Characteristics of medical care and its cost at University Hospitals

在日本，大学医院的高昂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的医疗服务的性质和特点。我们对8所高校医院住院的1672例肺癌、白血病、心肌梗死患者进行了调查，发现死亡病例(死亡病例)医疗费用较高，在我们的检查中所占比例较高，且具有一致性特点。手术病例费用明显较高，也后悔了大学医院的特色医疗。数据还提出了两级医疗保健，即基础类型医疗和每种疾病类别的特殊类型医疗。后者是高校医院独特的医疗服务类型，对这一类型的进一步考核是提高高校医院医疗服务质量的方法。

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.