THE REVIEW OF COMPARATIVE SOCIAL SECURITY RESEARCH (KAIGAI SHAKAI HOSHO KENKYU) ISBN X ISSN Autumn 2006 No. 156 Special Issue: D
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2 THE REVIEW OF COMPARATIVE SOCIAL SECURITY RESEARCH (KAIGAI SHAKAI HOSHO KENKYU) ISBN X ISSN Autumn 2006 No. 156 Special Issue: Demarcation and Coordination between Health and Long-Term Care in Six Countries Foreword Kenji Shimazaki Demarcation and Coordination between Health and Long-Term Care in Japan Masahiro Kawagoe Division and Coordination between Health and Long-Term Care in the UK Atsuaki Gunji Shared Responsibility and the Connection between Health Care and Long-Term Care for the Elderly in Sweden: Changes and the Current Situation after the Ädel Reform Tomonori Izawa Differentiation and Cooperation between Health and Social Services in France Shinya Matsuda Functional Separation and Linkages of Medical and Extended Care in Canada Toshimitsu Shinkawa Function and Collaboration of Health Care and Nursing Care in the Netherlands Masahiro Ohmori Article A Fundamental Study on Medical Expense Containment Effect of Medical Insurance Reform in Urban China by Analyzing Indicators of Diabetes Mellitus Inpatients of a Third-Grade General Hospital in Liaoning Province Kai Meng Book Review Yeon Myung Kim Debate on the Characteristics of the Korean Welfare State Regime Naoko Soma 156 AUTUMN 2006 No
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30 Primary care in the UK: understanding the dynamics of devolution, Health and Social Care in the Community The concepts of community care and primary care in the UK: the 1960s to the 1990s, Health and Social Care in the Community Jane Lewis, ibid. A Report to the Secretary of State for Social Services by Sir Roy Griffith Quasimarkets and Social Policy Julian Le Grand, Nicholas Mays and Jo-Ann Mulligan Learning from the NHS Internal Market King s Fund Publishing The Future of Welfare A guide to the debate. Joseph Rowntree Foundation. Tania Burhardt, John Hills and Carol Propper Private Welfare and Public PolicyJoseph Rowntree Foundation. 19Julian Le Grand 1997, Knights, Knaves or Pawns?; Human behaviour and social policy. J Social Policy 26: Le Grand, J From Knight to Knave? Public Policy and Market Incentives. in T. Taylor-Dooby ed, Risk, Trust and Welfare, Macmillan Press Ltd Julian Le Grand 2003, Motivation, Agency, and Public Policy: Of Knights & Knaves, Pawns & Queens, Oxford. 29
31 23Anthony Giddens 1998, The Third Way: The renewal of social democracy, Polity Press. 24Anthony Giddens 1994, Beyond Left and Right: The future of radical politics, Polity Press. 25Labour Manifesto Secretary of State for Health 1997, The New NHS: Modern, dependable Cm 3807, HMO. 29Secretary of State for Health November 1998, Modernising Social Service: Promoting independence, improving protection, raising standards Cm 4169, The Stationery Office. Royal Commission on Long Term Care March 1999, With Respect to Old Age: Long term care Rights and ResponsibilitiesThe Stationery Office Terry Bamford 2001, Commissioning and Purchasing Routledge. Department of Health 1995 An Introduction to Joint Commissioning Commissioning for Best Value and Quality Julian Le Grand fulltime advisor, personal communication Rob Flynn and Gareth Williams Contracting for Health Quasi-markets and the National Health Service, Oxford University Press. 36Judith Smith, Nicholas Mays, Jennifer Dixon, Nick Goodwin, Richard Lewis, Siobhan MacClelland, Hugh McLeod, Sally Wyke, A review of the effectiveness of Primary care-led commissioning and its place in the NHS, The Health Foundation. 37) Policy/Commissioning/PracticeBasedCommissioning/fs/ en A First Class Service NHS Performance Ratings and Indicators NHS Performance Ratings The Health and Social Care Community Health and Standards Act Royal college of Physicians of London, Royal College of Surgeons of England, Royal College of General Practitioners, British Medical Association, NHS Confederation, NHS Alliance 44The Secretary of State for Health 2000, The NHS Plan: A plan for investment; A plan for reform, Cm 4818-I forwarded by Prime Minister. 45The Secretary of State for Health April 2002, Delivering the NHS Plan: next steps on investment; next steps on reform. Cm Department of Health October, Improvement, Expansion, Reform: the Priorities and Planning Framework PPF epartment of Health October 2002Reforming NHS Financial Flows 48http:// Secretary of State for Health November 1998, Modernising Social ServicePromoting independence, improving protection, raising standards Cm 4169, The Stationery Office. Royal Commission on Long Term Care March 1999 With Respect to Old Age Rights and Responsibilities, The Stationery Office. Department of Health 1998aModernising Health and Social ServicesNational Priorities Guidance. 