Cost containment and quality of care in Japan: Is there a trade-off?

The Lancet

Volumn 378, Issue 9797, 2011, Pages 1174-1182

  Hashimoto, Hideki ^a   Ikegami, Naoki ^b   Shibuya, Kenji ^a   Izumida, Nobuyuki ^c   Noguchi, Haruko ^c   Yasunaga, Hideo ^a   Miyata, Hiroaki ^a   Acuin, Jose M ^d   Reich, Michael R ^e  

^a UNIVERSITY OF TOKYO   (Japan)

^b KEIO UNIVERSITY   (Japan)

^c NATIONAL INSTITUTE OF POPULATION AND SOCIAL SECURITY RESEARCH   (Japan)

^d De La Salle Health Sciences Institute   (Philippines)

^e HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACETYLSALICYLIC ACID; ANTIHYPERTENSIVE AGENT; ANTILIPEMIC AGENT; PRAVASTATIN;

ACUTE HEART INFARCTION; ARTICLE; BREAST CANCER; CANCER SURVIVAL; CHRONIC DISEASE; COLORECTAL CANCER; COST CONTROL; DIABETES MELLITUS; DRUG WITHDRAWAL; HEALTH CARE COST; HEALTH CARE PERSONNEL; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH INSURANCE; HEALTH SURVEY; HUMAN; HYPERCHOLESTEROLEMIA; HYPERLIPIDEMIA; HYPERTENSION; JAPAN; MORTALITY; PATIENT COUNSELING; PHARMACIST; PHYSICIAN; PRIORITY JOURNAL; REIMBURSEMENT; RHABDOMYOLYSIS; STROKE;

EID: 80053250816     PISSN: 01406736     EISSN: 1474547X     Source Type: Journal    
DOI: 10.1016/S0140-6736(11)60987-2     Document Type: Review

References (53)

