丂
丂屻婜崅楊幰偵傆偝傢偟偄恌椕曬廣懱宯偺峔抸偵岦偗偰
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 崅楊婜傪巟偊傞曐寬堛椕僔僗僥儉偵娭偡傞堦峫嶡 |
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The Fifth Revision and the Beyond---Health Care
Reform in Japan
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| The Fifth Revision and the Beyond---Health Care
Reform in Japan |
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| 暯惉18擭搙 摿掕旕塩棙妶摦朄恖堛椕巤愝嬤戙壔僙儞僞乕埾戸尋媶 |
丂堛椕婡娭偱偺IT悇恑壔偵偍偗傞揔惓偐偮岠棪揑側庤朄偵偮偄偰偺挷嵏尋媶
丂亅偳偆偟偰擔杮偱堛椕IT壔偑恑傑側偄偺偐丠亅
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| 暯惉18擭搙 摿掕旕塩棙妶摦朄恖堛椕巤愝嬤戙壔僙儞僞乕埾戸尋媶 |
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丂暯惉14擭9寧偵愝棫偝傟偨堛椕巤愝嬤戙壔僙儞僞乕偱偼偙偺3擭娫丄乽堛椕丒暉巸巤愝偺岠棪揑側惍旛乿傪宖偘丄偄傢備傞CM/PM乮僐儞僗僩儔僋僔儑儞儅僱僕儊儞僩/僾儘僕僃僋僩儅僱僕儊儞僩乯偺庤朄傪摫擖偡傞偙偲偱懡偔偺堛椕婡娭傗暉巸巤愝偺惍旛寁夋偵偐偐傢傝丄幙傪棊偲偝偢寶抸僐僗僩偺嶍尭傪恾傝偨偄偲偄偆巤庡懁偺梫惪偵墳偊偰偒偨丅
丂杮帠椺尋媶偱偼丄僙儞僞乕偑娭傢偭偨3偮偺帠椺傪捠偟偰丄寶抸旓偺巇慻傒偲寶抸嬈奅丄寶抸旓偲堛椕丒暉巸宱塩偺娭學丄偦偟偰寶抸偺幙偲僐僗僩偺娭學偵偮偄偰峫偊偰傒偨丅
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| 昦堾摍偺巤愝惍旛偺岠棪揑側庤朄偵娭偡傞帠椺尋媶 |
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丂杮曬崘彂偼慡晹偱嶰復偐傜側傞丅傑偢彉復偱偼丄傢偑崙偺幮夛曐忈惂搙偺乬偍庤杮乭偲偝傟偨僪僀僣偱壗偑婲偙偭偰偄傞偐傪徯夘偟偨屻丄僪僀僣偵愭傫偠偰恖岥尭幮夛偵撍擖偟偨傢偑崙偑書偊傞峔憿揑栤戣偵偮偄偰尵媦偡傞丅
丂懕偔戞擇復偱偼丄偦偆偟偨拞偱偳偆偡傟偽幮夛曐忈惂搙夵妚偺僽儗僀僋僗儖乕偑幚尰偱偒傞偐丄擭嬥丄堛椕丄夘岇偺3偮偵峣偭偰丄偦傟偧傟扨撈偱払惉壜擻側夵妚埬傪斺業偡傞丅偦偟偰嵟屻偺戞嶰復偱偼丄杮曬崘彂偺杮戣偱偁傞幮夛曐尟偺摑崌偵偮偄偰丄偄偔偮偐偺愭峴尋媶傪儀乕僗偵偦偺嬶懱揑側岺掱昞傪採帵偡傞丅摿偵丄幮夛曐忈偺巟偊庤傪憹傗偡巤愝偲偟偰乽堢帣擭嬥乿偺憂愝偵偮偄偰尵媦偡傞丅
丂傑偩傑偩楙傜傟偰偄側偄晹暘偑懡偔丄抰愘側売強傕嶶尒偝傟傞偑丄彮偟偱傕幮夛曐忈惂搙夵妚偵栶偵棫偰偽岝塰偱偁傞丅
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| 幮夛曐尟摑崌偺壜擻惈偵娭偡傞堦峫嶡 |
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丂杮曬崘彂偼偙偆偟偨栤戣堄幆偵婎偯偄偰丄IT壔丄拞偱傕揹巕僇儖僥偺摫擖偺宱嵪岠壥傪尨揰偵棫偪曉偭偰夵傔偰栤偄惓偟偨傕偺偱偁傞丅
丂慡晹偱3復峔惉偐傜惉傝丄戞1復偱偼IT偺妶梡偵傛偭偰Win-Win偺娭學傪抸偔偨傔偵偼偳偆偟偨傜傛偄偐丄堦掕偺僼儗乕儉儚乕僋傪徯夘偡傞丅懕偔丄戞擇復偱偼丄暷崙偺儔儞僪尋媶強偑峴偭偨揹巕僇儖僥偺宱嵪岠壥偺悇寁寢壥傪徯夘偡傞丅偦偟偰戞3復偱偼丄傢偑崙偵憗偔偐傜揹巕僇儖僥傪摫擖偟偰偄傞昦堾偱丄揹巕壔僷僗偑晅壛偝傟偨側傜偽丄婜懸偝傟傞宱嵪岠壥傪堦掕偺壖掕偵婎偯偄偰悇寁偡傞丅杮曬崘彂傪宊婡偵丄堛椕IT偺宱嵪惈昡壙偺媍榑偑妶敪偵側傞偙偲傪愗偵婓朷偡傞丅
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| 乽堛椕俬俿偺宱嵪惈昡壙乿偵娭偡傞尋媶曬崘 |
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丂嬤擭丄婇嬈嬈愌傪昡壙偡傞怴偟偄巜昗偲偟偰拲栚傪梺傃偰偄傞儅僱僕儊儞僩丒僔僗僥儉偱偁傞乽僶儔儞僗丒僗僐傾僇乕僪乿傪傢偑崙偺昦堾宱塩偵墳梡偡傞偙偲傪婇恾偟偨尋媶丅暯惉15擭3寧26擔乮悈乯宱嵪嶻嬈徣暿娰11奒丂宱嵪嶻嬈尋媶強丂夛媍幒偵偰丄乽堛椕斉僶儔儞僗丒僗僐傾僇乕僪偺奐敪偵岦偗偨尋媶乿偺拞娫曬崘傪峴側偄傑偟偨丅
