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[An Overview of Medical Fees and Patient Cost-Sharing in Dementia Care in Japan]
Makoto Nakane. No shinkei geka. Neurological surgery, 2025-09-01
Topic: Risk, prevention and care in population studies
In Japan, dementia-related medical services are covered by the universal health insurance system, with patient co-payments based on age and income. The reimbursement system includes specific fees for dementia care such as early diagnosis, cognitive assessments, and multidisciplinary consultations. These fee structures aim to promote timely and efficient diagnosis and treatment of dementia. Ongoing challenges include balancing quality of care with healthcare sustainability.
Key findings
- In Japan, dementia-related medical services are covered by the universal health insurance system, with patient co-payments based on age and income.
- The reimbursement system includes specific fees for dementia care such as early diagnosis, cognitive assessments, and multidisciplinary consultations.
- These fee structures aim to promote timely and efficient diagnosis and treatment of dementia.
- Ongoing challenges include balancing quality of care with healthcare sustainability.
Why it matters
This paper describes how dementia care is paid for in Japan, including fees for early diagnosis, cognitive assessments, and multidisciplinary consultations. It does not report on any treatment, cure, or prevention of Alzheimer's disease.
Study details
- Evidence strengthLow
How this study scored 26/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it. We have no data on journal's citation record, so that was left out: it earned 25 of the 96 points we could judge it on, which is 26 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (No shinkei geka. Neurological surgery) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 0 / 7 | Cited 0 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.0 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 0 / 6 | Cited 0.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 0 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Makoto Nakane: h-index 17 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | Teikyo University Hospital, Mizonokuchi: institution h-index 96 (OpenAlex) |
| Multi-centre collaboration | 0 / 3 | OpenAlex lists 1 institution(s) in 0 countries — scores zero (affiliation lists can be incomplete) |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41047655) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Points | 25 / 96 | Scored on 19 of 20 parts. We have no data for the rest, so they are left out: 25 of the 96 points we could judge it on is 26 out of 100. |
| Total | 26 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
May need a subscription OpenAlex found no free copy of the full text (checked 6 Feb 1020), so the publisher may charge for it. The PubMed abstract is free.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Nakane, M. (2025). [An Overview of Medical Fees and Patient Cost-Sharing in Dementia Care in Japan]. No shinkei geka. Neurological surgery. https://doi.org/10.11477/mf.030126030530051013
Vancouver
Nakane M. [An Overview of Medical Fees and Patient Cost-Sharing in Dementia Care in Japan]. No shinkei geka. Neurological surgery. 2025. doi:10.11477/mf.030126030530051013. PMID: 41047655.
BibTeX
@article{nakane2025-41047655,
author = {Nakane, Makoto},
title = {{[An Overview of Medical Fees and Patient Cost-Sharing in Dementia Care in Japan]}},
journal = {No shinkei geka. Neurological surgery},
year = {2025},
doi = {10.11477/mf.030126030530051013},
pmid = {41047655},
url = {https://doi.org/10.11477/mf.030126030530051013}
}
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