認知症診療における診療報酬制度と患者負担の現状と課題

An Overview of Medical Fees and Patient Cost-Sharing in Dementia Care in Japan

Point

・認知症診療を行う上で，認知症に関わる診療報酬についての知識が必要である．

・認知症は自立支援医療（精神通院）の適応になるが，適切な診断書を作成しなければならない．

・抗アミロイドβ抗体治療は高額療養費制度の適応になるので，その概略は知っておくべきである．

　In Japan, dementia-related medical services are covered by the universal health insurance system, with patient co-payments based on age and income. The reimbursement system includes specific fees for dementia care such as early diagnosis, cognitive assessments, and multidisciplinary consultations. These fee structures aim to promote timely and efficient diagnosis and treatment of dementia. Ongoing challenges include balancing quality of care with healthcare sustainability.