Titre :
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Japanese hospitals - culture and competition : a study of ten hospitals. (1994)
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Auteurs :
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O. ANBACKEN ;
European Healthcare Management Association's Annual Conference. (1993; Varsovie)
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Type de document :
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Article
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Dans :
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International journal of health planning and management (vol. 9, n° 1, 1994/01-03)
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Pagination :
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87-101
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Langues:
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Anglais
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Mots-clés :
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Hôpital
;
Système santé
;
Financement
;
Assurance maladie
;
Japon
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Résumé :
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This issue of the journal presents a selection of the papers from the European Healthcare Management Association's Annual Conference in Warsaw (1993), organized on the theme of "Managing Healthcare Markets". (éditorial). Japanese healthcare is characterized by a pluralistic system with a high degrre of private producers. Central government regulates the prices and the financing system. All citizens are covered by a mandatory employment-based health insurance operating on a non-profit basis. The consumer has a free choice of physician and hospital. A comparison between Japan, Sweden and some other countries shows significant dissimilarities in the length of stay, number of treatments per hospital bed and year and the staffing of hospitals. About 80 per cent of the hospitals and 94 per cent of the clinics are privetaly owned. The typical private hospital owned by a physician has less than 100 beds. In this paper, data collected (1992/93) in an empirical study of japanese hospitals and their leadership is presented. Also discussed are the hospitals'style of management, tools and strategies for competition and competences personal and formal skills required of the leadership in the hospital. ... The result is also analysed from a cultural perspective - what kind of impact does the japanese culture have on a health care organization ? and/or what kind of subculture is developped in the japanese hospitals. .. Comparisons with Sweden USA Canada and Germany... (R.A.).
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