Back to Journals » Risk Management and Healthcare Policy » Volume 1

Non-specialized inpatient care provided by university hospitals in Japan

Authors Shin-ichi Toyabe

Published 18 November 2008 Volume 2008:1 Pages 23—29

DOI https://doi.org/10.2147/RMHP.S4155

Review by Single-blind

Peer reviewer comments 1

Shin-ichi Toyabe

Crisis Management Office, Niigata University Hospital, Niigata City, Japan

Abstract: In Japan, all citizens are covered by the national insurance system in which universal free access to healthcare services is promised to everybody. Even in tertiary care university hospitals, considerable numbers of secondary care inpatients are supposed to be treated. We studied the mixed state of secondary care and tertiary care in university hospitals in Japan and its year-to-year trend. Based on the results of a national survey, we could statistically classify Japanese case-mix classification into 821 groups that are supposed to need tertiary care (group A) and 296 groups that are supposed to need secondary care (group B). Sixty percent of patients admitted to the university hospitals belonged to group A, and 25% belonged to group B. Despite of the implementation of government policies to differentiate functions of hospitals, there was no trend toward an increase in the rate of tertiary care and decrease in the rate of secondary care from 2003 to 2006. Patient behavior to seek tertiary care was simply influenced by distance from university hospital. However, behavior of patients to seek secondary care was significantly influenced by distance to adjacent general hospitals and seize of these hospitals.

Keywords: inpatient care, Japan, university hospitals, patient behavior

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]

 

Readers of this article also read:

Improving the chemotherapy process and service to cancer patients

Garcia-Alonso A

Risk Management and Healthcare Policy 2011, 4:41-45

Published Date: 20 April 2011

Julie Rovner’s Health Care Policy and Politics A to Z: a review

Cristóbal S Berry-Cabán

Risk Management and Healthcare Policy 2010, 3:81-82

Published Date: 1 December 2010

Protecting children: a survey of caregivers’ knowledge of Georgia’s child restraint laws

Sheryl Strasser, Laurie Whorton, Amanda J Walpole, et al

Risk Management and Healthcare Policy 2010, 3:73-79

Published Date: 18 November 2010

Perceptions of risk: understanding cardiovascular disease

Ruth Webster, Emma Heeley

Risk Management and Healthcare Policy 2010, 3:49-60

Published Date: 6 September 2010

Impact of “noncaloric” activity-related factors on the predisposition to obesity in children

Angelo Tremblay, Émilie Pérusse-Lachance, Patrice Brassard

Risk Management and Healthcare Policy 2010, 3:27-32

Published Date: 5 July 2010

Improving regional variation using quality of care measures

Scott A Berkowitz, Gary Gerstenblith, Robert Herbert, et al

Risk Management and Healthcare Policy 2009, 2:91-96

Published Date: 19 November 2009

Legal intervention against medical accidents in Japan

Hideo Yasunaga

Risk Management and Healthcare Policy 2008, 1:39-42

Published Date: 16 December 2008