{"created":"2023-06-20T15:53:20.566354+00:00","id":165,"links":{},"metadata":{"_buckets":{"deposit":"433fa9a0-e611-45c1-9216-79a8cd240f3e"},"_deposit":{"created_by":2,"id":"165","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"165"},"status":"published"},"_oai":{"id":"oai:fukui-hsu.repo.nii.ac.jp:00000165","sets":["24:34"]},"author_link":["405","444","445"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2008-08-30","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"13","bibliographicPageStart":"7","bibliographicVolumeNumber":"5","bibliographic_titles":[{"bibliographic_title":"新田塚医療福祉センター雑誌"},{"bibliographic_title":"Journal of  Nittazuka Medical Welfare Center","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"当院は、平成20年度よりDPC制本格導入を迎えようとしている。そこで今回、従来の出来高制からDPC制へと移行した場合の入院医療費収入に及ぼす影響を、実際のデータに基づいて評価・検討したので報告する。また、クリティカルパスの有無についても調査した。クリティカルパスなしの場合、DPC制へ移行すると入院医療費は減収になることが予測される(14.4%の減収)。また、入院日数を長引かせると、入院医療費が減収になる。クリティカルパスありの場合、DPC制へ移行すると増収が予測される(3.7%の増収)。クリティカルパスありの場合、最初の4日を過ぎると在院日数と入院医療費の相関関係はなくなり、在院日数を長引かせても収益に影響しなくなる。DPC制度下では、在院日数の見直しや診療内容の適性化をはかるためのツールとしてクリティカルパスの利用は必須である。今後は、解析症例数を増やして、結果の信頼性を高めることが重要である。","subitem_description_type":"Abstract"}]},"item_10001_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.57502/00000153","subitem_identifier_reg_type":"JaLC"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"福井医療大学"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"13492519","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"酒井, 敏秀"}],"nameIdentifiers":[{"nameIdentifier":"405","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"月僧, 博和"}],"nameIdentifiers":[{"nameIdentifier":"444","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"勝尾, 信一"}],"nameIdentifiers":[{"nameIdentifier":"445","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-12-15"}],"displaytype":"detail","filename":"2008-2.pdf","filesize":[{"value":"4.9 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"2008-2.pdf","url":"https://fukui-hsu.repo.nii.ac.jp/record/165/files/2008-2.pdf"},"version_id":"ecf2f7f4-ac1d-4519-9b2d-32012d783b9b"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"DPC導入が当院に及ぼす影響評価","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"DPC導入が当院に及ぼす影響評価"}]},"item_type_id":"10001","owner":"2","path":["34"],"pubdate":{"attribute_name":"公開日","attribute_value":"2008-08-30"},"publish_date":"2008-08-30","publish_status":"0","recid":"165","relation_version_is_last":true,"title":["DPC導入が当院に及ぼす影響評価"],"weko_creator_id":"2","weko_shared_id":2},"updated":"2023-06-20T15:57:13.140247+00:00"}