Matsuda Shinya
Jpn Hosp. 2016 Aug(35):35-44.
DPC (Diagnosis Procedure Combination) is the Japanese original Case Mix system. The principal purpose of DPC introduction is not only for payment arrangement but also for modernization of the health system. To improve the quality of hospital management, to strengthen the responsibility of hospital for accountability, and to rationalize the health system are the three main objectives of the project. Based on the current DPC database, patients can know the clinical performance of each acute care hospital, such as volume stratified by diseases and disorders and related quality indicators. Furthermore, DPC data is used for regional health care planning. In this article, the author provides an overview of the DPC system with some examples.
诊断程序组合（DPC）是源自日本的病例组合系统。引入DPC的主要目的不仅在于支付安排，还在于卫生系统的现代化。提高医院管理质量、强化医院的问责责任以及使卫生系统合理化是该项目的三个主要目标。基于当前的DPC数据库，患者能够了解各急症医院的临床绩效，例如按疾病和病症分层的病例数量以及相关质量指标。此外，DPC数据用于区域卫生保健规划。在本文中，作者通过一些实例对DPC系统进行了概述。
