Changes in the Health Care Environment and Government Measures Concerning Medical Fees and Subsidies(Summary of the Special Topics: Financing Health Care -Focusing on the Role of Municipality Hospital)

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  • 医療をめぐる環境変化と国の診療報酬・補助金(特別企画要旨:公的医療保障制度の財源-税による支援と地域医療-)
  • 医療をめぐる環境変化と国の診療報酬・補助金
  • イリョウ オ メグル カンキョウ ヘンカ ト クニ ノ シンリョウ ホウシュウ ホジョキン

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Abstract

The Japanese national health care system has gone through various phases and reforms, experiencing both expansions and attempts to restrain medical costs, since World War II. During that time, the national and local governments have tackled problems with two types measures, medical fees and subsidies. This article describes the historical changes, analyzes the characteristics and merits and demerits of the two types of measures, and considers the appropriate mix of such measures, especially as a means of addressing the problems in the provision of health care services currently facing many local communities.

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