This report reviews the quality of health care in Japan, and seeks to highlight best practices, and provides a series of targeted assessments and recommendations for further improvements to quality of care. One of Japan’s foremost policy challenges is to create an economically-active ageing society. Excellent health care will be central to achieving this. A striking feature of the Japanese health system is its openness and flexibility. In general, clinics and hospitals can provide whatever services they consider appropriate, clinicians can credential themselves in any speciality and patients can access any clinician without referral. These arrangements have the advantage of accessibility and responsiveness. Such light-touch governance and abundant flexibility, however, may not best meet the health care needs of a super-ageing society. Japan needs to shift to a more structured health system, separating out more clearly different health care functions (primary care, acute care and long-term care, for example) to ensure that peoples’ needs can be met by the most appropriate service, in a coordinated manner if needed. As this differentiation occurs, the infrastructure to monitor and improve the quality of care must simultaneously deepen and become embedded at every level of governance –institutionally, regionally and nationally.
The 2014 edition of National Accounts of OECD Countries, General Government Accounts is an annual publication, dedicated to government finance which is based on the System of National Accounts 2008 (SNA 2008) for all countries except Chile, Japan, Korea and Turkey (SNA 1993). It includes tables showing government aggregates and balances for the production, income and financial accounts as well as detailed tax and social contribution receipts and a breakdown of expenditure of general government by function, according to the harmonised international classification, COFOG. These detailed accounts are available for the general government sector. Data also cover the following sub-sectors, according to availability: central government, state government, local government and social security funds.
The data in this publication are also available on line via www.oecd-ilibrary.org under the title OECD National Accounts Statistics, General Government Accounts (http://dx.doi.org/10.1787/na-gga-data-en).
There are now 42 adherents to the OECD Declaration on Green Growth. Lithuania has joined Costa Rica, Colombia, Croatia, Latvia, Morocco, Tunisia, as well as OECD members in having adhered to the declaration. Latest reports are now available on Zambia, Slovak Republic, Slovenia, Korea and Latvia.
English, PDF, 594kb
Japan stands out as one of the advanced economies that weathered the global financial and economic crisis best. The employment rate of the working-age population was already 4.4 percentage points (ppts) above the OECD average on the eve of the crisis and this advantage had increased to 7.1 ppts by 2014 Q4 (73.0% in Japan versus 65.9% for the OECD area).
Specific country notes have been prepared using data from the database OECD Health Statistics 2015, July 2015 version. The notes are available in PDF format.
English, PDF, 424kb
English, PDF, 310kb
Japan has been successful at reducing the mortality due to cardiovascular diseases (CVD) but there is room to reduce the burden of CVD and diabetes even more.
English, PDF, 355kb
To achieve greater gender equality in employment and more inclusive growth, Japan needs to change the workplace culture and ensure that the tax and social security systems do not reduce work incentives for second earners in households.
English, PDF, 397kb
The Japanese economy has for many years been characterised by a low corporate return on equity. Increasing returns requires better corporate governance that improves investment and the use of corporate resources, including cash holdings.
English, PDF, 409kb
Japan has the potential to grow its agricultural sector, including by producing high-value products that reflect the country’s growing reputation for sophisticated, healthy, and high-quality food. To assure the long-term health of Japan’s food and agriculture system, it is critical to increase its capacity to respond to market demands.