Tateno Toshiyuki, Yoshida Fumiko, Hori Koji
Medical Architects Inc.
Gan To Kagaku Ryoho. 2009 Oct;36(10):1703-6.
DPC (Diagnosis Procedure Combination), Japanese specific prospective payment system, is gradually taking root in Japan. Hospitals under this system are required to submit nationally standardized electronic data to get reimbursed. DPC data include not only information for reimbursement but also details of medical records of each patient. We have tried to investigate actual situation of cancer treatment in Japan by analyzing DPC data. In this study, we have revealed actual situation of non-small cell lung cancer treatment in both Osaka prefecture and nationwide using girasol , the DPC-analysis-system, by Medical Architects Inc. Moreover, we report the significant variations in non-small cell lung cancer chemotherapy regimens and therapy protocols between the two hospitals in Osaka prefecture.
诊断程序组合（DPC）是日本特有的前瞻性支付系统，正在日本逐渐扎根。在该系统下，医院需要提交全国标准化的电子数据以获得报销。DPC数据不仅包括报销信息，还包括每位患者的病历细节。我们试图通过分析DPC数据来调查日本癌症治疗的实际情况。在本研究中，我们使用Medical Architects Inc.的DPC分析系统girasol，揭示了大阪府和全国范围内非小细胞肺癌治疗的实际情况。此外，我们报告了大阪府两家医院在非小细胞肺癌化疗方案和治疗协议方面的显著差异。