1. Roberts M, Hsiao W, Berman P, Reich M. Getting health reform right: a guide to improving performance and equity. London: Oxford University Press, 2004.
2. OECD. OECD health data 2011. Paris, France: Organisation for Economic Co-operation and Development, 2011.
3. Ikegami N, Campbell JC. Japan's health care system: containing costs and attempting reform. Health Aff (Millwood) 2004; 23: 26-36.
4. National Institute of Population and Social Security Research. Selected demographic indicators for Japan, http://www.ipss.go.jp/p-info/e/S-D-I/Indip. html (accessed July 23, 2011).
5. UN Population Division. World population prospects: the 2010 revision population database. http://esa.un.org/unpd/wpp/index. htm (accessed August 1, 2011).
6. Ikai S. Byouin no seiki no riron [the theory of the hospital century]. Tokyo: Yuhikaku Publishing, 2010 (in Japanese).
7. Ikegami N, Campbell JC. Health care reform in Japan: the virtues of muddling through. Health Aff (Millwood) 1999; 18: 56-75.
8. Campbell JC, Ikegami N. The art of balance in health policy: maintaining Japan's low-cost, egalitarian system. New York, NY: Cambridge University Press, 1998.
9. Statistics and Information Department, Minister's Secretariat, Ministry of Health, Labour and Welfare. Byoin houkoku [hospital report] 2008. Tokyo: Health and Welfare Statistics Association, 2009.
10. HCUP-US Databases. Healthcare cost and utilization project (HCUP) 2007, Agency for Healthcare Research and Quality, Rockville, MD, USA. www.hcup-us.ahrq.gov/databases.jsp (accessed July 23, 2011).
11. Wagstaff A. Health systems in east Asia: what can developing countries learn from Japan and the Asian Tigers? Policy Research Working Paper 3790. Washington, DC: World Bank, 2005.
12. Ikegami N, Yoo B-K, Hashimoto H, et al. Japanese universal health coverage: evolution, achievements, and challenges. Lancet 2011; published online Sept 1. DOI:10.1016/S0140-6736(11)60828-3.
13. Federation of Health Insurance Societies. Zuhyo de miru iryo hosho [visual data of health insurance]. Tokyo: Gyosei Publishers, 2007.
14. Takagi Y. The Japan Medical Association and private practitioners' income. In: Ikegami N, Campbell JC, eds. Containing health care costs in Japan. Ann Arbor, MI: Michigan University Press, 1996: 278-85.
15. Takagi Y. Shinryo houshu no hensen to sono keizaiteki kouka [history of fee schedule and its economic impact]. In: Research Institute of Social Security, eds. Iryohosho to iryohi [health insurance and expenditure]. Tokyo: University of Tokyo Press, 1997: 78-94 (in Japanese).
16. Donabedian A. The definition of quality and approaches to its assessment. Explorations in quality assessment and monitoring. Ann Arbor, MI: Health Administration Press, 1980.
17. Statistics and Information Department, Minister's Secretariat, Ministry of Health, Labour and Welfare. Kanja chousa [patient survey] 2008. Tokyo: Health and Welfare Statistics Association, 2010.
18. Ikegami N, Fries B, Takagi Y, Ikeda S, Ibe T. Applying RUG-III in Japanese long-term care facilities. Gerontologist 1994; 34: 628-39. (Pubitemid 24313609)
19. Idezuki Y. Postgraduate education in surgery in Japan. Nippon Geka Gakkai Zasshi 2009; 110: 115-19 (in Japanese).
20. Commission on Physician Supply, Ministry of Health, Labour and Welfare, 2005. http://www.mhlw.go.jp/shingi/2005/03/s0311-5a4. html (accessed July 23, 2011).
21. Matsumoto M, Okayama M, Inoue K, Kajii E. Factors associated with rural doctors' intention to continue a rural career: a survey of 3072 doctors in Japan. Aust J Rural Health 2005; 13: 219-25. (Pubitemid 41122380)
22. Koike S, Matsumoto S, Kodama T, Ide H, Yasunaga H, Imamura T. Specialty choice and physicians' career paths in Japan: an analysis of national physician survey data from 1996 to 2006. Health Policy 2010; 98: 236-44.
23. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press, 2001.
24. Hirose M, Imanaka Y, Ishizaki T, Evans E. How can we improve the quality of health care in Japan? Learning from JCQHC hospital accreditation. Health Policy 2003; 66: 29-49. (Pubitemid 37123022)
25. Department of Health Economics, University of Kyoto Graduate School of Medicine, 2010. Quality improvement project. http://med-econ.umin.ac.jp/QIP/ (accessed July 23, 2011).
26. Ikeda N, Saito E, Kondo N, et al. What has made the population of Japan healthy? Lancet 2011; published online Sept 1. DOI:10.1016/S0140-6736(11)61055- 6.
27. Centers for Disease Control and Prevention. US National Health and Nutrition Examination Survey 2007-2008. http://www.cdc.gov/nchs/nhanes/ nhanes2007-2008/nhanes07-08.htm (accessed July 23, 2011).
28. The Committee of the Japan Diabetes Society on the Diagnostic Criteria of Diabetes Mellitus, Seino Y, Nanjo K, Tajima N, et al. Report of the Committee on the Classification and Diagnostic Criteria of Diabetes Mellitus. J Japan Diab Soc 2010; 1: 212-28.
