診療報酬改定に対する新たな試み―医療法４２条施設を利用したリハビリテーションシステムの確立―:－医療法42条施設を利用したリハビリテーションシステムの確立－

概要

論文の詳細を見る
A declining birth rate and an aging population has become an issue in the Japanese medical industry. Because of this situation, a revision of the medical remuneration system was performed in April, 2006. It had a severe impact on rehabilitation. We tried to establish a system of treatment at patients' own expense in our hospital, an institution authorized under Article 42 of the medical law. Our new rehabilitation system was called a post-rehabilitation course (post-rehab course). We have prepared five post-rehab courses. They consist of a maintenance adjustment course, a function improvement course, a basic course, a general course and a special course. Users pay a fee to register on a post-rehab course. A user must take our counseling. If registration and counseling are complete, we perform rehabilitation. For 1.5 months until September 30, 45 and 117 persons registerd for rehabilitation and were treated. The burden of expense is big for a person on a low income. In medical facilities, it is important to create rehabilitation systems that are not influenced by a change in the insurance regime.
関西理学療法学会の論文