[Prospective payment system of medical cost and surgical cancer treatment].
The process of introducing a prospective payment system after DRG or DPC in Japan was reviewed. The effect of DPC/PPS on surgical practice was discussed. Many problems resulted in the USA by introducing the DRG/PPS system. The rapid introduction of DPC/PPS in Japan only to reduce the total medical costs may bring about undesirable results for cancer patients.
Yamaguchi
Toshiharu
T
Dept of Gastroenterological Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research.
D019091:Critical Pathways; D003953:Diagnosis-Related Groups / Q000191:economics*; D017048:Health Care Costs; D006801:Humans; D007348:Insurance, Health / Q000191:economics; D007564:Japan; D009369:Neoplasms / Q000191:economics / Q000601:surgery*; D011445:Prospective Payment System / Q000191:economics*