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前言几年来,日本相继在医疗卫生服务的提供、医疗费用和医疗保险费用支付方式上进行了一系列的改革。2003年2月,小泉首相接受了允许开设营利性医院的提案。在初期,营利性医疗只允许在非全民医疗保险定点的医疗机构中实行;2003年3月,日本厚生劳动省(MHLW)宣布修改老年人医疗保险,根据个人收入水平相应地提高个人承担医疗费用的比例;2003年4月,作为定额支付方式之一的日本版DRG,在82家教学医院实施;70岁以下个人支付医疗费用的比例提高到30%;在机构改革中关于“特区”的两个建议被批准通过。
Foreword For several years, Japan has successively carried out a series of reforms in the provision of medical and health services, medical expenses, and payment methods for medical insurance. In February 2003, Prime Minister Koizumi accepted the proposal to allow the establishment of profit-making hospitals. In the early period, for-profit medical treatment was only allowed in non-universal medical insurance designated medical institutions; in March 2003, the Ministry of Health, Labour and Welfare of Japan (MHLW) announced amendments to medical insurance for the elderly, and accordingly increased personal medical expenses according to individual income levels. In April 2003, the Japanese version of DRG, one of the fixed payment methods, was implemented in 82 teaching hospitals; the proportion of individuals under the age of 70 who paid for medical expenses was raised to 30%; The proposal was approved.