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  5. Regulating risks in healthcare in Japan: Between new politics and the tradition of liberal practice in medicine
 
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Regulating risks in healthcare in Japan: Between new politics and the tradition of liberal practice in medicine

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Download PostAcceptance_Manuscript_Kodate_2018.pdf484.13 KB
Author(s)
Kodate, Naonori 
Uri
http://hdl.handle.net/10197/12129
Date Issued
11 August 2018
Date Available
29T06:36:15Z April 2021
Abstract
Liberal practice in the medical professions has long been the tradition and de-facto position of the Japanese government. However, accountability and transparency in healthcare governance have recently drawn scrutiny, primarily due to several adverse events in hospitals. While New Public Management and risk-based approaches have not penetrated the design of regulatory management and compliance strategies, there has been increased institutional capacity and a search for a new mechanism of regulating risks in healthcare. This paper attempts to identify the directions of policy developments in Japan. It questions whether the conventional model of professional self-regulation in medicine is eroding, as in many English-speaking countries. The article demonstrates that while we may identify some common trends such as greater transparency and the creation of arm’s length bodies, policy decisions prove deeply embedded in governance arrangements, and professional self-regulation in healthcare remains resilient, particularly in Japan.
Sponsorship
University College Dublin
Other Sponsorship
Pfizer Health Research Foundation
Type of Material
Journal Article
Publisher
Taylor & Francis
Journal
Contemporary Japan
Volume
30
Issue
2
Start Page
204
End Page
226
Copyright (Published Version)
2018 German Institute for Japanese Studies
Keywords
  • Regulatory state

  • Accountability risk

  • Risk

  • Medical professions

  • Patient safety

  • Japan

  • Healthcare

  • Comparative health po...

DOI
10.1080/18692729.2018.1501794
Language
English
Status of Item
Peer reviewed
ISSN
1869-2729
This item is made available under a Creative Commons License
https://creativecommons.org/licenses/by-nc-nd/3.0/ie/
Owning collection
Social Policy, Social Work and Social Justice Research Collection
Scopus© citations
1
Acquisition Date
Jan 26, 2023
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441
Acquisition Date
Jan 26, 2023
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