Healthcare System and Policy

Numbering Code P-PUB01 8H125 LJ90 Year/Term 2021 ・ Intensive, First semester
Number of Credits 1 Course Type Lecture
Target Year Professional degree students Target Student
Language Japanese Day/Period Intensive
Instructor name IMANAKA YUUICHI (Graduate School of Medicine Professor)
SASAKI NORIKO (Graduate School of Medicine Program-Specific Associate Professor)
KUNISAWA SUSUMU (Graduate School of Medicine Associate Professor)
OTSUBO TETSUYA (Graduate School of Medicine Program-Specific Senior Lecturer)
Outline and Purpose of the Course This course facilitates the understanding of fundamental matters and important issues in Japan’s healthcare system and policies across various settings, which span from individual healthcare institutions to national and municipal governments.

- Policies, systems, projects, and developments in health care and welfare
- Healthcare funding
- Healthcare systems (provision, insurance, and payment) and healthcare costs
- Management systems and policies in healthcare quality, safety, and efficiency
- Healthcare evaluations
- Various healthcare-related plans, including regional healthcare initiatives and plans
- Structural framework of healthcare management: Organization and finances

Course Goals ・ Students will understand and be able to explain key issues in healthcare systems, policies, and management, including the relevant history, current situation, theories and concepts, research and evaluation methods, as well as problems and measures.
・ Students will also be able to systematically and critically interpret the significance of fundamental research and social systems.
・ Students will be able to apply relevant knowledge to solve problems in public health research and practice.
Schedule and Contents 1. June 16 Frameworks of Healthcare Systems
2. June 23 Health care and financial resources: Insurance systems
3. June 30 Policies and administration: Healthcare quality and safety
4. July 07 Healthcare policy development process: Regarding regional healthcare initiatives
5. July 14 The use of economic evaluations and HTA in health care in Japan and other countries
6. July 21 Health policies: Determinants of health
7. July 28 Frameworks to understand evidence-based policies and overall systems

Note: This schedule is subject to change. Overview of the schedule will be shown at the first day.
Evaluation Methods and Policy 1.  Report (60%)
2.  Classroom participation (40%)
Course Requirements This course is open to Students in School of Public Health.
Attendance rate 80% or more.
Study outside of Class (preparation and review) Both good preparation and review are needed.
Textbooks Textbooks/References Reading materials will be distributed as needed.

References, etc. ・ 医療制度・医療政策・医療経済(丸善出版,2013)
・ Handbook of Health Services Research(Springer Science+Business Media)
・ 病院の教科書(医学書院,2010)
・ 医療安全のエビデンス‐患者を守る実践方策 (医学書院,2005)
・ 医療の原価計算 (社会保険研究所,2003)
・ 「NEW予防医学・公衆衛生学 改訂第4版」(編集:小泉昭夫/馬場園明/今中雄一/武林亨)南江堂.2018.