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A study about application of DPC data to hospital management

Research Project

Project/Area Number 19590524
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionOsaka University of Pharmaceutical Sciences

Principal Investigator

ONDA Mitsuko  Osaka University of Pharmaceutical Sciences, 薬学部, 准教授 (60301842)

Co-Investigator(Kenkyū-buntansha) ARAKAWA Yukio  大阪薬科大学, 薬学部, 教授 (50379161)
HIROTANI Yoshihiko  大阪大谷大学, 薬学部, 教授 (00351487)
Project Period (FY) 2007 – 2009
Project Status Completed (Fiscal Year 2009)
Budget Amount *help
¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Fiscal Year 2009: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2008: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2007: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Keywords薬剤経済 / 病院管理 / 医療経営 / ベンチマーキング / 薬剤使用評価 / 医療経済 / DPC / 医療管理
Research Abstract

Effects of the introduction of a system setting fixed rates of remuneration for comprehensive packages of hospital care based on the Diagnosis Procedure Combination (DPC) were studied for two of the surgical procedures for cataract removal and cholecystectomy, at private acute hospitals that prevention of postoperative infection, along with related clinical and economic indicators before and after the introduction of DPC-based valuation. In both cases, no adverse events due to postoperative infection or antimicrobial drug use were observed. Treatment with antimicrobials has been evolving due to the intervention of pharmacists, with a trend toward intensive treatment with cheaper first-generation cephem antibiotics as well as reduced dosages and a shift toward generic drugs. By benchmarking the status of the use of antimicrobials for the treatment of pneumonia using DPC data, the effects from the use of antimicrobials on the financial aspects of hospitals were examined. As a result, it was suggested that the trends in the use of antimicrobials have effects on the financial management of hospitals.

Report

(4 results)
  • 2009 Annual Research Report   Final Research Report ( PDF )
  • 2008 Annual Research Report
  • 2007 Annual Research Report
  • Research Products

    (11 results)

All 2010 2009 2008 2007

All Journal Article (5 results) (of which Peer Reviewed: 5 results) Presentation (6 results)

  • [Journal Article] 抗菌剤使用に着目したDPC病院における肺炎治療に関するベンチマーク2010

    • Author(s)
      恩田光子, 廣谷芳彦, 荒川行生
    • Journal Title

      日本医療・病院管理学会誌 Vol.47,No.2

      Pages: 61-68

    • NAID

      10031187573

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] 抗菌剤使用に着目したDPC病院における肺炎治療に関するベンチマーク2010

    • Author(s)
      恩田光子, 他
    • Journal Title

      日本医療・病院管理学会誌 47(2)

      Pages: 61-68

    • NAID

      10031187573

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] DPC包括評価導入前後における対術後感染抗菌薬使用状況の変化2008

    • Author(s)
      恩田光子, 西川直樹, 荒川行生, 廣谷芳彦, 山門和明
    • Journal Title

      社会薬学 Vol.27、No.1

      Pages: 29-37

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] DPC包括評価導入前後における対術後感染抗菌薬使用状況の変化2008

    • Author(s)
      恩田光子, 西川直樹, 荒川行生, 廣谷芳彦, 山門和明
    • Journal Title

      社会薬学 27(1)

      Pages: 29-37

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] DPC包括評価導入前後における対術後感染抗菌薬使用状況の変化2008

    • Author(s)
      恩田 光子, 他
    • Journal Title

      社会薬学(掲載確定)

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Presentation] DPC病院における肺炎治療に係る抗生剤使用の年次比較2009

    • Author(s)
      恩田光子, 他
    • Organizer
      第47回日本医療・病院管理学会学術総会
    • Place of Presentation
      東京女子医科大学
    • Year and Date
      2009-10-18
    • Related Report
      2009 Annual Research Report
  • [Presentation] DPC病院における肺炎治療に係る抗生剤使用の年次比較2009

    • Author(s)
      恩田光子, 廣谷芳彦, 荒川行生
    • Organizer
      第47回日本医療・病院管理学会学術総会
    • Place of Presentation
      東京
    • Related Report
      2009 Final Research Report
  • [Presentation] 抗生剤使用に着目したDPC病院における肺炎治療に関するベンチマーク2008

    • Author(s)
      恩田光子, 廣谷芳彦, 荒川行生
    • Organizer
      第46回日本医療・病院管理学会学術総会
    • Place of Presentation
      静岡県立大学
    • Year and Date
      2008-11-15
    • Related Report
      2008 Annual Research Report
  • [Presentation] 抗生剤使用に着目したDPC病院における肺炎治療に関するベンチマーク2008

    • Author(s)
      恩田光子, 廣谷芳彦, 荒川行生
    • Organizer
      第46回日本医療・病院管理学会学術総会
    • Place of Presentation
      静岡
    • Related Report
      2009 Final Research Report
  • [Presentation] DPC導入前後におけるアウトカムの比較検証-Kコード分類による検討2007

    • Author(s)
      恩田 光子, 他
    • Organizer
      第45回日本病院管理学会(現 日本医療-病院管理学会)学術総会
    • Place of Presentation
      横浜ロイヤルパークホテル
    • Year and Date
      2007-10-25
    • Related Report
      2007 Annual Research Report
  • [Presentation] DPC導入前後におけるアウトカムの比較検証-Kコード分類による検討-2007

    • Author(s)
      西川直樹, 恩田光子, 荒川行生, 山門和明
    • Organizer
      第45回日本病院管理学会学術総会
    • Place of Presentation
      横浜
    • Related Report
      2009 Final Research Report

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Published: 2007-04-01   Modified: 2016-04-21  

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