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| 昦堾斉僶儔儞僗丒僗僐傾僇乕僪奐敪 |
| 摉擔帒椏偺僟僂儞儘乕僪偼偙偪傜偵偁傝傑偡丅 |
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丂擔杮慡崙偺昦堾偺姵幰傪丄DRG(Diagnosis Related Group)暿偵暘椶偟丄昦堾偺僷僼僅乕儅儞僗丒僐僗僩側偳傪斾妑偟偨暘愅帠嬈偵偮偄偰丅
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仧丂儀儞僠儅乕僋帠嬈偑栚巜偡傕偺丂仧 |
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丂偙傟傑偱峴偭偨儀儞僠儅乕僋帠嬈偵傛偭偰丄DRG偵戙昞偝傟傞働乕僗儈僢僋僗偲偄偆峫偊曽丄偮傑傝乽姵幰偺懏惈傪壛枴偟偨忋偱丄昦堾偺僷僼僅乕儅儞僗偺堘偄傪嬦枴偟傛偆乿偲偄偆峫偊曽傪偆傑偔妶梡偡傞偙偲偵傛偭偰丄
師偺6揰偑壜擻偵側傞偲尵偊傑偡丅乮傛傝徻嵶側愢柧偼乽堛椕夵妚偺岺掱昞乣DRG&ICD偼媫惈婜昦堾偺忢幆乿乮愳熀岶堦娔廋乛愳熀岶堦丒桳攏廏峎挊,堛妛彂堾乯偵偁傝傑偡乯
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(1)
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堛椕帒尮偺巊梡忬嫷丄偍傛傃帯椕惉壥傪丄峀斖偵應掕偡傞偙偲偵傛偭偰昦堾偺僷僼僅乕儅儞僗傪斾妑偡傞
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(2)
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姵幰暿巰朣棪偺嵎傪嵏掕偡傞
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(3)
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奺昦堾偑暯嬒嵼堾擔悢偺抁弅偵搘椡偡傞
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(4)
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宲懕揑偵堛椕偺幙傪夵慞偡傞僾儘僌儔儉傪妋棫偡傞
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(5)
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姵幰暿偺幘昦暘椶偵婎偯偄偰丄師擭搙偺梊嶼傪棫偰傞
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(6)
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姵幰暿曪妵巟暐偄曽幃偵棙梡偡傞
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丂偟偐偟丄尰抜奒乮戞嶰師乯偱偼丄嶲壛昦堾偑36昦堾偲尷掕偝傟偰偄傞偨傔丄偙偙偐傜堦掕偺昗弨抣乮儀儞僠儅乕僋乯傪摫弌偡傞偙偲偼擄偟偔丄崱屻丄傛傝懡偔偺昦堾偵嶲夋偄偨偩偔偙偲偑婜懸偝傟傑偡丅
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仧丂戞嶰師儀儞僠儅乕僋帠嬈偵偮偄偰丂仧
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丂戞嶰師儀儞僠儅乕僋帠嬈乮挷嵏懳徾婜娫丗1999擭搙乯偺僨乕僞偵偮偄偰偼丄2002擭2寧1擔偵擔堛憤尋偵偰儚乕僋僔儑僢僾傪峴偄傑偟偨丅暘愅寢壥偼丄擔堛憤尋偺儂乕儉儁乕僕偱嬤擔傾僢僾偝傟傞梊掕偱偡丅
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仧丂戞擇師儀儞僠儅乕僋帠嬈乮挷嵏懳徾婜娫丗1998擭搙乯偺奣梫丂仧
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丂杮尋媶偼丄DRG傪偄偐偵昦堾儅僱僕儊儞僩偵墳梡偡傞偙偲偑弌棃傞偐丄偦偺桳梡惈傪専徹偟偨傕偺偱偡丅曬崘彂偺僟僂儞儘乕僪偼偙偪傜偵偁傝傑偡丅
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I.
