Date of Award


Document Type


Degree Name

Master of Health Management

First Advisor

Betty LeMasters

Second Advisor

R. Patrick Akers

Third Advisor

Cyrelda Dobrino


This thesis will focus on the effects of industrial quality management on the Japanese and United States Health Care Systems.

Research bas attributed the lack of quality management information in terms of the Japanese health care system to the closing of Japan's borders prior to the Meijing Restoration Era. Because of the isolation from the western world, Japan is behind the United States in its implementation of quality measurement standards to the provision and outcome of health care services.

Over the years the development of the health care industry in both the United States and Japan has taken different paths. Some theorists believe this difference can be attributed to cultural influences unique to each country. Other theorists believe this difference is attributed to the ways in which each government regulates its overall national economy and the emphasis placed on gross domestic products.

The purpose of this study is to investigate the possibility that, within the different societies, culture may have played a secondary role in the development of quality management techniques in health care, [instead, it explores the emphasis of the GDP as the primary factor in the degree to which quality management exists in the medical industry.

To limit the scope of the research, this study focuses on industrial quality management of the Japanese and United States health care systems from World Warn to the present. While the evolution of medicine specific to each culture is discussed at length, it is done so in context of the development towards present day health care and quality management practices.

Results of this study produced considerable evidence to suggest that while the effects of industrial quality management have had a significant impact on both health care systems, the rate and emphasis of that development has been quite different. Regardless of its past isolation from the rest of the western world, in many ways Japan has surpassed the United States in the employment of quality improvement techniques in managing, health care.

Creative Commons License

Creative Commons Attribution-NonCommercial 4.0 International License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License