Evolution of Japanese self-medication tax system and its enlightenment to China
- VernacularTitle:日本自我药疗税制发展沿革及对我国的启示
- Author:
Hongmeng ZHANG
1
;
Lei CHEN
1
;
Wenjun LI
2
;
Gaojie LI
1
;
Xiaoyu XI
1
Author Information
1. Research Center of National Drug Policy & Ecosystem，China Pharmaceutical University，Nanjing 211198，China
2. Zijin College，Nanjing University of Science and Technology，Nanjing 210023，China
- Publication Type:Journal Article
- Keywords:
self-medication tax system;
Rx-to-OTC switch;
medical expense deduction;
self-medication
- From:
China Pharmacy
2022;33(17):2055-2059
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To learn from the self-medication tax system in Japan and improve over-the-counter drug cost sharing mechanism in China. METHODS By searching relevant policies and literature ，the evolution ，specific contents ，current situation and effects of Japanese self-medication tax system were summarized. Recommendations were put forward in the light of the actual situation of over-the-counter drug guarantee in China. RESULTS & CONCLUSIONS Japan has implemented the self-medication tax system since 2017. The Ministry of Health ， Labour and Welfare has made clear provisions on the preconditions for applying for the tax system and the deduction standards of the tax system ，and established a list of drugs to be responsible for the regular inclusion and discharge of the drugs under the tax system. The self- medication tax system has a remarkable effect in promoting the self-health management ，disease prevention and reducing medical expenses of Japanese residents. Our country can learn from the self-medication tax system in Japan and the experience of implementing the special deduction system for major medical conditions in China. To promote rational self-medication ，it is advisable to add a special deduction system for over-the-counter drugs into deductions in personal income tax and formulate the criteria and scope of application ，and establish a special list of over-the-counter drugs，thereby reducing the heavy burden of medical expenses of residents ，and exploring a new way to share the costs of over-the-counter drugs which is applicable to our national conditions.