52Department of Health 1998bPartnership in Action. 53Secretary of State for Health 2000 The NHS Plan: A Plan for Investment, a Plan for Reform. The Stationary Office. 54Department of Health 1999Modernising Social Services; Promoting Independence, Improving Protection, Raising standards. The Stationery Office. 55Department of Health 2000 Guidance on Joint Investment Plans 12 January http:// 57Gerri Kaufman 2002, Investigating the nursing contribution to commissioning in primary health-care, J Nursing Management, 10: Kirstein Rummery 1999, The way forward for joint working? Involving primary care in the commissioning of social care services, J Interprofessional Care, 133: 30
32 Julie Charlesworth 2001, Negotiating and managing partnership in primary care, Health and Social Care in the Community 9 5: Sue Elston and Immy Holloway 2001, The impact of recent primary care reforms in the UK on interprofessional working in primary care centres, J Interprofessional Care, 15 1: ) Policy/FinanceAndPlanning/DirectPayments/fs/en Howard Glennerster and John Hills (Ed) (1998), The State of Welfare: The Economics of Social Spending, Oxford. 31
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37 Medicinskt Ansvar Sjuksköterska:MAS Äldrevårdsutredninngen 36
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43 2 Socialstyrelsen, 1996, p59. 6 The National Board of Health and Welfare RFVRiksförsäkaringsverket Försäkringkassan 42
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45 Lansitngförbundet, 2002, Medicinskt färdigbehandlade patienter inom sluten somatisk sujkhusvård 22 maj 2002 Regeringen, 2006, National utvecklingsplan vård och omsorg on äldre (Prop. 2005/06: 115) SKL, 2005, Utskrivningsklara patienter inom sluten somatisk sjukhusvård 29 sptember 2004, Sveriges Kommuner och Landsting Socialstyrelsen, 1996, Ädelreformen Slutrapport Soicalstyrelsen, 2002, Hälso- och sjukvårdsstatistisk årsbok 2002 Socialstyrelsen, 2004, Vård och omsorg om äldre Lägesrapport 2003 Socialstyrelsen, 2005, Vård och omsorg om äldre Lägesrapport 2004 Soicalstyrelsen, 2006, Vård och omsorg om äldre Lägesrapport 2005 SOU, 2004, Sammanhållen hemvård (SOU 2004: 68) 44
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48 Contribution Sociale Généralisée: CSG GauthierColvez..... Marie, H., 47
49 UAOPA PT CCAS Direction de l action sociale CODERPA Centre Communal des Actions Sociales: CCAS
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52 ii MAPAD: Maison d Accueil pour Personnes Agées Dépendentes iiimarpad: Maison d Accueil Rural pour Personnes Agées iv CANTOU vlogement-foyer viles Résidences d hébérgement temporaire 1 isoins à domicile par les infirmiers libéraux iiservices de Soins Infirmiers à Domicile: SSID iiihospitalisation à domicile: HAD ivaccueil de jour 51
53 vhospitalisation de jour 2 iaide ménagère Certificat d Aptitude aux Fonction d Aide à Domicile: CAFAD iiservices de Garde à domicile iiile placement familial iv Allocation Spécific Dépendence Allocation Personalisée d Autonome Boulard Schopflin 52
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59 Henriette Marie, Les personnes âgées et la dépendance, La protection sociale en France (Crucifix I, ed), La documentation française (Paris), pp
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75 CHCA (Canadian Home Care Association) Home Care Case Management. Summary of the Proceedings submitted at Invitational Roundtable, March 3 & 4, CIHI (Canadian Institute for Health Information) Facility-Based Continuing Care in Canada, : An Emerging Portrait of the Continuum. Ottawa: CIHI. Evans, R Canada: The Real Issues, in J. A. Morone and G. S. Belkin (eds.), The Politics of Health Care Reform, pp Durham: Duke University Press. Fraser Institute Waiting Your Turn: Hospital Waiting Lists in Canada, 14 th ed. Health Canada (in collaboration with the Interdepartmental Committee on Ageing and Seniors Issues) Canada s Aging Population. Ottawa: Minister of Public Works and Government Services. Hollander, M. J., and E. R. Waler Report of Continuing Care: Organization and Terminology. Prepared on behalf of the Federal/Provincial/Teritorial Committee of Officials (Seniors) for the Minister Responsible for Seniors (December). NACA (National Advisory Council on Aging) The NACA Position on Home Care. A position paper adopted by NACA members on March, 2000, following their 58th Council Meeting. NACA. various years. Expression: Bulletin of the National Advisory Council on Aging. OECD (Organization for Economic Co-operation and Development) Maintaining Prosperity in an Ageing Society. Paris: OECD. Statistics Canada 2005 The Daily (December 15). Rachlis, M. and C. Kushner Strong Medicine: How to Save Canada s Health Care System. Harper Prennial. Romanow, Roy J Building on Vales: The Future of Health Care in Canada. Rosenberg, Mark W The Effects of Population Ageing on the Canadian Health Care System, SEDAP (Social and Economic Dimensions of an Aging Population) Research Paper No. 14. Shapiro, Evelyn Home Care, Health Transition Fund Synthesis Series. Ottawa: Minister of Public Works and Government Services Canada. World Bank Averting the Old Age Crisis: Politics to Protect the Old and Promote Growth. New York: Oxford University Press. 74
