title: [Correspondence and effect on the clinical laboratory of the medical examination and treatment reward revision].
abstract: Since 2007, the rate of hospital bankruptcy has been rapidly increasing, and we face the crisis of a collapse in the medical care system. Even in hospitals that continue to operate, more than 70% are losing money. In the Department of Clinical Laboratory, the budget cannot be balanced using the present medical service fee payment system in the microbial examination field. Hospital managers may first consider outsourcing medical services from departments showing a budget imbalance. However, they should be aware that a decrease in medical services increases overall medical expenditure in the hospital.
authors.affiliation: Laboratory Medicine, Kameda Medical Center, Kamogawa, Japan. bac@gaea.ocn.ne.jp
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Otsuka
mesh_terms: D000900:Anti-Bacterial Agents / Q000191:economics; D019411:Clinical Laboratory Techniques / Q000191:economics*; D003141:Communicable Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000191:economics; D018588:Fee-for-Service Plans / Q000191:economics*; D005102:Health Expenditures; D006296:Health Services / Q000191:economics; D006801:Humans; D017053:Infection Control / Q000191:economics*; D007564:Japan; D007755:Laboratories, Hospital / Q000191:economics*; D008828:Microbiological Techniques / Q000191:economics*; D011445:Prospective Payment System / Q000191:economics*
chemical_list: D000900:Anti-Bacterial Agents