研究実績の概要 |
This project aims to assess the impacts of the 2003 adoption of Diagnostic Procedure Combination Per-Diem Payment System (DPC/PDPS) on medical costs, hospital operational efficiency, and healthcare quality. Focusing on before-after changes of the 82 special functioning hospitals enrolled mandatorily into the program in 2003, we examine whether hospitals allocate more resources to procedures paid outside of DPC/PDPS, and derive a monetary gain/loss for such reallocation; assess a possible improvement of operational efficiency in terms of decline in length of stay (LOS), and how the improvement may vary as LOS extends; clarify a potential change in healthcare quality in terms of change in health outcome at discharge.
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