Comparison of Out-of-pocket Payment Systems in Japan, Germany, France, and the United Kingdom

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  • Okubo Suguru
    The Health Care Science Institute Ritsumeikan University BMS Yokohama Inc.

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Other Title
  • 日本，ドイツ，フランス，イギリスにおける患者自己負担制度の違いについて
  • ニホン,ドイツ,フランス,イギリス ニ オケル カンジャ ジコ フタン セイド ノ チガイ ニ ツイテ

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<p>This study compared out-of-pocket payment systems in Japan, Germany, France, and the United Kingdom. Points of comparison included age, income, disease and disability, high-cost medical treatment, pharmaceuticals, in-hospital and outpatient care, and hospital consultation. Compared to Germany and the United Kingdom, out- of-pocket payment systems are more complex in Japan and France, playing an important role in medical finance systems. The payment rate is lower for the elderly compared to other age groups in Japan and the United Kingdom, but the amount of out-of-pocket payments is small in the United Kingdom. Out-of-pocket fees and gatekeeping in medical delivery systems are not strongly related in Japan, unlike other countries. These differences among the four countries are attributable to differences in not only medical systems but also history and philosophy of social security.</p>

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  • Iryo To Shakai

    Iryo To Shakai 31 (1), 45-59, 2021-07-08

    The Health Care Science Institute

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