期刊名称：International Journal of Health Policy and Management
电子版ISSN：2322-5939
出版年度：2016
卷号：5
期号：5
页码：291-293
DOI：10.15171/ijhpm.2016.22
语种：English
出版社：Kerman University of Medical Sciences
其他摘要：When the Japanese government adopted Western medicine in the late nineteenth century, it left intact the infrastructure of primary care by giving licenses to the existing practitioners and by initially setting the hurdle for entry into medical school low. Public financing of hospitals was kept minimal so that almost all of their revenue came from patient charges. When social health insurance (SHI) was introduced in 1927, benefits were focused on primary care services delivered by physicians in clinics, and not on hospital services. This was reflected in the development and subsequent revisions of the fee schedule. The policy decisions which have helped to retain primary care services might provide lessons for achieving universal health coverage in low- and middle-income countries (LMICs).
其他关键词：Primary Care ; Medical Schools ; Licensing ; Specialists ; Fee Schedule
