“System for seeking the burden of patients without referrals” Expansion: Ministry of Health, Labor and Welfare, October 30, 16:27

When a patient without a letter of referral visits a large hospital, the Ministry of Health, Labor and Welfare, for a system that requires a contact burden of 5000 yen or more for the first visit, Proposed to expand the target hospitals.

If a large hospital, such as a university hospital, can specialize in advanced treatment, if a patient without a referral visits a hospital with more than 400 beds, the initial visit will be 5000 yen or more, and the revisit will be 2500 yen or more The window burden is obligatory.

In this regard, the Ministry of Health, Labor and Welfare proposed at the Chuo Medical Association = Central Social Insurance Medical Council on the 30th, “Would you like to expand the target hospitals to promote the division of roles of medical institutions?”

In response, attendees agreed that “the number of beds should be extended to a medium-sized hospital with 200 beds or more”.

If expanded to more than 200 beds, the target hospital will increase from the current 420 to approximately 670.

On the other hand, a cautious opinion was given, such as “It should not be a big burden on patients,” and discussions continued.