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Is the Japanese surgical healthcare efficient and productive?

Research Project

Project/Area Number 25670337
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Medical and hospital managemen
Research InstitutionTeikyo University

Principal Investigator

NAKATA Yoshinori  帝京大学, 大学院公衆衛生学研究科, 教授 (60287018)

Co-Investigator(Kenkyū-buntansha) NAKAMURA Toshihito  千葉大学, 医学部附属病院, 准教授 (40431308)
OTAKE Hiroshi  昭和大学, 医学部, 教授 (50338696)
Co-Investigator(Renkei-kenkyūsha) OISO Giichiro  浜松医科大学, 医学部, 教授 (80543909)
Project Period (FY) 2013-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2014: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2013: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Keywords医療生産性 / 医療効率性 / 手術医療 / 効率性 / 生産性 / データ包絡分析 / Malmquist指数
Outline of Final Research Achievements

1. We demonstrated that the surgeons' efficiency in the operating rooms was significantly different among their surgical specialties. This suggests that the Japanese surgical reimbursement scales fails to reflect resource utilization.
2. The surgeons were less productive in the beginning months of a new academic year than in the subsequent months. This suggests that the newly assigned trainees may be main factors of this productivity loss.

Report

(3 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • Research Products

    (5 results)

All 2015 2014

All Journal Article (2 results) (of which Peer Reviewed: 2 results,  Acknowledgement Compliant: 2 results) Presentation (2 results) Book (1 results)

  • [Journal Article] Productivity change of surgeons in an academic year2015

    • Author(s)
      Nakata Y, Watanabe Y, Otake H, Nakamura T, Oiso G, Sawa T.
    • Journal Title

      Journal of Surgical Education

      Volume: 72 Issue: 1 Pages: 128

    • DOI

      10.1016/j.jsurg.2014.06.022

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] The Japanese surgical reimbursement system fails to reflect resource utilization.2015

    • Author(s)
      Nakata Y, Watanabe Y, Otake H, Nakamura T, Oiso G, Sawa T.
    • Journal Title

      International Journal of Health Services

      Volume: 45 Pages: 999-9

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] Effects of surgical training on surgeons’ productivity.2014

    • Author(s)
      Nakata Y, Watanabe Y, Otake H, Nakamura T, Oiso G, Sawa T
    • Organizer
      American Society of Anesthesiologists Annual Meeting
    • Place of Presentation
      New Orleans
    • Year and Date
      2014-10-11 – 2014-10-15
    • Related Report
      2014 Annual Research Report
  • [Presentation] Surgeons’ efficiency in the operating rooms evaluated by data envelopment analysis.2014

    • Author(s)
      Nakata Y, Watanabe Y, Otake H, Nakamura T, Oiso G, Sawa T.
    • Organizer
      Euroanaesthesia (European Anaesthesiology Congress) 2014
    • Place of Presentation
      Stockholm
    • Year and Date
      2014-05-31 – 2014-06-03
    • Related Report
      2014 Annual Research Report
  • [Book] 手術医療の経済学的評価。「医療経済評価の具体的な活用法」2014

    • Author(s)
      中田善規
    • Publisher
      技術情報協会
    • Related Report
      2014 Annual Research Report

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Published: 2014-07-25   Modified: 2019-07-29  

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