期刊
JOURNAL OF EPIDEMIOLOGY
卷 31, 期 1, 页码 1-11出版社
JAPAN EPIDEMIOLOGICAL ASSOC
DOI: 10.2188/jea.JE20200288
关键词
Diagnosis Procedure Combination (DPC); DPC-based Per-Diem Payment System (DPC/PDPS); patient classification system; health policy; Japan
资金
- Ministry of Health, Labour and Welfare [20AA2005]
- [17H04437]
- [20H03972]
DPC is a patient classification method developed in Japan to make acute inpatient care transparent and improve medical quality. It has been utilized in the Japanese medical service reimbursement system and has contributed to the development of regional medical care provision systems.
DPC, which is an acronym for Diagnosis Procedure Combination, is a patient classification method developed in Japan for inpatients in the acute phase of illness. It was developed as a measuring tool intended to make acute inpatient care transparent, aiming at standardization of Japanese medical care, as well as evaluation and improvement of its quality. Subsequently, this classification method came to be used in the Japanese medical service reimbursement system for acute inpatient care and appropriate allocation of medical resources. Furthermore, it has recently contributed to the development and maintenance of an appropriate medical care provision system at a regional level, which is accomplished based on DPC data used for patient classification. In this paper, we first provide an overview of DPC. Next, we will look back at over 15 years of DPC history; in particular, we will explore how DPC has been refined to become an appropriate medical service reimbursement system. Finally, we will introduce an outline of DPC-related research, starting with research using DPC data.
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