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El futuro del sistema de buena salud de Japón a bajo costo con equidad: más allá de la cobertura universal
Kenji Shibuya1, Hideki Hashimoto, Naoki Ikegami
1Department of Global Health Policy, Graduate School of Medicine, University of Tokyo, Japan. shibuyak@m.u-tokyo.ac.jp
Lancet (London, England)
|September 3, 2011
Resumen
Japón logró una excelente salud de la población y la equidad de manera asequible. Se proponen reformas para garantizar la sostenibilidad y la equidad del sistema de salud de Japón en medio de desafíos financieros y estructurales.
Área de la Ciencia:
- Política de salud Política de salud
- Salud Pública La salud pública.
- Sistemas de Salud Investigación de Sistemas de Salud
Sus antecedentes:
- Japón se ha destacado en lograr una buena salud de la población a bajo costo y alta equidad durante 50 años.
- Las políticas de cobertura universal de salud en Japón reflejan los debates políticos globales.
- La sostenibilidad financiera de la cobertura universal de Japón se enfrenta a amenazas demográficas, económicas y políticas.
Objetivo del estudio:
- Proponer reformas importantes para el sistema de salud de Japón.
- Asegurar la sostenibilidad y la equidad de los logros de salud de Japón.
- Para abordar los problemas estructurales revelados por las crisis recientes.
Principales métodos:
- Análisis del sistema de salud de Japón.
- Revisión de los debates políticos sobre la cobertura universal.
- Identificación de problemas y amenazas estructurales.
- Propuesta de cuatro grandes reformas.
Principales resultados:
- El sistema de salud de Japón se enfrenta a amenazas a la sostenibilidad financiera y la equidad.
- Las crisis naturales y nucleares expusieron las debilidades estructurales.
- Se proponen cuatro reformas clave para garantizar la viabilidad futura del sistema de salud.
Conclusiones:
- Las reformas incluyen cambios basados en valores de seguridad humana, redefinición de los roles del gobierno, mejora de la calidad de la atención médica y compromiso de salud global.
- Es necesario un "renacimiento" urgente del sistema de salud de Japón.
- Asegurar la sostenibilidad y la equidad es crucial para la salud futura de Japón.
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