Hospital Stay in Japan: A Firsthand Look

My Hospital Stay in Japan

Hi, this is Mog.

I recently broke my leg and spent 18 days in a hospital in Japan. I'm happy to say I've made a full recovery and been discharged. I can even go for walks now, so please don't worry about me.

Since this gave me a firsthand look at what a Japanese hospital experience is really like, I wanted to share it with you. How different is it from hospitals in your country?

Check-in at the Hospital

Since COVID-19, most hospitals in Japan require patients to wear a mask. At the hospital I go to, if you forget your mask, you have to buy one at the nearby convenience shop.

Preventing Human Error

For privacy reasons, large hospitals often call patients by an ID number instead of their name. Once check-in is complete, you're given a wristband for your left wrist listing your name, date of birth, a patient management ID number, a barcode, and a QR code. You wear it the entire time you're hospitalized. Before any test, IV drip, or medication, staff check it against this wristband to prevent human error.

Full Nursing Care

Before admission, the hospital sends you a pamphlet listing what to bring. Items you'll need to change regularly, like pajamas, underwear, and towels, can be rented, or you can wash them yourself at the coin laundry inside the hospital (a self-service washer and dryer you operate with coins or an IC card).

Most hospitals in Japan also operate on a full nursing care system, meaning nurses handle everything from meals to helping patients to the restroom. It's a huge relief for family members, since they don't have to be there to provide care themselves.

Shared Hospital Rooms

A shared hospital room is the standard setup in Japan. I stayed in a room with three other patients. Each bed area has a small locker, a mini fridge, and a TV, separated only by a curtain. The restroom and bath are shared with other patients, though for an extra fee you can choose a private room with its own bathroom.

Because only a curtain separates the beds, sounds and smells inevitably carry between patients. If your roommate groans in their sleep, you might find it hard to get any rest yourself.

Daily Schedule

Life in a Japanese hospital starts winding down early. Lights go out at 9:30 p.m. On nights I couldn't sleep, I'd read by a small bedside reading light instead.

Meals

In an otherwise uneventful hospital stay, mealtimes become a small event to look forward to. At my hospital, breakfast arrived at 8 a.m., lunch at 12:30 p.m., and dinner at 6 p.m., which felt a little early.

Meals were delivered to each room by a hot-and-cold food cart, which keeps warm dishes hot and cold dishes chilled in separate compartments so everything arrives at the right temperature.

Each meal is planned around the patient's individual condition, and a card with the menu and the patient's name is attached to the tray. Nurses bring every meal to your bedside themselves, double-checking the name on the tray against yours before handing it over.

Here's a look at one of my meals.

The menu card also lists nutritional information, which I found genuinely useful for planning meals once I got home. Hospital food has a reputation for being bland, but the meals at my hospital were well-seasoned and honestly delicious.

The Nurses

Nurses handle nearly all daily care in a Japanese hospital. Before you're allowed to manage your own medication or walk to the restroom alone, they first assess whether you can do so safely. Press the nurse call button by your pillow, and a nurse comes right away. They always seemed to be busy.

I could often hear them patiently listening to even the most demanding patients. Not just nurses, but other staff too, made a point of checking in on patients regularly. Within a few days, I noticed those same patients grow noticeably calmer. I have real respect for the way the nursing staff handled every situation.

Interestingly, the shortage of male nurses seems to be a global trend, not just a Japanese one. The share of male nurses in Japan has been slowly rising, but as of 2024 it still stood at only 8.7% of all nurses nationwide.


Source: Nurse Senka, https://recruit.nurse-senka.com/html/content/article/629

The orthopedic ward I stayed in had two male nurses on staff, and I found myself silently cheering them on: "You've got this!"

Rehabilitation in Japan

Since I was hospitalized for a bone fracture, my schedule included two 40-minute rehabilitation sessions a day. Mornings were spent with a physical therapist (PT), a rehabilitation specialist focused on restoring basic physical functions like standing and walking, and afternoons with an occupational therapist (OT), a rehabilitation specialist focused on restoring everyday activities like cooking or getting dressed. I actually looked forward to this part of the day. Getting out of my room and moving my body again was a welcome change of pace, though I might not have felt that way if I'd still been in post-surgery pain.

The rehab room was stocked with all kinds of training equipment, but what really caught my attention was that it also had a full kitchen, washing machine, and bathtub, just like you'd find at home. After an illness or injury, the way you move your body can change, so the idea is to practice in an environment as close to real life as possible: taking vegetables out of the fridge, cutting them, pulling out a frying pan, and cooking. Actions that are second nature when you're healthy can suddenly become genuinely difficult.

Here's one photo I don't think you'd see outside Japan.

This is a typical Japanese bathtub, the kind that can be adjusted in height to match the setup in your own home. I normally soak in the tub every day, but with my right leg out of commission and no brace on in the bath, simply getting into the tub became a real challenge.

After a few practice attempts, I was cleared to use it, but it was so exhausting that until my brace came off, I decided to just stick with showers instead. I was lucky it happened during summer.

The Cost of a Hospital Stay Under Japan's National Health Insurance

Japan has a system called "national health insurance for all," or kokumin kaihoken. In short, it's a system where everyone living in Japan is enrolled in public health insurance, giving them access to affordable, high-quality healthcare. It has three key features:

  • ◆ Universal enrollment: Everyone, including foreign residents, pays a monthly premium into the system, supporting one another.
  • ◆ Patients generally pay only 30%: Out-of-pocket costs at the counter are capped at 30% of the total. Children and elderly patients pay even less, just 10–20%, and there's a monthly cap on out-of-pocket costs even for expensive surgeries or hospital stays.
  • ◆ Free choice of hospital: You can choose whichever hospital or clinic you'd like to be treated at.

Knowing that no one has to worry about medical bankruptcy, and that everyone can access care with peace of mind, made me deeply grateful for this national health insurance system.

So, after 18 days in the hospital for surgery on my broken bone, how much did it actually cost me? I'll share the real numbers in an upcoming newsletter.

Sign up for the newsletter here: https://lp.hereinjapan.com/newsletter

Life After Leaving the Hospital

I'm still wearing my brace, but I can now walk slowly on my own. I'll continue rehabilitation at a hospital near home for a while, and my recovery is going smoothly!

Please, everyone, be careful out there and avoid accidents.

Have a great day!

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