Important Progress of the Federation of Pediatric and Adolescent Surgeons in Strengthening Compensation for High-Level Surgery for Children and Adolescents
Feb 28, 2025
The additional items of health insurance for high-level pediatric and adolescent surgical anesthesia fees will increase significantly from this year.
The Ministry of Health and Welfare decided to add 100% of the additional items for children and adolescents aged 6 to 16 years old.
In response, the Korean Federation of Pediatric Adolescent Surgeons (hereinafter referred to as the Federation) welcomed the 28th, saying, `It is an important step forward in establishing medical infrastructure for children and adolescents that has been required for a long time.'
It also stated that "Acknowledging the importance of pediatric high-level surgery is an essential measure to maintain a medical environment in which the future of the country, children and adolescents, can receive adequate care."
"Despite the high difficulty and high resource consumption of surgery for children, it is increasingly avoided in advanced hospitals and general hospitals due to its low cost and low severity," the union said. This reality is leading to the avoidance of appointment of doctors in charge of pediatric surgery, and as a result, the number of doctors who apply to or are in charge of pediatric surgery is rapidly decreasing. This risks eventually leading to a collapse in the field of pediatric surgery, which could lead to serious damage to healthcare infrastructure for future generations""This announcement by the Ministry of Health and Welfare is very encouraging in that it recognizes these problems and tries to strengthen the compensation system." Although the compensation system has not yet been fully established, we hope that the government will continue to communicate with the society and develop the system."
It is highly appreciated that the policy department of the Ministry of Health and Welfare has continuously communicated transparently with the Korean Federation of Pediatric Youth Surgeons about the difficult reality facing the pediatric surgery community since September 2024. Strengthening compensation and recognizing severity are the first steps to maintain infrastructure in the field of pediatric surgery. However, in order to strengthen practical infrastructure, comprehensive support is essential for fostering professionals performing pediatric surgery. Since pediatric high-level surgery requires a high degree of expertise and the latest medical knowledge, close cooperation with academic societies and experts is essential to come up with effective policies. In the future, we hope that the opinions of experts will be actively reflected in the process of establishing policies to strengthen the infrastructure for pediatric surgery,' he added.
In addition, "We hope this policy will serve as an important foothold for maintaining infrastructure in the field of pediatric surgery, and we will continue to work with the government and related organizations to contribute to improving the quality of pediatric surgery and creating a medical environment in which children and adolescents can receive treatment with confidence." he said.
Meanwhile, the Ministry of Health and Welfare decided to discover and add 319 additional high-level pediatric surgical practices under the age of 6 at the 4th Health Insurance Policy Deliberation Committee (hereinafter referred to as Health Insurance Policy Deliberation Committee) held on the 27th, taking into account the input of resources such as customized equipment and professional manpower for children, difficulty, risk, and disease characteristics.
In addition, 487 additional items were newly added for high-level surgeries between the ages of 6 and 16 years old.
On this day, the Health Care Review also decided to increase compensation for cervical resection and convert digital tomography for breast cancer, which is not covered by health insurance, to benefits.
If a young woman has cervical cancer, she can maintain fertility through cervical resection rather than extracting the entire uterus, and in the meantime, a low level of fee (medical cost) has been applied.
In the future, compensation for cervical resection will be increased to 121% of extensive hysterectomy.
In addition, Health Insurance has decided to apply health insurance to Vindamax Capsule (main ingredient Tapamidis), the only treatment for transtyretin amyloid cardiomyopathy, a rare disease, starting next month.
The Ministry of Health and Welfare decided to add 100% of the additional items for children and adolescents aged 6 to 16 years old.
In response, the Korean Federation of Pediatric Adolescent Surgeons (hereinafter referred to as the Federation) welcomed the 28th, saying, `It is an important step forward in establishing medical infrastructure for children and adolescents that has been required for a long time.'
It also stated that "Acknowledging the importance of pediatric high-level surgery is an essential measure to maintain a medical environment in which the future of the country, children and adolescents, can receive adequate care."
"Despite the high difficulty and high resource consumption of surgery for children, it is increasingly avoided in advanced hospitals and general hospitals due to its low cost and low severity," the union said. This reality is leading to the avoidance of appointment of doctors in charge of pediatric surgery, and as a result, the number of doctors who apply to or are in charge of pediatric surgery is rapidly decreasing. This risks eventually leading to a collapse in the field of pediatric surgery, which could lead to serious damage to healthcare infrastructure for future generations""This announcement by the Ministry of Health and Welfare is very encouraging in that it recognizes these problems and tries to strengthen the compensation system." Although the compensation system has not yet been fully established, we hope that the government will continue to communicate with the society and develop the system."
It is highly appreciated that the policy department of the Ministry of Health and Welfare has continuously communicated transparently with the Korean Federation of Pediatric Youth Surgeons about the difficult reality facing the pediatric surgery community since September 2024. Strengthening compensation and recognizing severity are the first steps to maintain infrastructure in the field of pediatric surgery. However, in order to strengthen practical infrastructure, comprehensive support is essential for fostering professionals performing pediatric surgery. Since pediatric high-level surgery requires a high degree of expertise and the latest medical knowledge, close cooperation with academic societies and experts is essential to come up with effective policies. In the future, we hope that the opinions of experts will be actively reflected in the process of establishing policies to strengthen the infrastructure for pediatric surgery,' he added.
In addition, "We hope this policy will serve as an important foothold for maintaining infrastructure in the field of pediatric surgery, and we will continue to work with the government and related organizations to contribute to improving the quality of pediatric surgery and creating a medical environment in which children and adolescents can receive treatment with confidence." he said.
Meanwhile, the Ministry of Health and Welfare decided to discover and add 319 additional high-level pediatric surgical practices under the age of 6 at the 4th Health Insurance Policy Deliberation Committee (hereinafter referred to as Health Insurance Policy Deliberation Committee) held on the 27th, taking into account the input of resources such as customized equipment and professional manpower for children, difficulty, risk, and disease characteristics.
In addition, 487 additional items were newly added for high-level surgeries between the ages of 6 and 16 years old.
On this day, the Health Care Review also decided to increase compensation for cervical resection and convert digital tomography for breast cancer, which is not covered by health insurance, to benefits.
If a young woman has cervical cancer, she can maintain fertility through cervical resection rather than extracting the entire uterus, and in the meantime, a low level of fee (medical cost) has been applied.
In the future, compensation for cervical resection will be increased to 121% of extensive hysterectomy.
In addition, Health Insurance has decided to apply health insurance to Vindamax Capsule (main ingredient Tapamidis), the only treatment for transtyretin amyloid cardiomyopathy, a rare disease, starting next month.
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This article was translated by Naver AI translator.
