Characteristics of medical care and its cost at University Hospitals

Research Project

Project/Area Number	62304068
Research Category	Grant-in-Aid for Co-operative Research (A)
Allocation Type	Single-year Grants
Research Field	医学一般
Research Institution	University of Tukuba
Principal Investigator	KIIKUNI Kenzo Professor, University of Tsukuba, 社会医学系, 教授 (10114068)
Co-Investigator(Kenkyū-buntansha)	ISHII Shozo President, Juntendo University, 医学部, 教授 (80052926) HONDA Nishio Vice-president, Hamamatsu Medical College, 教授 (00010231) KAIHARA Shigekoto Professor, University of Tokyo, 医学部, 教授 (30010234) TAKEDA Hiroshi Associate Professor, Osaka University, 医学部, 助教授 (20127252) SASAKI Junko Lecturer, University of Tsukuba, 社会医学系, 講師 (60134243) 川崎明徳川崎医科大学, 副学長, 教授稲垣義明千葉大学, 医学部(内科学), 教授 (80009109)
Project Period (FY)	1987 – 1988
Project Status	Completed (Fiscal Year 1988)
Budget Amount *help	¥1,000,000 (Direct Cost: ¥1,000,000) Fiscal Year 1988: ¥1,000,000 (Direct Cost: ¥1,000,000)
Keywords	University hospitals / University hospital medical care cost / Types of care / 基本構造と特殊構造 / 多重性と多様性 / 構造要因 / 大学附属病院 / 医療の質の評価 / 診療特性 / 疾患別診療行為 / 疾患別医療費
Research Abstract	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.