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Health Economics in Japan - Economie de la santé au Japon. - Re-organization of the Japanese hospital system.

Titre traduit : La réorganisation du système hospitalier japonais.
Auteurs physiques : MATSUDA (S.)
Titre du périodique : JOURNAL D'ECONOMIE MEDICALE
Volume, numéro : 22
Numéro du fascicule : 1-2
Année d'édition : 2004/01-02
Pagination : 69-78, rés., tabl., fig.
ISSN : 0294-0736
ISBN : 2-7472-0653-X
Résumé : For historical reasons, the Japanese hospital system is dominated by the private sector. About 70% of hospitals are facilities with less than 200 beds. The fundamental law for the medical service is the Medical Service Law. The law defines the structure and function of medical facilities. (...) This si very similar to the French SROS. The Ministry of Health, Labor and Welfare evaluates that there are too many acute care beds in Japan and that at least half of them (about 800 000 beds) must be re-organized into other categories of beds, such as middle and long term hospitals. This situation requires medical facilities to re-consider their managerial strategy. In order to facilate the differentiation of function among hospitals, the MHLW has introduced several programs, such as modification of the fee schedule for hospitals, and introduction of Case-mix based payement. In responding to these policies, the Japanese hospital system is now under the process of re-organization. (résumé d'auteur)
Mots-clés : Japon, Système santé, Assurance maladie, Politique santé, Offre soins, Hôpital, Hôpital public, Equipement lit, Loi, Organisation soins, Dépense hospitalière, Recette, Budget hospitalier, Case mix, Tarification hospitalière, Profit, Moyen séjour, Long séjour, Réforme, Hôpital privé
Mots-clés libres : COUT SEJOUR
Localisation : ORSRA : 7501, ORSRA