【訪問看護】2026年診療報酬改定　訪問看護の大変革と生き残る医療機関の特徴

How will the 2026 medical fee revisions affect home medical care and visiting nursing? This article provides a thorough explanation of the revisions for physicians, medical corporation managers, and practitioners. The first part of this article covers key points of the revisions to home medical care (visiting medical services) fees and systems. It goes beyond the superficial aspects of the fee revisions and delves into the "system philosophy" and "healthcare policy aims" behind them. It explains the revisions aimed at improving the quality of home medical care, including revisions to the comprehensive medical management fee for home care, strengthening the functions of home medical support clinics, strengthening 24-hour response systems and BCP (business continuity planning) requirements, and restricting the outsourcing model of house calls, which has been viewed as problematic by some. The second part of this article explores key points of revisions in the field of visiting nursing. It covers changes directly related to the delivery system and management of visiting nursing, such as reassessing the evaluation of visiting nursing in the same building and short/frequent visits, the newly established system for comprehensive visiting nursing care fees, and the creation of a functional enhancement category for visiting nursing stations. *Which home healthcare models will be eliminated by this revision, and which will remain?* **We'll analyze that question head-on at the end. Decipher the essence of these system changes and use them as inspiration for home healthcare and visiting nursing strategies beyond 2026. (This video is based on the Central Council for Medical Care and Health Insurance documents, pages 324-412. Document page numbers are referenced where appropriate, so please refer to the official documents as needed.) [Key Topics] New standards for comprehensive home healthcare management fees and the definition of critically ill patients in "Appendix 8-2 and 8-3" Strengthening the functions of home healthcare support clinics (24-hour service, end-of-life care experience, BCP, etc.) Details of the strengthened regulations for local clinics and local hospitals x house call proxy services Reevaluation of basic home nursing care fees (optimizing short-term visits in the same building) What is comprehensive home nursing care fees? Background to Implementation and Calculation Requirements ・The New Enhanced Home Nursing Managed Care Fee and its Impact on Station Operations ・Considerations of Which Models Will Remain and Which Will Be Eliminated After the Revision This article covers all the essential points needed in the field and carefully organizes them to avoid any inconsistencies. Please read to the end!