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Title Universal health coverage for inclusive and sustainable development : lessons from Japan / Naoki Ikegami, editor
Published Washington, D.C. : World Bank Group, ©2014

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Description 1 online resource (xvi, 177 pages) : color illustrations
Series World Bank study
World Bank study
Contents Front Cover; Contents; Foreword; Acknowledgments; Abbreviations; Overview; Overview of Current Status; Tables; Table I.1 Data Overview of Japan; Current Status of Health Financing; Figures; Figure I.1 Subsidies and Cross-Subsidization among Social Insurance Programs; Current Status and Policies for Human Resources for Health; Table I.2 Current Status of Human Resources for Health; Sequencing of Reforms; Key Lessons from Japan; Case Studies on Japan; Bibliography; Chapter 1The Political-Historical Context of Japanese Health Care; Abstract; Context and Objectives
Origins of Health Care in JapanBoxes; Box 1.1 Key Features of Japan's Political System; Box 1.2 CHI: Residence-Based Health Insurance; Figure B1.1 Health Insurance Programs in Japan; Health Insurance for All; Drive for Equality and Expansion; Switch to Spending Restraint; Continued Attempts to Control Public Spending; "Collapse of Medical Care"; Insights; Notes; Bibliography; Chapter 2Macroeconomic Context and Challenges for Maintaining Universal Health Coverage in Japan; Abstract; Objectives; Decline in Economic Growth and Its Impact on Fiscal Space; Figure 2.1 Real GDP Growth
Figure 2.3 Ratio of Social Security Contributions and Taxes per GDPFigure 2.2 Real Per Capita Employee Compensation; Widening Income Disparities; Figure 2.4 Trends in General Account Tax Revenues and Total Expenditures; Figure 2.5 Ratio of General Government Gross Debt to GDP; Figure 2.6 Income Inequality and Other Factors Contributing to Income Redistribution; Figure 2.7 Gini Coefficient by Age Group, 1984 and 2011; Redistribution Effects of Taxes and Social Security; Changes in Funding Sources; Figure 2.8 Benefits and Social Security Contribution by Income Class, 1967 and 2011
Impact of Aging on Fiscal SpaceFigure 2.9 Changes in Funding Sources of Health Expenditures, 1954-2011; Figure 2.10 Per Capita Health Expenditures, by Age Group, 2001 and 2010; Figure 2.11 Percentage of Population Aged 65 Years Old and Over, 1950-2010; Figure 2.12 Health Expenditures, by Age Group, 1977-2010; Table 2.1 Factors Increasing Health Expenditures, 2002-12; Prospects for Improving Fiscal Space; Figure 2.13 Health Insurance Premium Payments and Benefits, by Age Group, 2011; Insights; Notes; Bibliography; Chapter 3Fiscal Disparities among Social Health Insurance Programs in Japan
AbstractObjectives and Context; Overview of SHI Programs; Figure 3.1 Flow of Money in SHI Programs, 2011; Figure 3.2 Age Distributions of Enrollees in CHI and SMHI, 1970 and 2010; Figure 3.3 Occupation Distribution of CHI Enrollees; Figure 3.4 Subsidies from the National Government to SHI; Changes in the Fiscal State of CHI; Figure 3.5 Trends in the Composition of CHI Revenue; Effects of Fiscal Transfers to Reduce Disparities in CHI Premium Rates; Figure 3.6 CHI Premium Rates, Taxable Income per Enrollee, and Benefit Expenditures
Summary The goals of universal health coverage (UHC) are to ensure that all people can access quality health services, to safeguard all people from public health risks, and to protect all people from impoverishment due to illness, whether from out-of-pocket payments for health care or loss of income when a household member falls sick. Countries as diverse as Brazil, France, Japan, Thailand, and Turkey have shown how UHC can serve as a vital mechanism for improving the health and welfare of their citizens and lay the foundation for economic growth and competitiveness grounded in the principles of equity and sustainability. Ensuring universal access to affordable, quality health services will be an important contribution to ending extreme poverty by 2030 and boosting shared prosperity in low-income and middle-income countries, where most of the world's poor live. Universal Health Coverage for Inclusive and Sustainable Development synthesizes the experiences from 11 countries-Bangladesh, Brazil, Ethiopia, France, Ghana, Indonesia, Japan, Peru, Thailand, Turkey, and Vietnam-in implementing policies and strategies to achieve and sustain UHC. These countries represent diverse geographic and economic conditions, but all have committed to UHC as a key national aspiration and are approaching it in different ways. The book examines the UHC policies for each country around three common themes: (1) the political economy and policy process for adopting, achieving, and sustaining UHC; (2) health financing policies to enhance health coverage; and (3) human resources for health policies for achieving UHC. The findings from these country studies are intended to provide lessons that can be used by countries aspiring to adopt, achieve, and sustain UHC. Although the path to UHC is specific to each country, countries can benefit from the experiences of others in learning about different approaches and avoiding potential risks
Bibliography Includes bibliographical references at the end of each chapters
Notes English
Online resource; title from pdf information screen (EBSCO, viewed Novenmber 13, 2014)
Subject Health services accessibility -- Economic aspects -- Japan
Health insurance -- Government policy -- Japan
Medical care -- Japan -- Finance
Medical policy -- Japan
Medical policy.
Universal Health Insurance
Economic Development
Fee Schedules -- economics
Health Expenditures
Health Policy
Health Services Accessibility -- economics
POLITICAL SCIENCE -- Public Policy -- Social Security.
POLITICAL SCIENCE -- Public Policy -- Social Services & Welfare.
Health insurance -- Government policy
Medical care -- Finance
Medical policy
SUBJECT Japan
Subject Japan
Form Electronic book
Author Ikegami, Naoki, 1949-
ISBN 9781464804090
1464804095
1464804087
9781464804083