29. Kita T. Coronary heart disease risk in Japan-an east/west divide? Eur Heart J 2004; 6 (suppl A): A8-11.
30. Kohro T, Furui Y, Mitsutake N, et al. The Japanese national health screening and intervention program aimed at preventing worsening of the metabolic syndrome. Int Heart J 2008; 49: 193-203. (Pubitemid 351902983)
31. Motomura N, Miyata H, Tsukihara H, Okada M, Takamoto S. First report on 30-day and operative mortality in risk model of isolated coronary artery bypass grafting in Japan. Ann Thorac Surg 2008; 86: 1866-72.
32. Yasunaga H, Matsuyama Y, Ohe K. Volume-outcome relationship in rectal cancer surgery: a new perspective. Surg Today 2009; 39: 663-68.
33. Yasunaga H, Matsuyama Y, Ohe K, the Japan Neurosurgical Society. Risk-adjusted analyses of the eff ects of hospital and surgeon volumes on postoperative complications and the modified Rankin scale after clipping of unruptured intracranial aneurysms in Japan. Neurol Med Chir (Tokyo) 2008; 48: 531-638.
34. Yasunaga H, Nishii O, Hirai Y, Ochiai K, Matsuyama Y, Ohe K. Impact of surgeon and hospital volumes on short-term postoperative complications after radical hysterectomy for cervical cancer. J Obstet Gynaecol Res 2009; 35: 699-705.
35. Yasunaga H, Tsuchiya K, Matsuyama Y, Ohe K. Analysis of factors aff ecting operating time, postoperative complications, and length of stay for total knee arthroplasty: nationwide web-based survey. J Orthop Sci 2009; 14: 10-16.
36. Yasunaga H, Yanaihara H, Fuji K, Horiguchi H, Hashimoto H, Matsuda S. Impact of hospital volume on postoperative complications and in-hospital mortality after renal surgery: data from the Japanese diagnosis procedure combination database. Urology 2010; 76: 548-52.
37. Coleman MP, Quaresma M, Berrino F, et al, and the CONCORD Working Group. Cancer survival in five continents: a worldwide population-based study (CONCORD). Lancet Oncol 2008; 9: 730-56.
38. Miyata H, Motomura N, Ueda Y, Matsuda H, Takamoto S. Eff ect of procedural volume on outcome of coronary artery bypass graft surgery in Japan: implication toward public reporting and minimal volume standards. J Thorac Cardiovasc Surg 2008; 135: 1306-12.
39. Yasunaga H, Matsuyama Y, Ohe K. Eff ects of hospital and surgeon volumes on operating times, postoperative complications, and length of stay following laparoscopic colectomy. Surg Today 2009; 39: 955-61.
40. Yasunaga H, Matsuyama Y, Ohe K. Eff ects of hospital and surgeon case-volumes on postoperative complications and length of stay after esophagectomy in Japan. Surg Today 2009; 39: 566-71.
41. Yasunaga H, Yanaihara H, Fuji K, Matsuyama Y, Deguchi N, Ohe K. Influence of hospital and surgeon volumes on operative time, blood loss and perioperative complications in radical nephrectomy. Int J Urol 2008; 15: 688-93.
42. Murata A, Matsuda S, Kuwabara K, et al. An observational study using a national administrative database to determine the impact of hospital volume on compliance with clinical practice guideline. Med Care 2011; 49: 313-20.
43. Makuuchi H. Board of cardiovascular surgery in Japan; past, present, and future. Jpn J Surg 2009; 110: 133-38.
44. Leflar R. Unnatural deaths, criminal sanctions, and medical quality improvement in Japan. Yale J Health Policy Law Ethics 2009; 9: 1-51.
45. Japan Council for Quality Health Care Division of Adverse Event Prevention. Project to collect medical near-miss/adverse event information 2008 annual report. Tokyo, Japan, 2008. http://www.med-safe.jp/pdf/year-report- english-2008.pdf (accessed June 1, 2011).
46. OECD. Society at a glance 2002: OECD Social Indicators. Paris: Organisation for Economic Co-operation and Development, 2003.
47. Statistics and Information Department, Minister's Secretariat, Ministry of Health, Labour and Welfare. Juryo koudou chousa [survey of patient behaviours] 2008. Tokyo: Health and Welfare Statistics Association, 2009.
48. Chino M. "Naikakei Gairai Gijutsu no Nannido oyobi Jikan ni kakawaru chousa" Survey of complexity and time for non-surgical outpatient service. Central Social Insurance Medical Council, 2005. http://www.wam.go.jp/wamappl/ bb11GS20.nsf/vAdmPBigcategory10/CE1046CC631E395949257031000BB60C? OpenDocument (accessed July 23, 2011).
49. Wilson A, Childs S. The relationship between consultation length, process and outcomes in general practice: a systematic review. Br J Gen Pract 2002; 52: 1012-20. (Pubitemid 35439311)
50. Yasunaga H. The catastrophic collapse of morale among hospital physicians in Japan. Risk Manag Healthc Pol 2008; 1: 1-6.
51. Matsuda S, Ishikawa K, Kuwabara K, Fujimori K, Fushimi K, Hashimoto H. Development and use of the Japanese case-mix system. Eurohealth 2008; 14: 25-30.
52. Yasunaga H. Legal intervention against medical accidents in Japan. Risk Manag Healthc Pol 2008; 1: 39-42.
53. Ikegami N. Games policy makers and providers play; introducing case-mix-based payment to hospital chronic care units in Japan. J Health Politics Law 2009; 34: 361-80