{"created":"2023-05-15T09:17:44.191101+00:00","id":735,"links":{},"metadata":{"_buckets":{"deposit":"332e1419-ec4b-4a56-a773-b0046abf39b1"},"_deposit":{"created_by":15,"id":"735","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"735"},"status":"published"},"_oai":{"id":"oai:iuhw.repo.nii.ac.jp:00000735","sets":["2:128"]},"author_link":["1668","1669"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2016-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"53","bibliographicPageStart":"44","bibliographicVolumeNumber":"21","bibliographic_titles":[{"bibliographic_title":"国際医療福祉大学学会誌"},{"bibliographic_title":"Journal of the International University of Health and Welfare","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Hospital management has become more difficult due to the fact that revisions of the medical payment system in Japanare tending toward reductions in medical fees. It is therefore essential for medical institutions to predict their post-revisionrevenues in a short period of time following notification of these revisions. However, determination of the effects of thecomplex revisions of the medical payment system at medical institutions is difficult, and presents a practical issue. In thepresent study, we aimed to establish and verify a standard method for accurately predicting in a short period of time the ratesof effects of revisions of the medical payment system on revenues in order to contribute to future hospital management. Theresults of verification of the established method showed that the difference in the simulated prediction rate at the hospitalinvestigated (Hospital C) was -0.018%, which was equivalent to a difference in medical fee points per patient per day ofonly -1 point. The method developed in the present study was thought to enable more standardized and efficient simulationswith minimal differences in simulation results, and was considered useful for hospital management because it enables fastersimulation than manual methods.","subitem_description_type":"Abstract"}]},"item_10001_description_6":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"わが国の診療報酬改定はマイナス傾向にあり,病院経営は厳しくなっている.これを受けて医療機関は,告示後に短期間で改定後の収益予測を行うことが必要不可欠な業務となる.しかし,医療機関において,複雑な診療報酬改定の影響を把握することは容易ではなく,実務的な課題である.本研究は診療報酬改定において,影響率の予測と検証を短期間で正確に予測し,今後の病院経営に役立てることを目的とし,収益予測のための標準的手法の確立と検証を行った結果,調査対象病院(C 病院)のシミュレーション予測率の差は-0.018% となり,日当点の差に置き換えると-1 点の僅差であった.本研究の手法は,シミュレーション手順の標準化と効率化が図れると同時に,シミュレーション結果の差異も僅差であり,手作業より短時間でシミュレーションが行えることから病院経営において有用である.","subitem_description_type":"Other"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"国際医療福祉大学学会"}]},"item_10001_radio_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_radio_item":"publisher"}]},"item_10001_relation_12":{"attribute_name":"NII論文ID（NAID）","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"110010022308"}]}]},"item_10001_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"CiNii"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://ci.nii.ac.jp/naid/110010022308","subitem_relation_type_select":"URI"}}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID（NCID）","attribute_value_mlt":[{"subitem_source_identifier":"AA12537130","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"21863652","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"林, 重雄"},{"creatorName":"ハヤシ, シゲオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山本, 康弘"},{"creatorName":"ヤマモト, ヤスヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-04-26"}],"displaytype":"simple","filename":"21_1(44-53p).pdf","filesize":[{"value":"570.1 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"本文(PDF)","url":"https://iuhw.repo.nii.ac.jp/record/735/files/21_1(44-53p).pdf"},"version_id":"1e9707a1-cfe9-4604-824e-4c9285184fad"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"病院経営","subitem_subject_scheme":"Other"},{"subitem_subject":"診療報酬改定","subitem_subject_scheme":"Other"},{"subitem_subject":"収益予測","subitem_subject_scheme":"Other"},{"subitem_subject":"hospital management","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"revision of the medical payment system","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"prediction of revenues","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"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":"診療報酬改定による収益予測のための標準的手法の確立とその検証に関する研究","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"診療報酬改定による収益予測のための標準的手法の確立とその検証に関する研究"},{"subitem_title":"Establishment and verification of a standard method for predicting revenues following revision of the medical payment system","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"15","path":["128"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-04-26"},"publish_date":"2016-04-26","publish_status":"0","recid":"735","relation_version_is_last":true,"title":["診療報酬改定による収益予測のための標準的手法の確立とその検証に関する研究"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2023-06-21T10:43:02.056297+00:00"}