A Study on the Function of University Hospitals by Cost Analysis

高校医院功能的成本分析研究

• 批准号: 61304058
• 负责人: OHMICHI Hisashi
• 金额: $ 6.46万
• 依托单位: Nihon University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Co-operative Research (A)
• 财政年份: 1986
• 资助国家: 日本
• 起止时间: 1986 至 1988
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-61304058/
• 关键词: Quality Assurance; Utilization Review; Length of Stay; Cost per Day; 高額医療; 患者区分法; Disease Staging; 退院時要約; レセプト・データ; ICD-9; ICPM

40,167 inpatient data on hospital care and costs were collected from 5 university hospitals in 1986, and analyzed for utilization review and quality assurance. the average length of stay was 25.4 days and the cost per day per bed was 28.8 thousand yen. Among university hospitals, these indices were scattered in fairly wide range i.e. each university hospital has its own characteristics according to situation of the community or affiliation with other hospitals.Relatively expensive cost in university hospitals is supposed to be due to severe and complicated case mix, social function of medical education and research, and more detailed and thorough medical services. An appropriatge method for utilization review and quality assurance is expected to be established.

1986 年，从 5 所大学医院收集了 40,167 名住院患者的住院护理和费用数据，并进行分析以进行使用审查和质量保证。平均住院时间为25.4天，每张床每天的费用为2.88万日元。在大学医院中，这些指标分布比较广泛，即每个大学医院根据社区情况或与其他医院的隶属关系都有自己的特点。大学医院相对昂贵的费用应该是由于病例结构严重复杂、医学教育和研究的社会功能以及更细致和周到的医疗服务所致。预计将建立适当的使用审查和质量保证方法。

项目成果

大道久 他: 病院管理. 25. 13-24 (1988)

Daidohisa 等人：医院管理。25. 13-24 (1988)

大道久 他: 第8回医療情報連合大会論文集. S-1-2. 25-26 (1988)

Daidohisa 等人：第八届医学信息联盟会议记录 S-1-26 (1988)。

Hisashi OHMICHI,et. al.;: "A Comparative Study on the Length of Stay and the Costs of the Inpatients with the Important Desseases" Hospital Administration. 25,No.1. 13-24 (1988)

大道恒等人

Hisashi OHMICHI,et.al.;: "A Study on the Function of University Hospitals by Cost Analysis" Hospital Administration (accepted, and in printing).

Hisashi OHMICHI 等人；：“通过成本分析对大学医院功能进行的研究”《医院管理》（已接受，正在印刷）。

Yoshimasa UMESATO ;: "Inpatient Case Mix Analysis for an Appropriete Maedical Resource Allocation" Hospital Administration. 25,No.2. 43-54 (1988)

Yoshimasa UMESATO ；：“适当医疗资源分配的住院病例组合分析”医院管理。