Abstract
With the revision of the score of patients with severe motor and intellectual disabilities (SMID), the evaluation range was adjusted. Subsequently, the additional amount in medical service fees must also be re-evaluated. In light of this, care for patients with the severe motor and intellectual disabilities and medical care dependent groups (SMID-MCDG), and care for other patients with severe motor and intellectual disabilities (Oshima Classification Group 1) were surveyed, and the actual conditions of the burden regarding expenses were calculated.
According to this survey, for the care of other patients with severe motor and intellectual disabilities, a deficit of approximately 10,000 yen/day over normal hospital care operations was incurred, and for the care of patients with the severe motor and intellectual disabilities and medical care dependent groups (SMID-MCDG) and semi-SMID-MCDG, a deficit of approximately 24,000 yen/day and 20,000 yen/day, respectively, was incurred.
Based on the difference in the amount for medical care of other patients with severe motor and intellectual disabilities, an additional amount of expense burden for patients with the severe motor and intellectual disabilities and medical care dependent group (SMID-MCDG) and semi-SMID-MCDG is an additional 14,000 yen/day and 10,000 yen/day, respectively, is considered necessary. Moreover, consideration of patients with severe motor and intellectual disabilities is also desired when setting the basic fees for hospital stays. In particular, the evaluation of medical care dependent groups is problematic.
