that all people can access quality health services, to safeguard all people from public health risks, and to protect all people from impoverishment due to illness, whether from out-of-pocket payments for health care or loss of income when a household member falls sick. Countries as diverse as Brazil, France, Japan, Thailand, and Turkey have shown how UHC can serve as a vital mechanism for improving the health and welfare of their citizens and lay the foundation for economic growth and competitiveness grounded in the principles of equity and sustainability. Ensuring universal access to affordable, quality health services will be an important contribution to ending extreme poverty by 2030 and boosting shared prosperity in low-income and middle-income countries, where most of the world's poor live. Universal Health Coverage for Inclusive and Sustainable Development synthesizes the experiences from 11 countries-Bangladesh, Brazil, Ethiopia, France, Ghana, Indonesia, Japan, Peru, Thailand, Turkey, and Vietnam-in implementing policies and strategies to achieve and sustain UHC. These countries represent diverse geographic and economic conditions, but all have committed to UHC as a key national aspiration and are approaching it in different ways. The book examines the UHC policies for each country around three common themes: (1) the political economy and policy process for adopting, achieving, and sustaining UHC; (2) health financing policies to enhance health coverage; and (3) human resources for health policies for achieving UHC. The findings from these country studies are intended to provide lessons that can be used by countries aspiring to adopt, achieve, and sustain UHC. Although the path to UHC is specific to each country, countries can benefit from the experiences of others in learning
about different approaches and avoiding potential risks.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
Genre:
Electronic Access:
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