Japan, health system of

N. Ikegami

Research output: Chapter in Book/Report/Conference proceedingChapter


Japan has achieved universal coverage and relatively successful cost containment, not through radical reform, but by making incremental adjustments. The fee schedule that defines the services covered by social health insurance and the payment to providers has played a key role in realizing policy goals. The system's sustainability will depend on whether it can meet increasing demand for quality and efficiency by devolving responsibility to the prefecture level. © 2008

Original languageEnglish
Title of host publicationInternational Encyclopedia of Public Health
PublisherElsevier Inc.
Number of pages8
ISBN (Print)9780123739605
Publication statusPublished - 2008
Externally publishedYes


  • Equity
  • Fee schedule
  • Health expenditures
  • Social health insurance

ASJC Scopus subject areas

  • General Dentistry
  • General Medicine


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