Abstract
In the first half of my speech, I placed the governmental policies on health care system among the following four strata: (1) the relationship between each served user (e.g. patient) and health care professionals, (2) the system of providing and utilizing public health, medical care, and long-term nursing care services, (3) the governmental policies on health care, on social security system, and on the reimbursement fee schedules from the public insurance schemes to service providers, and (4) politics over the former three aspects of health care.
Then the notion of vision, mission, value, core concept, and core technology was presented as the important elements of a policy strategy. In the latter half of my speech, I applied these five elements to the actual health care policies. They were: (1) the Japanese public long-term nursing insurance scheme enforced in 2000, (2) the comprehensive regional care system being constructed in Japan aiming for the year 2025, (3) the disease management programs expanded in the U.S.A. in 1990's, and (4) the specific medical examination and guidance adapted by the Japanese Government in 2008.
