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Japan to Regulate Remote-Guided Medical Tests in Rural Post Offices

The ministry will set rules allowing doctors to direct nurses to perform blood draws and ultrasounds at dedicated local sites, with standards to protect hygiene, testing accuracy and patient privacy.

Overview

  • The Ministry of Health, Labour and Welfare is drafting detailed guidelines, a move reported on Saturday, Sept. 12, 2026, that would govern cases where physicians remotely instruct nurses to carry out procedures at online consultation sites.
  • An April 2026 amendment to the Medical Care Act created a new category called "online consultation reception facilities" that non-medical entities can host if they meet cleanliness, safety and privacy standards.
  • Under the model, a nurse sits with the patient at a local site while a doctor provides consultation by computer, and the draft rules would formalize remote direction of tasks such as blood collection and ultrasound exams.
  • Local governments and postal operators are expected to reuse vacant rural spaces — including post office rooms and public halls — as these sites, and regional reports say pilots and expanded use are already appearing in depopulating areas.
  • Officials say the guidance will focus on ensuring hygienic environments, accurate testing and patient privacy; the guidelines and operational details remain in progress and will determine how quickly services reach isolated residents.