{"created":"2023-05-15T09:04:44.710244+00:00","id":9292,"links":{},"metadata":{"_buckets":{"deposit":"f44b78b5-2b6a-47b1-b991-8340acbe2351"},"_deposit":{"created_by":14,"id":"9292","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"9292"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00009292","sets":["1875:1926:1934"]},"author_link":["10165","10166","10167","10168","10169"],"item_2_alternative_title_18":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"The Effect of Critical Path in DPC"}]},"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"27","bibliographicPageStart":"24","bibliographicVolumeNumber":"15","bibliographic_titles":[{"bibliographic_title":"札幌社会保険総合病院医誌 = Journal of Sapporo Social Insurance General Hospital (JSSIGH)"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"当院ではクリティカルパス小委員会にてクリティカルパス(以下パス)がDPCのもとで収益と医療の質、双方に適正であるかを確認し、改訂を行った。胆嚢結石症パスを例に取り、改訂前後の変化とその効果を検証した。対象症例をⅠ群:改訂前のパス使用件数110件、Ⅱ群:同改訂後56件とした。改訂前の平均在院日数が10.5日、改訂後が8.9日と1.6日短縮された。バリアンス発生率も12.7%から1.8%へと減少した。診療金額は、改訂前のDPC/出来高換算比が1.4%減であるのに対し、改訂後が4.7%増となった。これはパスによって医療コストが抑制できたためである。今後もDPC対応型パスの構築・再構築を継続していくことにより、収益を安定させながら医療の標準化も実現できると考えられた。","subitem_description_type":"Abstract"}]},"item_2_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"札幌社会保険総合病院"}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1342-6656","subitem_source_identifier_type":"ISSN"}]},"item_2_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"北村, 大輔"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山口, 華代子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐藤, 正幸"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"宝達, 都"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"秦, 温信"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-07-21"}],"displaytype":"detail","filename":"n1342665615224.pdf","filesize":[{"value":"364.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n1342665615224.pdf","url":"https://sapmed.repo.nii.ac.jp/record/9292/files/n1342665615224.pdf"},"version_id":"21870d86-e406-4df1-bd92-58ef483a326b"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"DPC","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"クリティカルパス","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"平均在院日数","subitem_subject_language":"ja","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":"DPCにおけるクリティカルパスの効果","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"DPCにおけるクリティカルパスの効果","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"14","path":["1934"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2009-04-27"},"publish_date":"2009-04-27","publish_status":"0","recid":"9292","relation_version_is_last":true,"title":["DPCにおけるクリティカルパスの効果"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-12-13T04:18:22.288936+00:00"}