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79 Compartment Compartment 1 Compartment 2 Compartment 3 Care insurer 78
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90 13Ministry of Health, Welfare and Sport (2005 (b)) pp Dekker Committee Willingness to change é é é é é é André den Exeter, Herbert Hermans, Milena Dosljak and Reinhard Busse Health Care Systems in Transition 89
91 Netherlands 2004, The European Observatory on Health Care Systems Schut.F.T Health Care Systems in Transition: the Netherlands, Journal of Public Health Medicine Vol.18. Schut.F.T, van Doorslaer E.K.A Towards a reinforced agency role of health insurers in Belgium and the Netherlands, Health Policy Vol.48 pp Schut.F.T. and Hassink.W.H.J Managed competition and consumer price sensitivity in social health insurance, Journal of Health Economics Vol.21, No.6 pp van Barnebeld.E.M., Lamers.L.M. van Vilet and van de Ven. W.P.M.M Risk sharing as a supplement to imperfect capitation: a tradeoff between selection and effiiciency, Journal of Health Economics Vol.20, No.2 pp van de Ven W.P.M.M. and Schut.F.T Should Catastrophic Risks be Included in a Regulated Competitive Health Insurance Market?, Social Science and Medicine Vol.39, No.10 Government Committee on Choices in Health Care Choices in health care. Landelijke Huisartesen Vereniging Ziekenfonds Tarieven Per 1 Januari Ministry of Health, Welfare and Sport, 2002(a), Health Insurance in the Netherlands Ministry of Health,Welfare and Sport, 2002(b), Choosing with Care Ministry of Health, Welfare and Sport, 2002(c), A Question of Demand Ministry of Health,Welfare and Sport, 2004, Health Insurance in the Netherlands Ministry of Health, Welfare and Sport, 2005(a), New foundations for health care with a solid future. Ministry of Health, Welfare and Sport, 2005(b), Health Insurance in the Netherlands-The new health insurance system from 2006 Ministry of Health,Welfare and Sport, 2006, The New Care System in the Netherlands Okma.G.H 1997,. Studies on Dutch Health Politics,Policies and Law VEKTIS ZORGMONITOR Jaarboek 2004 VEKTIS ZORGMONITOR Jaarboek
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103 Bruce Stuart, Christopher Zacke Who Bears the Burden of Medicaid Drug Copayment Policies? Health Affairs 18 (2): Gu Xin-Yuan, Tang Sheng-Lan Reform of the Chinese Health Care Financing System. Health Policy 32: Haim Reuveni, Boaz Sheizafa The Effect of Drug Copayment Policy on the Purchase of Prescription Drugs for Children with Infections in the Community. Health Policy 62: Kathleen A. Fairman, Brenda R. Motheral Retrospective, Long-Term Follow-Up Study of the Effect of a Three-Tier Prescription Drug Copayment System on Pharmaceutical and Other Medical Utilization and Costs. Clinical Therapeutics 25 (12): Lo Sasso AT, Lyons JS The Effects of Copayments on Substance Abuse Treatment Expenditures and Treatment Reoccurrence. Psychiatric Services 3 (12): Qingyue Meng, Clas Rehnberg, Ning Zhuang The Impact of Urban Health Insurance Reform on Hospital Charge: a Case Study From Two Cities in China. Health Policy 68: Rainer Winkelmann Co-payments for Prescription Drugs and the Demand for Doctor Visits-Evidence from a Natural Experiment. Health Economics13: Robyn Tamblyn, Rejean Laprise, James A. Hanley Adverse Events Associated with Prescription Drug Costsharing Among Poor and Elderly Persons. Journal of the American Medical Association 285: Soumerai SB, Avorn J, Rossdegnan D, et al Payment Restrictions for Prescription Drugs under Medicaid: Effects on Therapy, Cost, and Equity. New England Journal of Medicine 27 (8): Yanrui Wu China s Health Care Sector in Transion: Resources, Demands and Reforms. Health Policy 39: Yuanli Liu Reforming China s Urban Health Insurance System. Health Policy 60:
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107 SOMA, Naoko Dilemmas of family and childcare policy within a pronatalist context: a comparative analysis of Japan and Korea. paper presented at East Asian Social Policy, the Bristol University, United Kingdom. 106
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