賃上げ原資で初診料３０円増　処遇改善で加算新設―２４年度診療報酬・中医協

　保険診療の公定価格である診療報酬について、中央社会保険医療協議会（厚生労働相の諮問機関、中医協）は１４日の総会で、２０２４年度改定内容をまとめ、武見敬三厚労相に答申した。若手勤務医や看護職員、薬剤師らの賃上げのため入院基本料や初診料、再診料を引き上げるほか、使途を賃上げに限定した加算措置を導入。施行は６月で、医療機関の初診料は３０円上がる。
　２４年度は医療、介護、障害福祉サービスの３報酬を見直す６年に１度の「トリプル改定」に当たる。政府は診療報酬のうち人件費に当たる「本体」部分を０．８８％引き上げる方針を昨年末に決定。３報酬見直しで賃金水準が低い医療・介護従事者らの待遇を改善し、人手不足緩和を図る。
　具体的には４０歳未満の勤務医や薬局勤務の薬剤師、事務職員らの給与に充てるため、初診料、再診料をそれぞれ２９１０円（現在２８８０円）、７５０円（同７３０円）にアップ。初診料引き上げは消費増税時を除くと２０年ぶり。入院基本料は１人１日当たり最大１０４０円上がる。
　看護職員や保健師らは基本給引き上げなどを条件に、使途を賃上げに限定した加算を導入。賃金改善計画の策定や改善状況の報告を求める。（2024/02/14-14:36）

A Japanese government advisory panel Wednesday proposed hikes in hospital visit fees paid by outpatients for their initial and follow-up medical examinations, in order to increase salaries of health care workers.
   At a general meeting, the Central Social Insurance Medical Council adopted its proposal for a revision of medical fees paid to hospitals and clinics for fiscal 2024, including the hospital outpatient visit fee hikes. The proposal was submitted to health minister Keizo Takemi.
   In order to promote pay hikes for young doctors, nursing staff and pharmacists, basic hospitalization fees will be lifted in addition to the hospital outpatient visit fees. Also proposed were special additional fees exclusively to support staff wage hikes.
   The proposed measures will be implemented in June.
   For the year starting in April, Japan will revise fees for the three care-related services covered by public insurance--the medical and elderly care services and the welfare service for people with disabilities--together for the first time in six years.