Latest States and Issues in Medical Administration in Japan from Primary Care Point of View

Hayashi H, Bando H and Urasaki H

Published on: 2025-09-08

Abstract

Japan has excellent primary health/medical care (PC) system, managed by Ministry of Health, Labour and Welfare (MHLW). Adjacent to MHLW, Welfare and Medical Service Agency (WAM) plays a key role for supporting facilities and businesses for social welfare and healthcare. WAM announced the report titled "Annual Trends in Hospital Medical Profit Margins”. It included three hospitals for chronic care, mental health and acute care, where operating profit margins showed remarkable acute decline to -2.3% as below zero. Many hospitals have difficulty situation for medical administration. The author has continued PC medicine at Houetsu hospital in Tokushima as creatively as possible.