ArticleBMC health services research2007
Functional mapping of hospitals by diagnosis-dominant case-mix analysis.
Article in BMC health services research, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 61 citations in OpenAlex.
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- Economic and clinical burden from carbapenem-resistant bacterial infections and factors contributing: a retrospective study using electronic medical records in Japan.BMC infectious diseases · 2022Article
- Existing Data Sources for Clinical Epidemiology: Database of the National Hospital Organization in Japan.Clinical epidemiology · 2022Review
- Risk factors leading to trabeculectomy surgery of glaucoma patient using Japanese nationwide administrative claims data: a retrospective non-interventional cohort study.BMC ophthalmology · 2021Article
- History and Profile of Diagnosis Procedure Combination (DPC): Development of a Real Data Collection System for Acute Inpatient Care in Japan.Journal of epidemiology · 2021Article
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- Factors associated with 30-day readmission of patients with heart failure from a Japanese administrative database.BMC cardiovascular disorders · 2015Observational
- Intussusception among Japanese children: an epidemiologic study using an administrative database.BMC pediatrics · 2012Article
- New indicators based on personnel cost for management efficiency in a hospital.Journal of medical systems · 2011Article
- A new accounting system for financial balance based on personnel cost after the introduction of a DPC/DRG system.Journal of medical systems · 2011Article
- Assessment of hospital performance with a case-mix standardized mortality model using an existing administrative database in Japan.BMC health services research · 2010Article
- Does functional outcome in acute ischaemic stroke patients correlate with the amount of free-radical scavenger treatment? A retrospective study of edaravone therapy.Clinical drug investigation · 2010Article
- Travel of patients to distant hospitals for elective surgery in Japan: a cross-sectional analysis of a nationally representative sample.Surgery today · 2009Article
Corrections and comments
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Authors and funding
7 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrinciples and methods for the allocation of healthcare resources among healthcare providers have long been health policy research issues in many countries. Healthcare reforms including the development of a new case-mix system, Diagnosis Procedure Combination (DPC), and the introduction of a DPC-based payment system are currently underway in Japan, and a methodology for adequately assessing the functions of healthcare providers is needed to determine healthcare resource allocations.
methodsBy two-dimensional mapping of the rarity and complexity of diagnoses for patients receiving treatment, we were able to quantitatively demonstrate differences in the functions of different healthcare service provider groups.
resultsOn average, inpatients had diseases that were 3.6-times rarer than those seen in outpatients, while major teaching hospitals treated inpatients with diseases 3.0-times rarer on average than those seen at small hospitals.
conclusionWe created and evaluated a new indicator for DPC, the diagnosis-dominant case-mix system developed in Japan, whereby the system was used to assess the functions of healthcare service providers. The results suggest that it is possible to apply the case-mix system to the integrated evaluation of outpatient and inpatient healthcare services and to the appropriate allocation of healthcare resources among health service providers.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.