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巊梡偝傟偨僨乕僞
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(1)
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戅堾姵幰僨乕僞丗擭楊丒惈暿乮恖岥妛揑僨乕僞乯丄姵幰偺昦忬傗帯椕撪梕乮幘妛揑僨乕僞乯側偳
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(2)
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昦堾偺僐僗僩僨乕僞丗晹栧暿偺僐僗僩傪廂廤丅暷崙偺儊儕乕儔儞僪廈偺僐僗僩僂僃僀僩學悢傪梡偄偰姵幰暿僐僗僩偵埪暘丅
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(3)
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昦堾偺僐僗僩僨乕僞丗晹栧暿偺僐僗僩傪廂廤丅暷崙偺儊儕乕儔儞僪廈偺僐僗僩僂僃僀僩學悢傪梡偄偰姵幰暿僐僗僩偵埪暘丅
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II.
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廂廤偝傟偨僨乕僞
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丂杮尋媶偱巊梡偟偨戅堾姵幰僨乕僞儀乕僗偼丄楋擭偺1998擭丄偁傞偄偼夛寁擭搙偺1998擭乮1998擭4寧1擔乣1999擭3寧31擔乯偺傕偺偱丄慡晹偱36昦堾偐傜栺23枩審偺僨乕僞偑廂廤偝傟傑偟偨丅
丂挷嵏懳徾昦堾偺暘晍斖埻偼峀偔丄杒偼杒奀摴偐傜撿偼壂撽偵偍傛傃傑偡丅昦彴悢傕峀堟偵搉傝丄200彴枹枮偺昦堾偐傜丄1000彴埲忋偺昦堾傑偱丄條乆偱偟偨丅傑偨丄36昦堾偺偆偪17昦堾偑椪彴尋廋巜掕昦堾偱偟偨丅乮徻嵶偼曬崘彂傪嶲徠偟偰壓偝偄乯
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III.
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DRG傪巊偭偨昦堾僷僼僅乕儅儞僗昡壙
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(1)
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DRG暿僐僗僩斾妑丗姵幰摿惈傪壛枴偟偨昦堾娫偺岠棪惈斾妑
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(2)
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DRG暿巰朣棪丒嵞擖堾棪丒掗墹愗奐棪丗姵幰摿惈傪壛枴偟偨昦堾娫偺桳岠惈斾妑
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(3)
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CMI傪巊偭偨摑寁暘愅丗姵幰偺廳徢搙傪峫椂偵擖傟偨応崌偺昦堾摿惈斾妑
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IV.
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暷崙幃偺DRG/PPS傪摫擖偟偨応崌偺宱嵪揑塭嬁搙
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(1)
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尰峴偺擖堾廂塿偲DRG/PPS壓偺擖堾廂塿偲偺斾妑
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V.
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AP-DRG傪巊偭偨ABC暘愅
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丂ABC暘愅丗嵼屔娗棟偵棙梡偝傟傞庤朄丅暔昳傗嵽椏傪A儔儞僋乮崅壙奿偺嵽椏孮乯丄B儔儞僋乮拞掱搙偺壙奿偺嵽椏孮乯
偍傛傃C儔儞僋乮掅壙奿偺嵽椏孮乯偺3僌儖乕僾偵暘椶偟丄偦傟偧傟偺僌儖乕僾偵揔偟偨娗棟曽朄傪揔梡偡傞偨傔偺
婎慴揑側暘愅曽朄丅
丂徢椺悢忋埵20亾乮128乯偺DRG傪A儔儞僋偲偟偨偲偙傠丄128偺DRG偱慡徢椺悢偺栺75亾丄慡僐僗僩偺65亾傪愯傔傑偟偨丅傑偨丄徢椺悢忋埵20埵偺DRG傪A儔儞僋偲偟偰傒偨応崌丄忋埵20偱慡徢椺悢偺38亾丄慡僐僗僩偺23亾偵払偟傑偟偨丅
仺忋埵20埵偺DRG偵拲栚偡傞偩偗偱丄慡僐僗僩偺栺4暘偺1偑娗棟偱偒傞偙偲偵側傝傑偡丅
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丂埲忋偺暘愅偵偮偄偰丄傛傝徻偟偔偍抦傝偵側傝偨偄曽偼丄乽堛椕夵妚偺岺掱昞乣DRG&ICD偼媫惈婜昦堾偺忢幆乿乮愳熀岶堦娔廋乛愳熀岶堦丒桳攏廏峎挊,堛妛彂堾乯
傪偛棗壓偝偄丅
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乥TOP Page乥愳熀岶堦嫵庼棯楌乥堛椕宱嵪妛尋媶幒乥尋媶榑暥丒妛夛敪昞乥曬崘彂丒僨乕僞乥
乥弌斉暔偺偛徯夘乥儊僨傿傾婑峞乥僔儔僶僗乥偍栤偄崌傢偣乥傾僋僙僗儅僢僾乥
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