A study on the cost for medical education in university hospitals.

大学医院医学教育成本研究.

• 批准号: 02304057
• 负责人: OHMICHI Hisashi
• 金额: $ 4.1万
• 依托单位: Nihon Universty
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Co-operative Research (A)
• 财政年份: 1990
• 资助国家: 日本
• 起止时间: 1990 至 1991
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-02304057/
• 关键词: University hospital; Medical cost; General hospital; Medical education; Medical staff; 医師養成

Patient data on hospital care and costs were collected from 5 university hospitals and compared with those of other general hospitals. Medical cost in university hospitals is generally more expensive than that of general hospitals especially in medical inspections, imaging diagnoses and operations because of the complicated case mix and the educational cost.The educational cost is tightly connected with each medical procedure itself, and it is very difficult to divide both components. At present, cost for this educational component, so called "indirect fee" is not paid under the scheme of Japanese social insurance system. Issues on higher medical cost in university hospitals should be analyzed based on reasonable informations and a new training system for medical doctors should be established.The survey on the psyco-behavioral differences of medical doctors between university hospital and general hospitals was carried out, and it has been made clear that physicians in the university hospitals attach imprtance on variety of patients and clinical research, and during the duty in general hopitals, they give much consideration for co-payment of patients, and pay careful attention not to be assessed down by the insurance fund.

从5所大学医院收集患者的医疗保健和费用数据，并与其他综合医院的数据进行比较。高校医院的医疗费用普遍高于综合医院，特别是在医学检查、影像诊断和手术方面，由于病例组合复杂，教育成本高，教育成本与每个医疗程序本身密切相关，很难将两者分开。目前，在日本的社会保险制度下，这一教育部分的费用，即所谓的“间接费”，是不支付的。通过对高校医院与综合医院医生心理行为差异的调查，明确了高校医院医生重视病人种类和临床研究的重要性，在普通医院值班期间，注重病人自付，注意不被保险基金低估。

项目成果

石塚 隆男,他12名: "大学病院における医療費構造の統計的分析に関する研究" 第10回医療情報学連合大会論文集. 2ーFー161. 547-550 (1990)

Takao Ishizuka 等 12 人：“大学医院医疗费用结构统计分析研究”第 10 届医学信息学联盟会议记录 2-F-161 (1990)。

Takao Ishizuka et. al.: "STATISTICAL ANALYSIS OF MEDICAL COST PER CASE IN UNIVERSITY HOSPITALS" Proceedings of 10-th Japanese congress on Medical Informatics. 2-F-161. 547-550 (1990)

石冢隆夫等.

石塚 隆男,他12名: "大学病院における医療費構造の統計的分析に関する研究" 第10回医療情報学連合書大会論文集. 2ーFー161. 547-550 (1990)

Takao Ishizuka 等 12 人：“大学医院医疗费用结构统计分析研究”第 10 届医学信息学协会会议记录 2-F-161 (1990)。

寺崎 仁,他12名: "大学病院と一般病院における診療の比較に関する研究" 病院管理.

寺崎仁等12人：《大学医院与综合医院的医疗比较研究》《医院管理》。

HITOSI TERASAKI st. al: "Comparative Study on Medical Care Services Between University Hospitals and General Hospitals" Hospital Administration.

寺崎一人街