「選定療養として導入すべき事例等」に関する提案・意見の募集について, 厚生労働省


Okay, let’s break down what this announcement from the Japanese Ministry of Health, Labour and Welfare (MHLW) likely entails, and craft an article explaining it.

Understanding the Announcement

The title “「選定療養として導入すべき事例等」に関する提案・意見の募集について” translates to something like: “Solicitation of Proposals and Opinions Regarding Cases, etc., that Should be Introduced as Designated Advanced Medical Care.” Let’s break down the key terms:

  • 選定療養 (Sentaku Ryouyou / Designated Advanced Medical Care): This is a specific category in the Japanese healthcare system. It refers to medical treatments or services that aren’t fully covered by the standard national health insurance, but which the government allows people to receive in combination with standard insured treatments. Essentially, it allows patients to access potentially beneficial but not-yet-fully-proven or cost-effectively-proven treatments while still benefiting from regular insurance coverage for the core aspects of their care. This is often used for innovative or cutting-edge technologies that haven’t yet been fully integrated into the mainstream system.

  • 導入すべき事例 (Dounyuu Subeki Jirei / Cases that Should Be Introduced): This refers to specific medical situations, conditions, or treatments that someone believes should be included in the “Designated Advanced Medical Care” category.

  • 提案・意見 (Teian/Iken / Proposals and Opinions): This is a request for the public, healthcare professionals, researchers, and other stakeholders to submit their suggestions and viewpoints on what treatments should be considered for inclusion in this category.

In essence, the MHLW is asking people to suggest medical treatments or situations that they think should be considered for partial coverage under the national health insurance system as ‘Designated Advanced Medical Care’. This is a key part of the process for deciding which innovative treatments or approaches get incorporated into the Japanese healthcare system.

Article Draft:

Headline: Japanese Ministry Seeks Input on Innovative Medical Treatments for Potential Health Insurance Coverage

The Japanese Ministry of Health, Labour and Welfare (MHLW) has launched a public consultation seeking proposals and opinions on medical treatments and technologies that should be considered for inclusion in the country’s “Designated Advanced Medical Care” (選定療養, Sentaku Ryouyou) system. The announcement, dated April 28, 2025, signals the government’s ongoing effort to evaluate and incorporate cutting-edge medical advancements into the national healthcare system.

What is “Designated Advanced Medical Care”?

Japan’s universal healthcare system provides broad coverage for a wide range of medical services. However, the “Designated Advanced Medical Care” system creates a pathway for patients to access treatments that are not yet fully covered by standard insurance, often due to being innovative, expensive, or not yet fully proven in terms of cost-effectiveness. Under this system, patients can receive these advanced treatments in conjunction with standard, insured care. The advanced treatment component is paid out-of-pocket or via supplemental insurance, while the standard care remains covered.

This approach allows patients to benefit from potentially promising new therapies while still retaining the security of standard insurance coverage for essential aspects of their medical care. It also provides a framework for gathering data and evaluating the effectiveness and cost-benefit ratio of these new treatments, potentially paving the way for their full integration into the national health insurance system in the future.

What is the MHLW looking for?

The MHLW is specifically soliciting proposals and opinions on specific cases where medical treatments or technologies are believed to be strong candidates for “Designated Advanced Medical Care” status. This means they want detailed suggestions, not just general ideas. They are likely looking for:

  • Specific Medical Conditions: Clearly defined illnesses or conditions for which the proposed treatment would be relevant.
  • Detailed Treatment Protocols: Information about the proposed treatment itself, including how it works, how it is administered, and any available evidence supporting its safety and efficacy.
  • Target Patient Population: A description of the patients who would most likely benefit from the treatment.
  • Potential Benefits: An explanation of the potential advantages of the treatment compared to existing standard care.
  • Cost Considerations: Information about the cost of the treatment and its potential impact on healthcare spending.

Who can participate?

The consultation is open to a wide range of stakeholders, including:

  • Healthcare professionals (doctors, nurses, etc.)
  • Medical researchers
  • Pharmaceutical and medical device companies
  • Patient advocacy groups
  • Members of the public

Why is this important?

This public consultation is a crucial step in Japan’s process for adopting new medical technologies and improving patient care. By gathering input from a diverse range of perspectives, the MHLW aims to make informed decisions about which treatments should be made more accessible to patients while also ensuring the sustainability of the national healthcare system. The results of this consultation could significantly impact the future of healthcare in Japan, influencing which innovative treatments become available to patients and shaping the direction of medical advancements.

In Conclusion

The MHLW’s call for proposals and opinions on “Designated Advanced Medical Care” represents a significant opportunity for stakeholders to contribute to the evolution of Japan’s healthcare system. It highlights the government’s commitment to exploring and integrating innovative medical treatments while balancing patient access, cost-effectiveness, and the sustainability of the national health insurance system. Individuals and organizations with insights into promising new therapies are encouraged to participate in this important consultation.


「選定療養として導入すべき事例等」に関する提案・意見の募集について


The AI has delivered the news.

The following question was used to generate the response from Google Gemini:

At 2025-04-28 01:00, ‘「選定療養として導入すべき事例等」に関する提案・意見の募集について’ was published according to 厚生労働省. Please write a detailed article with related information in an easy-to-understand manner. Please answer in English.


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