Characteristics of medical care and its cost at University Hospitals

在日本，大学医院的高医疗费用经常受到批评，但很少有分析数据被用来解释大学医院医疗的性质和特点。本文对八所大学医院的肺癌、白血病和心肌梗塞住院病例1672例进行了调查，发现晚期病例（死亡病例）的医疗费用较高，在我们的调查中所占比例较高，并具有相同的特点。手术病例的费用非常高，而且在大学医院也有特色的医疗服务。数据还包括两级医疗，即基本类型医疗和每个疾病类别的特殊类型医疗。后一种类型是大学医院独特的医疗服务，对这种类型的进一步检查是提高大学医院医疗质量的方法。

High cost of medical care at University Hospitals are often criticized in Japan but little analytical data are used to explain nature and characteristics of the care at University Hospitals. We examined 1672 inpatient cases of lung cancer,leukemia and myocardial infraction which are regarded as repesentative cases of medical care given at eight participated University Hospitals.Terminal cases (death cases) show rather high cost medical care and represent rather high ratio among our examination and show uniform characteristics. Operated cases are significantly high in cost and also repent characteristic medical care at university hospitals. Data also suggesrs two-tiers medical care, namely basic type medical care and special type medical care of each disease categories. And latter type is the distinct medical care of University Hospitals and further examination of this type is the method to improve quality of care at University Hospitals.