his is the Assessment and Recommendations of OECD Reviews of
Health Care Quality: Japan. It is prepared for a publication launch event
organised as part of the Global Dementia Legacy Event Japan. The full
report is scheduled to be published in early 2015.
The report will be part of a new series of publications reviewing the
quality of health care across selected OECD countries. As health costs
continue to climb, policy makers increasingly face the challenge of ensuring
that substantial spending on health is delivering value for money. At the
same time, concerns about patients occasionally receiving poor quality
health care have led to demands for greater transparency and accountability.
Despite this, there is still considerable uncertainty over which policies work
best in delivering health care that is safe, effective and provides a good
patient experience, and which quality-improvement strategies can help
deliver the best care at the least cost. OECD Reviews of Health Care Quality
seek to highlight and support the development of better policies to improve
quality in health care, to help ensure that the substantial resources devoted to
health are being used effectively in supporting people to live healthier lives.
This report reviews the quality of health care in Japan, and seeks to
highlight best practices, and provides a series of targeted assessments and
recommendations for further improvements to quality of care, particularly in
the area of primary care, hospital care and mental health care. Japanese
health care faces formidable challenges. The population is ageing rapidly -
keeping people healthy, economically and socially active will demand a
health system that offers proactive, coordinated and personalised care to
individuals with one or more chronic diseases. Strengthening primary care
will be central to meeting these challenges. In particular, Japan needs to shift
to a more structured health system, separating out more clearly different
health care functions (primary care, acute care and long-term care in
particular) to ensure that peoples’ needs can be met by the most appropriate
service, in a coordinated manner if needed. At the same time, Japan needs to
strengthen the information infrastructure underlying the processes and
outcomes of primary and hospital care, and consider ways in which its
hospital payment systems can be better used to reward high quality care.
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