臨牀透析 Vol.26 No.8(1-2)


特集名 わが国の透析医療の明日をどう拓くか
題名 経済的側面 (2) 透析診療報酬の変遷と将来見通し
発刊年月 2010年 07月
著者 山崎 親雄 増子クリニック 昴
【 要旨 】 当然のことながら,医療経済は国の経済状況に大きく左右される.近年の透析診療報酬は,引き続く患者数の増加と,国家経済の破綻によって,改定のたびごとに下げられてきた.こうした医療費抑制策は,医療施設の経営を圧迫し,医療の質を低下させる懸念がある.一方で,透析時間区分のように,診療報酬それ自体が,医療の質を向上させるものもある.今後しばらくの診療報酬改定でも,透析単価は低下すると考えられるが,単に点数アップを望むのではなく,透析医療の質を高め,患者や医療従事者にとっても望ましい診療報酬体系を提案する必要がある.
Theme How Should We Step up the Future Dialysis Therapy in Japan ?
Title Changes in medical reimbursements for hemodialysis patients
Author Chikao Yamazaki Masuko HD Clinic "SUBARU"
[ Summary ] The primary factor influencing medical expenses is the state of the general economy in any particular country. In recent years, dialysis expenses covered under the national health system in Japan have been revised downward due to the increased number of patients and the poor state of the nation's economy. The result has been a reduction in health management available for these patients. On the other hand, a medical treatment fee system concerned with dialysis time division might produce improvements in the quality of medical care.
It is thought that in the near future decreases in unit prices of dialysis medical treatment costs will continue. We not only hope for improvements in costs but also for improvements in the quality of dialysis medical treatment. We propose an improved medical treatment fee system for patients and medical staffs.
戻る