[Effects and measures of the inclusion payment system with disease procedure combination in a respiratory surgical division].
There are advantages for hospital managers, payment associations, and politic side with the intrduction of the inclusion payment system with disease procedure combination (DPC). However, what will be the effects on patients and medical personnel? The average length of hospitalization of DPC cases for pulmonary malignant tumor in DPC in hospitals has been shortened. However, hospital stays have been becoming shorter in even in hospitals not subject to DPC, and it appears that there is little effect of DPC on this. It is difficult to confirm the effects of DPC introduction on changes in the quantitative and qualitative use of medical supplies and agents. Less thorough examinations upon admission are one of the most obvious results of DPC. However, preoperative examinations are performed in outpatient departments, and postoperative examinations have not been very much affected. DPC is not only useful as a tool for analyzing hospital management, but also as a tool to analyze the components of medical treatment. We can use DPC to improve medical quality.
Tsuchida
Takaaki
T
Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan.
D003953:Diagnosis-Related Groups; D006760:Hospitalization / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D007564:Japan; D007902:Length of Stay / Q000191:economics; D008329:Managed Care Programs; D011182:Postoperative Care / Q000191:economics; D011300:Preoperative Care / Q000191:economics; D011445:Prospective Payment System; D011787:Quality of Health Care; D012137:Respiratory System / Q000601:surgery*; D013903:Thoracic Surgery / Q000191:economics*