Regulating risks in healthcare in Japan: Between new politics and the tradition of liberal practice in medicine
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|Title:||Regulating risks in healthcare in Japan: Between new politics and the tradition of liberal practice in medicine||Authors:||Kodate, Naonori||Permanent link:||http://hdl.handle.net/10197/12129||Date:||11-Aug-2018||Online since:||2021-04-29T06:36:15Z||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.||Funding Details:||University College Dublin||Funding Details:||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 policy||DOI:||10.1080/18692729.2018.1501794||Language:||en||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/|
|Appears in Collections:||Social Policy, Social Work and Social Justice Research Collection|
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