[The factor of spread of POCT in USA].
In the U.S., with the adaptation of the Diagnostic Related Group/Prospective Payment System(DRS/PPS) of Medicare, and the spread of the Managed Care such as the Health Maintenance organization(HMO), medical services have become limited, and remuneration of medical practice has been markedly restricted. As a result, hospital management has been pressed, and cooperation, merger, and absorption of hospitals is observed among general enterprises. Hospitals have been making efforts to reduce expenses for survival. I introduced a part of the influence of such revisions on the clinical examination field, and the factor of the spread of point of care testing(POCT).
Murai
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Department of Clinical Pathology, St. Luke's International Hospital, Chuou-ku, Tokyo 104-8560.
D006739:Hospital Administration / Q000639:trends; D019095:Point-of-Care Systems / Q000191:economics / Q000639:trends*; D014481:United States