Tokihiko Sawada
Kaikoukai Medical Corporation

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Strategy for reduction of medical costs and growth of the healthcare industry after establishment of the national health insurance system in Japan: lessons for the Indonesian health care reform system -II- Sawada, Tokihiko; Kawahara, Hirohisa
Medical Journal of Indonesia Vol 23, No 3 (2014): August
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (298.747 KB) | DOI: 10.13181/mji.v23i3.1003

Abstract

Japan has long operated a government-based health insurance system covering the entire population, and has been focusing on strategies for balancing viable national health care services with the need to minimize national health care expenditure. Hemodialysis (HD) is a representative form of medical treatment that is expected to expand in Indonesia in the near future, and which will require sustained financial support from the national health insurance system. In this report, consecutive to our previous one, we describe how the Japanese government has attempted to minimize medical expenditure in the past, focusing especially on HD.
Cost of hemodialysis after coverage by national health insurance in Japan: a sharing experience with Indonesian health reform system Sawada, Tokihiko; Kawahara, Hirohisa
Medical Journal of Indonesia Vol 23, No 2 (2014): May
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (319.618 KB) | DOI: 10.13181/mji.v23i2.652

Abstract

About 50 years ago, Japan established a health insurance system covering the entire population, and started a period of rapid economic growth, similar to what is happening now in Indonesia. Although improvements in health conditions definitely contributed to the development of modern Japan, the costs of medical care became a serious burden on the economy. In this short report, we review the concept of medical care expenditure in Japan, focusing especially on end-stage renal disease, to provide suggestions to medical reform in Indonesia.