Current trends in health insurance systems: OECD countries vs. Japan.
Current trends in health insurance systems: OECD countries vs. Japan.
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健康保险系统的当前趋势：经合组织国家与日本。
DOI：
10.2176/nmc.ra.2014-0317
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发表时间：
2015
影响因子：
1.9
通讯作者：
Okada Y
中科院分区：
文献类型：
--
作者：
Sasaki T;Izawa M;Okada Y
在过去的几十年里，世界上最长的预期寿命延长发生在日本。然而，医疗保健的复杂化和老龄化社会的扩大，导致医疗保健费用的不断增加。作为日本国内生产总值(GDP)的一部分，日本的医疗费用超过了目前经济合作与发展组织(OECD)的平均水平，挑战了过去普遍平等提供的低成本医疗保健。全民医疗保险制度目前在发达国家正在成为一种常见的制度，目前美国也在引入类似的制度。日本的医疗保健是在社会保险制度下进行的，但公共资金的医疗费用注入对日本社会来说变得非常昂贵。尽管采取了一些紧急决定的措施，以应对高级医疗费用高、出生率下降和人口老龄化，以及减少住院和门诊人数、缩短住院时间的趋势，但日本的医疗费用仍在继续增加。
Over the past few decades, the longest extension in life expectancy in the world has been observed in Japan. However, the sophistication of medical care and the expansion of the aging society, leads to continuous increase in health-care costs. Medical expenses as a part of gross domestic product (GDP) in Japan are exceeding the current Organization for Economic Co-operation and Development (OECD) average, challenging the universally, equally provided low cost health care existing in the past. A universal health insurance system is becoming a common system currently in developed countries, currently a similar system is being introduced in the United States. Medical care in Japan is under a social insurance system, but the injection of public funds for medical costs becomes very expensive for the Japanese society. In spite of some urgently decided measures to cover the high cost of advanced medical treatment, declining birthrate and aging population and the tendency to reduce hospital and outpatients’ visits numbers and shorten hospital stays, medical expenses of Japan continue to be increasing.