Public views of health insurance in Japan during the era of attaining universal health coverage: a secondary analysis of an opinion poll on health insurance in 1967

  • Ikuma Nozaki | i-nozaki@it.ncgm.go.jp Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.
  • Koji Wada Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.
  • Osamu Utsunomiya Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.

Abstract

While Japan’s success in achieving universal health insurance over a short period with controlled healthcare costs has been studied from various perspectives, that of beneficiaries have been overlooked. We conducted a secondary analysis of an opinion poll on health insurance in 1967, immediately after reaching universal coverage. We found that people continued to face a slight barrier to healthcare access (26.8% felt medical expenses were a heavy burden) and had high expectations for health insurance (60.5% were satisfied with insured medical services and 82.4% were willing to pay a premium). In our study, younger age, having children before school age, lower living standards, and the health insurance scheme were factors that were associated with a willingness to pay premiums. Involving high-income groups in public insurance is considered to be the key to ensuring universal coverage of social insurance.

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Published
2017-07-10
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Issue
Section
Brief Reports
Supporting Agencies
The Grant for National Center for Global Health and Medicine
Keywords:
Universal Health Coverage, Japan, Health Insurance
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How to Cite
Nozaki, I., Wada, K., & Utsunomiya, O. (2017). Public views of health insurance in Japan during the era of attaining universal health coverage: a secondary analysis of an opinion poll on health insurance in 1967. Journal of Public Health Research, 6(1). https://doi.org/10.4081/jphr.2017.884