title: [Our efforts on DPC in Iwate Medical University Hospital].
abstract: Diagnosis Procedure Combination (DPC) was introduced in Iwate Medical University Hospital from June in 2003. After introduction of DPC, the clinical income for in-patients was increased by 5.5%, and the total number of laboratory examination tests was unchanged. We, however, need to take measures to meet the future changes in the DPC system. One is to contribute in shortening an average hospitalization period, and the other is to increase the number of laboratory examination tests in a dock system. DPC employs a unique system in which the hospital fee increases with shortening a hospitalization period. To this purpose, we need to report the examination results as soon as possible, to consolidate a system for emergency tests or pre-consulting tests, and to play important roles in NST or ICT as a member. In a DPC system, the laboratory examination tests were unlikely to be increased. We fortunately have a dock system for health check in our hospital. We are planning to establish a new dock system, so called "mini-dock", in which any applicants can take their favorite laboratory examination tests whenever they want. This system will provide a good service for patients and bring an increased clinical income.
authors.affiliation: Department of Laboratory Medicine, School of Medicine, Iwate Medical University, Morioka.
authors.forename: Akira
authors.initials: A
authors.lastname: Suwabe
mesh_terms: D019411:Clinical Laboratory Techniques / Q000592:standards; D003953:Diagnosis-Related Groups / Q000191:economics*; D006785:Hospitals, University / Q000191:economics* / Q000458:organization & administration; D007564:Japan