@article{oai:mdu.repo.nii.ac.jp:00003028,
 author = {MAKI, SHIGERU and SADAOKA, SUNAO and YAMAGA, TAKAYUKI and YAMASAKI, TADASHI and 牧, 茂 and 定岡, 直 and 山賀, 孝之 and 矢ケ崎, 雅},
 issue = {2},
 journal = {松本歯学, Journal of the Matsumoto Dental University Society},
 month = {Dec},
 note = {application/pdf, SummaryThe Japanese public medical insurance system and lifting of the ban on mixed medical
care are historically reviewed.The fundamental issue of medical insurance is how to secure financial resources to compensatefor the increase in medical expenses. In the future, Japan’s low socio–economic growth due to a declining population caused by a falling birth rate and other factors is unlikely to offset the growth in medical expenditure due to the introduction of medical care for the old persons and advanced medical technology and new drugs. To estimate national
medical expenses by financial resources, they are divided into three categories, i.e., insurance
premiums, public expenses (taxes), and patients’ expenses. However, issues of burden–sharing and ratio should be continuously discussed.Regarding the issue of the total lifting of the ban on mixed medical care, safety and effectiveness should be secured by the non–insured associated medical expenses system with the universal medical insurance system maintained, to facilitate insurance listing for continued improvement of the quality of medical care (safety and effectiveness), access (fairness),and cost (efficiency).However, the issue of financial resources for medical expenses has generally been discussed with the issue of mixed medical care, because maintaining the universal insurance system (social profit) conflicts with receiving advanced medical care (personal profit).},
 pages = {63--70},
 title = {日本における公的医療保険制度と混合診療},
 volume = {48},
 year = {2022}
}