Strategy for reduction of medical costs and growth of the healthcare industry after establishment of the national health insurance system in Japan: lessons for the Indonesian health care reform system -II-

  • Tokihiko Sawada Kaikoukai Medical Foundation
  • Hirohisa Kawahara Kaikoukai Medical Foundation
Keywords: health care reform, medical cost, national health insurance
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Abstract

Japan has long operated a government-based health insurance system covering the entire population, and has been focusing on strategies for balancing viable national health care services with the need to minimize national health care expenditure. Hemodialysis (HD) is a representative form of medical treatment that is expected to expand in Indonesia in the near future, and which will require sustained financial support from the national health insurance system. In this report, consecutive to our previous one, we describe how the Japanese government has attempted to minimize medical expenditure in the past, focusing especially on HD.

Author Biographies

Tokihiko Sawada, Kaikoukai Medical Foundation
None
Hirohisa Kawahara, Kaikoukai Medical Foundation
None

References

  1. Sawada T, Kawahara H. Cost of hemodialysis after coverage by national health insurance in Japan - A sharing experience with Indonesian reform system. Med J Indones. 2014;23(2):122-124. http://dx.doi.org/10.13181/mji.v23i2.652

  2. Aichi Association for Dialysis. http://www.aichi-toseki.net/file/12/hirasawa.pdf.

  3. Minister of Health, Labor and Welfare, Japan. http://www.mhlw.go.jp/toukei/saikin/hw/iryosd/10/dl/shisetsu.pdf.

  4. E-Stat. http://www.e-stat.go.jp/SG1/estat/List.do?lid=000001060228

  5. Minister of Health, Labor and Welfare, Japan. http://www.mhlw.go.jp/wp/hakusyo/kousei/07/dl/0101.pdf.

  6. Minister of Health, Labor and Welfare, Japan. http://www.mhlw.go.jp/wp/hakusyo/kousei/10-2/kousei-data/PDF/22010209.pdf.

  7. Mizuho Corporate Bank. http://www.mizuhobank.co.jp/corporate/bizinfo/industry/sangyou/pdf/1021_03.pdf.

Published
2014-10-15
How to Cite
1.
Sawada T, Kawahara H. Strategy for reduction of medical costs and growth of the healthcare industry after establishment of the national health insurance system in Japan: lessons for the Indonesian health care reform system -II-. Med J Indones [Internet]. 2014Oct.15 [cited 2019Dec.15];23(3):182-4. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/1003
Section
Brief Communication