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Research of the legal structure of the measures for controlling public medical insurance costs

公共医疗保险费用控制措施的法律结构研究

基本信息

批准号：
14520070
负责人：
IWAMURA Masahiko
金额：
$ 1.79万
依托单位：
The University of Tokyo
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2003
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-14520070/
关键词：
Health insurance social security law Social insurance 医療保険法診療報酬

项目摘要

This research tried to analyze the legal measures for controlling public medical insurance costs,to estimate their effects and limits and to search the appropriate scheme to control costs. First, research work has been composed of searching and collecting books, papers and reports (especially govermental reports) on French and Swedish laws as well as Japanese law, and of analyzing them. Second, by referring to these documents collected and analyzed, comparative legal studies, especially those on French public medical insurance scheme and Swedish public medical services scheme were achieved to make clearer the characteristics of Japanese approach for controlling public medical insurance costs. Swedish model is more or less successful due to its public financial scheme sand its policy encouraging the competition at regional level, however France does not reach stopping the evolution of public medical insurance costs in spite of several measures adopted from 1990's. This French situation makes contrast with Germany which gets more success about control policy on public medical insurance costs. Comparing with these countries, Japanese situation is a little bit similar to French one. For stopping the evolution of medical costs, Japan might have to introduce the poll capping system like Sweden (because of its public financial scheme )

本研究试图通过对控制公共医疗保险费用的法律的措施进行分析，评价其效果和局限性，寻求控制费用的适当方案。首先，研究工作包括检索和收集有关法国和瑞典法律以及日本法律的书籍、论文和报告（特别是政府报告），并对其进行分析。其次，通过对这些文献的收集和分析，对日本的公共医疗保险制度进行了比较法律的研究，特别是对法国和瑞典的公共医疗服务制度进行了比较研究，以明确日本公共医疗保险费用控制方式的特点。瑞典模式由于其公共财政体制和鼓励区域竞争的政策而取得了一定的成功，而法国尽管从20世纪90年代开始采取了一些措施，但并没有达到阻止公共医疗保险费用演变的目的。法国的情况与德国形成了鲜明的对比，德国在控制公共医疗保险费用方面取得了更大的成功。与这些国家相比，日本的情况与法国有点相似。为了阻止医疗费用的演变，日本可能不得不像瑞典那样引入民意调查上限制度（因为它的公共财政计划）