2009 Fiscal Year Final Research Report
A study about application of DPC data to hospital management
| Project/Area Number |
19590524
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | Osaka University of Pharmaceutical Sciences |
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Principal Investigator |
ONDA Mitsuko Osaka University of Pharmaceutical Sciences, 薬学部, 准教授 (60301842)
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| Co-Investigator(Kenkyū-buntansha) |
ARAKAWA Yukio (50379161)
HIROTANI Yoshihiko (00351487)
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| Project Period (FY) |
2007 – 2009
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| 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 |
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| 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.
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