Journal article
Resource utilization in surgery after the revision of surgical fee schedule in Japan
International journal of health care quality assurance, Vol.28(6), pp.635-643
07/13/2015
DOI: 10.1108/IJHCQA-01-2015-0002
PMID: 26156436
Abstract
Purpose
– The purpose of this paper is to examine whether the current surgical reimbursement system in Japan reflects resource utilization after the revision of fee schedule in 2014.
Design/methodology/approach
– The authors collected data from all the surgical procedures performed at Teikyo University Hospital from April 1 through September 30, 2014. The authors defined the decision-making unit as a surgeon with the highest academic rank in the surgery. Inputs were defined as the number of medical doctors who assisted surgery, and the time of operation from skin incision to closure. An output was defined as the surgical fee. The authors calculated surgeons’ efficiency scores using data envelopment analysis.
Findings
– The efficiency scores of each surgical specialty were significantly different (p=0.000).
Originality/value
– This result demonstrates that the Japanese surgical reimbursement scales still fail to reflect resource utilization despite the revision of surgical fee schedule.
Details
- Title: Subtitle
- Resource utilization in surgery after the revision of surgical fee schedule in Japan
- Creators
- Yoshinori Nakata - Teikyo University HospitalTatsuya Yoshimura - Department of Anesthesia, Shin-Yurigaoka General Hospital, Kawasaki, JapanYuichi Watanabe - Teikyo UniversityHiroshi Otake - Showa UniversityGiichiro Oiso - Hamamatsu University School of MedicineTomohiro Sawa - Teikyo University
- Resource Type
- Journal article
- Publication Details
- International journal of health care quality assurance, Vol.28(6), pp.635-643
- Publisher
- Emerald Group Publishing Limited
- DOI
- 10.1108/IJHCQA-01-2015-0002
- PMID
- 26156436
- ISSN
- 0952-6862
- eISSN
- 1758-6542
- Language
- English
- Date published
- 07/13/2015
- Academic Unit
- Anesthesia
- Record Identifier
- 9984656598702771
Metrics
6 Record Views