Health care without managed care in Japan.
The best gross health indices in the world and universal coverage with no overt signs of rationing characterize the Japanese health care system. The delivery system, which consists primarily of private physicians and private hospitals, is functionally independent, but the financing system is strictly regulated. The author argues that this combination is the key to the system's unique success.
Ikegami
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Department of Hospital and Medical Administration, School of Medicine, Keio University, Tokyo, Japan.
D003363:Cost Control / Q000379:methods; D005069:Evaluation Studies as Topic; D005102:Health Expenditures / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand; D006302:Health Services Research; D016304:Hospitals, Private / Q000191:economics; D007348:Insurance, Health / Q000331:legislation & jurisprudence*; D007564:Japan; D017146:Models, Organizational; D009313:National Health Programs / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D011331:Private Practice / Q000191:economics; D011634:Public Health; D012935:Social Justice; D014481:United States; D019472:Universal Health Insurance