Ministry of Finance plans to press the review of the medical treatment fee system to eliminate doctor's maldistribution to Ministry of Health, Labour and Welfare. The aim that shortens the treatment gap of medical doctor in hospital and the medical practi

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Ministry of Finance plans to press the review of the medical treatment fee system to eliminate doctor's maldistribution to Ministry of Health, Labour and Welfare. The aim that shortens the treatment gap of medical doctor in hospital and the medical practitioner, and puts the brake on the doctor's concentration from the severity of working conditions to a specific diagnosis and treatment department and the big city.

The review of the medical treatment fee is included in the proposal (statement) to discuss, and to be going to fil to the Finance Minister next month also in Zaisasadohitoshi council of Finance Minister's advisory panel. Ministry of Finance has the idea that wants to be reflected in "Large-boned policy 09" that becomes basic guidelines of ten annual budgets and to be promoted to the government policy.

The number of doctors has increased from about 230,000 to 14% every 264,000 people every 10 years from 96 years according to Ministry of Finance. However, obstetrics and gynecology is 10.6%, and surgery has decreased by each 7.7% in each diagnosis and treatment department while the psychiatry department is 20%, and the orthopedic surgery increased by each 15%.

The maldistribution accelerates to regional even if it sees. An increase of Aomori and Ehime Prefecture is from 20% every the same 10 years to 6% in the saitama prefecture and Chiba Prefecture though it increased.

Even if the diagnosis and treatment contents is the same, Ministry of Finance puts a present system to which medical practitioner's compensation is being set high by medical doctor in hospital in question. When the number also of doctors who stop medical doctor in hospital 1.8 times or more as high as medical doctor in hospital and aim at the medical practitioner has increased, medical practitioner's average annual salary is Iu. It becomes in the emergency medical service, and especially, the doctor deficiency of the chased AIDS core hospital is serious, and it becomes the cause of patient's "Rotation".

The medical treatment fee is reviewed every two years. Ministry of Finance urges Ministry of Health, Labour and Welfare to shorten the treatment gap through the budget at ten fiscal years with the following revision. However, if medical practitioner's compensation is reduced, the repulsion such as Central Social Insurance Medical Council that decide the allocation of compensation is inevitable. The resistance of the intraparty is expected also because the Japan Medical Association is a powerful power base of the Liberal-Democratic Party, and whether it achieves it is opaque.

- Source
http://www.asahi.com/health/news/TKY200905290002.html

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