Ohmichi H
Nihon University, School of Medicine, Tokyo, Japan.
Nihon Geka Gakkai Zasshi. 1997 Oct;98(10):880-3.
Japanese people are covered with comprehensive national health-care insurance system since 1960's. Recently, elderly people have increased rapidly and healthcare cost for them has reached to share 30% in national health care expenditure. Several innovative reforms in healthcare system are now carried out. Legal price of drugs which has been fixed in social insurance, shall be floated in market mechanism, and payment system will be changed from "fee for services" to "per case system" like DRG/PPS. New health insurance scheme for the elderly is to be introduced in near future.
自20世纪60年代以来，日本民众都被纳入了全面的国民医疗保险体系。近年来，老年人数量迅速增加，他们的医疗费用在国家医疗支出中所占比例已达30%。目前，医疗体系正在进行多项创新性改革。社会保险中一直固定的药品法定价格将按照市场机制浮动，支付体系也将从“按服务收费”转变为类似疾病诊断相关分组/按病种付费的“按病例计费系统”。针对老年人的新医疗保险计划将在不久后推出。
