Table of Contents

Foreword; Acknowledgements; Table of contents; Acronyms and abbreviations; Executive summary; Assessment and recommendations; Quality of health care in Japan; 1.1. Introduction; 1.2. Context; 1.3. Health system design; 1.4. Assuring the quality of inputs to the Japanese health care system; 1.5. Health system standards and guidelines; 1.6. Health system monitoring: Building an information infrastructure for measuring quality; 1.8. Patient safety; 1.9. Strengthening the role and perspective of the patient; 1.10. Conclusion; References; Primary and community care in Japan; 2.1. Introduction 2.2. The provision of primary care in Japan2.3. Current outcomes associated with primary and community care in Japan; 2.4. Challenges faced by primary and community care in Japan; 2.5. How well set up is Japanese primary care to meet this challenge? Quality initiatives in Japanese primary and community care; 2.6. Steps toward a new speciality of primary care in Japan; 2.7. Embedding continuous quality improvement from the start; 2.8. Conclusion; Note; References; Improving the quality of Japan's hospital care; 3.1. Introduction; 3.2. Overview of the hospital sector in Japan 3.3. Care outcomes in the hospital sector3.4. Several quality initiatives are set up in the hospital sector but a more unified approach is needed; 3.5. Challenges lie ahead, especially around driving further gains in hospital efficiency, and in securing better outcomes of care; 3.6. How to further improve hospital quality of care; 3.7. Conclusion; Notes; References; Quality of mental health care in Japan; 4.1. Introduction; 4.2. Organisation and delivery of services for mental ill-health in Japan; 4.3. Understanding quality shortcomings in the Japanese mental health care system 4.4. Establishing a patient-centred mental health care system for severe mental disorders4.5. Population-wide mental wellbeing: Unmet need for care; 4.6. Conclusion; Notes; References This report reviews the quality of health care in Japan, and seeks to highlight best practices, and provides a series of targeted assessments and recommendations for further improvements to quality of care. One of Japan's foremost policy challenges is to create an economically-active ageing society. Excellent health care will be central to achieving this. A striking feature of the Japanese health system is its openness and flexibility. In general, clinics and hospitals can provide whatever services they consider appropriate, clinicians can credential themselves in any speciality and patients c