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To all of the medical institutions (in use of patients with intractable disease disorder welfare service)

The last update date:
 In "law to support everyday life of person with a disability and social life generally" enforced on April 1, 2013 (we say "the person with a disability general support method" as follows.), we add patients with intractable disease to definition of person with a disability newly and are setting range that obstacle welfare services are for by illness name.
 In with constant obstacle, this makes possible the use such as obstacle welfare services after having passed through necessary procedure with or without possession of certificate of the physically disabled.
 
 Review is performed from 359 illness to 361 illness, and intractable disease to become a target of obstacle welfare services based on person with a disability synthesis support law will tell as we would be applied from July 1, 2019.
 
 In addition, statement of position about "change or progress of symptom" that the chief physician made is necessary for procedure that patients with intractable disease perform in the use such as obstacle welfare services. Attending physician has you refer to the following so that procedure is performed smoothly when there was request from patients with intractable disease and would appreciate your cooperation about concrete mentions of statement of position.
  
 

Illness that is targeted for use of obstacle welfare service

 Please refer to leaflet of Ministry of Health, Labour and Welfare for illness ⼀ *to targeted for person with a disability synthesis ⽀ enho.

 

 

 

About obstacle support division authorization Surveys for patients with intractable disease

 We perform Surveys and authorization of obstacle support division for patients with intractable disease in current Surveys item or standard carried out for people with a physical disability.

 However, it is necessary to consider based on characteristic of intractable disease in Surveys and authorization of obstacle support division carefully that symptom changes unlike person with a physical disability whom obstacle fixes as for the patients with intractable disease and has characteristic such as progressing.

 

  [point to keep in mind that we deal with doctor statement of position making] 

 As it is documents necessary to let you reflect opinion from medical point of view of the chief physician as for "the doctor statement of position" in the municipalities examination committee on authorizing obstacle support division, in reference to points to keep in mind of doctor statement of position mention, making, please.

 In addition, when you have you make doctor written opinion, you avoid technical term, and please list explanation that symptoms such as intractable diseases are easy to understand concretely. 

 

 (main point)

  •  "Please list doctor statement of position 1-(1) diagnosis name and illness name of list of target illness on the onset date mentioned above."
  •  When symptom changes, including "severer state symptom" and "slight state symptom" please list concretely how change.   (example of change) change by weather fluctuating suddenly in (season) for several months to get heavy fluctuating every day fluctuating during one day
  •  Mention, please about not only current state but also past state and future possibility.
  •  About progress of symptoms such as intractable diseases, please list concretely at time.
  •  When you give medicine, please list about name and dosage, effect, side effect of drug concretely.
  •  As there is not limit in medical examination department of doctor performing "usability test of mental disorder", please evaluate from medical point of view of the chief physician. (when patients with intractable disease have a medical examination in psychiatry, and there is doctor who is available for usability test of mental disorder elsewhere, please list in the doctor concerned after confirmation.) 

 

 [reference]

 PDFPoint to keep in mind With new window(131KB, PDF file) of doctor statement of position mention (extract from manual)

 PDFDoctor statement of position mention example With new window(165KB, PDF file) (extract from manual)

 PDFObstacle support division authorization manual With new window(PDF file: 969KB) for patients with intractable disease

 PDFGuide With new window(PDF file: 183KB) of doctor statement of position making

 

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Saga prefectural government office (corporation number 1000020410004) 〒 840-8570  1-1-59, Jonai, Saga-shi   Tel: 0952-24-2111 (main)     
Copyright© 2016 Saga Prefecture.All Rights Reserved.

Saga prefectural government office (corporation number 1000020410004)

〒840-8570
1-1-59, Jonai, Saga-shi
Tel: 0952-24-2111 (main)
Copyright© 2016 Saga Prefecture.All Rights Reserved.