[Effect of DPC based payment and its future].
Since 2003, the DPC based bundle type payment scheme has been applied for the acute care hospitals, including the special function hospitals. The DPC scientific committee under the Central Social Insurance Medical Council has examined the change in hospital services after the introduction of DPC based payment. It has been observed the reduction of ALOS, resource uses such as laboratory test radiological examination, drugs and supplies. The under treatment due to strong incentive for cost containment has not been observed up to now.
Matsuda
Shinya
S
Department of Preventive Medicine and Community Health, University of Occupational and Environmental Health, Kitakyushu, Japan.
D003363:Cost Control; D019091:Critical Pathways; D003953:Diagnosis-Related Groups / Q000191:economics / Q000639:trends; D006295:Health Resources / Q000706:statistics & numerical data; D017721:Hospital Costs; D006760:Hospitalization / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D007564:Japan; D007902:Length of Stay; D011445:Prospective Payment System; D011787:Quality of Health Care