在日本,成本共享的现实
Koichi Kawabuchi1, Keiko Kajitani1
1Department of Healthcare Economics, Tokyo Medical and Dental University, Bunkyo-ku, Japan.
The International journal of health planning and management
|November 9, 2023
概括
日本 日本 日本 日本 日本.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 老年学是一门学科.
背景情况:
- 由于日本的超级老龄化社会,日本面临着对年轻一代的经济压力.
- 医疗保健成本共享负担是日本经济格局的一个关键问题.
- "标准"类别的70-74岁个人共同保险费率得到了修订.
研究的目的:
- 检查共同保险费率修订对日本70-74岁人群医疗费用共享的影响.
- 分析修订后的成本共享实际份额 (ASCS) 的变化.
- 评估不同县的分布效应.
主要方法:
- 分析了44个县的公民健康保险计划中70-74岁年龄组的医疗保健支出数据.
- 专注于成本共享的实际份额 (ASCS) 作为患者自付支付的衡量标准.
- 在 (2013年) 之前和 (2019年) 共同保险率上升后的ASCS比较.
主要成果:
- 70-74岁年龄组的平均ASCS从2013年的7.28%增加到2019年的10.78%.
- 实际成本分担与法定共同保险费率之间出现了更大的差距.
- 县级ASCS的变化增加表明支付能力和意愿的潜在变化.
结论:
- 共同保险费率的修订扩大了法定和实际患者成本共享之间的差距.
- 修订可能无意中鼓励基于区域能力的成本共享变化.
- 识别和传达真正的ASCS对于日本关于全民健康覆盖 (UHC) 可持续性的讨论至关重要.
相关概念视频
01:11Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
01:26Traditional Level Of Health Care System
2.8K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.8K
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
01:21Tertiary Healthcare System
1.8K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.8K
01:20Integrated Healthcare System
1.6K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.6K