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Public views of health insurance in Japan during the era of attaining universal health coverage: a secondary analysis of an opinion poll on health insurance in 1967

Ikuma Nozaki, Koji Wada, Osamu Utsunomiya
  • Ikuma Nozaki
    Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan | i-nozaki@it.ncgm.go.jp
  • Koji Wada
    Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan
  • Osamu Utsunomiya
    Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan

Abstract

While Japan’s success in achieving universal health insurance over a short period with controlled healthcare costs has been studied from various perspectives, that of beneficiaries have been overlooked. We conducted a secondary analysis of an opinion poll on health insurance in 1967, immediately after reaching universal coverage. We found that people continued to face a slight barrier to healthcare access (26.8% felt medical expenses were a heavy burden) and had high expectations for health insurance (60.5% were satisfied with insured medical services and 82.4% were willing to pay a premium). In our study, younger age, having children before school age, lower living standards, and the health insurance scheme were factors that were associated with a willingness to pay premiums. Involving high-income groups in public insurance is considered to be the key to ensuring universal coverage of social insurance.

Keywords

Universal Health Coverage; Japan; Health Insurance

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Submitted: 2017-03-19 13:30:25
Published: 2017-07-10 11:20:39
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Copyright (c) 2017 Ikuma Nozaki, Koji Wada, Osamu Utsunomiya

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