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

本研究试图对控制公共医疗保险成本的法律措施进行分析，评估其效果和限度，并寻找合适的控制成本的方案。首先，研究工作包括搜索和收集关于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，通过对收集和分析的文献资料进行比较法律研究，特别是对法国公共医疗保险制度和瑞典公共医疗服务制度的比较研究，进一步明确日本控制公共医疗保险费用的做法的特点。瑞典模式的成功得益于其公共财政体制和鼓励区域竞争的政策，而法国虽然从1990年的S开始采取了多项措施，但仍未能阻止公共医疗保险费用的演变，这与德国在公共医疗保险费用控制政策方面取得的成功形成了鲜明对比。与这些国家相比，日本的情况有点类似于法国。为了阻止医疗费用的演变，日本可能不得不像瑞典一样引入民调上限制度(因为其公共财政计划)

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 )