## Outline of the revision of reimbursement of medical fees of 2012 [2]

## Prioritized distribution via medical services (¥470 billion)

## I Reducing the burden of medical professionals who have borne a significant burden

○ Reducing the burden of medical professionals, including hospital doctors, etc., in thereby enabling them to continue provide acute medical care, etc. in an appropriate manner. (¥120 billion)

### I I Division of functions and smooth cooperation between medical and long-term care, etc., and improved in-home medical care

☐ Medical fee reimbursements were simultaneously revised alongside long-term care fees in 2012 in thereby ensuring the provision of seamless comprehensive services from acute medical care through to in-home/long-term care and in anticipation of the oncoming super aging society. (¥150 billion)

III Promotion and introduction of advanced medical technologies for cancer and dementia treatment, etc.

☐ Efforts will be made to promote and introduce advanced medical technologies that enable everyone to receive the benefit of the endlessly advancing medical technologies. (¥200 billion)

## Prioritized distribution via dental services (¥50 billion)

I Promotion of team medical care and improved in-home dental services, etc.

o Reduced postoperative complications such as aspiration pneumonia, etc. through medical cooperation, and the promotion of in-home dental services to responding to a super aging society.

II Appropriate evaluation of dental services with consideration given to quality of life

○ Developing technologies that contribute to tooth retention in thereby improving treatment of dental diseases, including caries and periodontal diseases, etc.

## Prioritized distribution via dispensations (¥30 billion)

## I Promotion of in-home drug management and improved pharmaceutical management and guidance at pharmacies

In addition to promoting in-home drug management efforts will also be made to improve medication history management/guidance, including verification of leftover drugs and medication notebooks, etc.

II Promotion of generic drug usage

Promotion of information being provided on generic drugs, etc. by pharmacies

## Outline of the revision of reimbursement of medical fees of 2012 [3]

### Priority issue 1 Reducing the burden of hospital doctors, etc. and medical professionals who have borne the significant burden of providing appropriate acute medical care, etc

[1] Promotion of emergency/perinatal care

[2] Efforts to improve the work systems of medical professionals at hospitals, etc.

[3] Division of functions of emergency outpatient and outpatient treatment

[4] Promotion of team medical care, and which will include hospital pharmacists and dentists, etc.

## Priority issue 2 Clarification of division of roles and improved regional cooperation system between medical and long-term care, and improved in-home medical care, etc

[2] Improved medical care until right up to end of life

[3] Improved in-home dental services/drug management

[4] Improved home-visit nursing, and smooth cooperation between medical and long-term care

## Promotion and introduction of advanced medical technologies, and other areas

[1] Appropriate evaluation of medical technologies, measures against cancer/lifestyle-related diseases, measures against mental disorders/dementia, improved rehabilitation, and dental services with consideration given to quality of life

[2] Medical safety measures, improved consultation support measures for patients

[3] Inpatient medical care according to the hospital functions, appropriate evaluation of chronic inpatient care, consideration for regions with insufficient resources, evaluations according to the clinical functions

[4] Promotion of generic drug usage, limited long-term hospitalization, appropriate evaluation of drugs, etc. and with consideration given to the actual market price