Transformation of the Cardiovascular Clinics in Japan ― How to Overcome Crisis Due to Changes in the External Environment ―
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- Hashimoto Satoru
- Department of Hospital Business Management, TCROSS Co., Ltd.
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- Motozawa Yoshihiro
- Department of Hospital Business Management, TCROSS Co., Ltd. Department of Internal Medicine, Sanikukai Hospital
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- Saito Tadahisa
- Department of Finance, Globis University Graduate School of Management
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- Suzuki Takahiko
- Department of Cardiology, Toyohashi Heart Center
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<p>The first percutaneous coronary intervention (PCI) was performed in September 1977, and after 1980 this minimally invasive treatment was established in Japan. To deliver this treatment to a larger population, a number of cardiovascular clinics emerged across the country in the 2000s, and the number of PCI cases performed has been steadily increasing, to >250,000 cases per year. In the early 2000s, a single catheterization unit was profitable, if it performed a certain number of treatments and was adequately staffed without excessive capital investment. In the late 1990s, the price of a balloon catheter medical device used for PCI was approximately JPY300,000, although the price was reduced to JPY32,000, almost one-tenth in price, in the April 2022 revision of the National Health Insurance. The reimbursement of the mainstream drug-eluting stent has also decreased from JPY421,000, when it was first introduced, to JPY136,000 currently. In addition, the consumption tax and reforms in working hours will have a major impact on clinic management. We present a history of cardiovascular clinics in Japan and their present and future positions under the variable external environment.</p>
収録刊行物
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- Circulation Journal
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Circulation Journal 87 (2), 240-246, 2023-01-25
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390013408148473216
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- NII書誌ID
- AA11591968
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- ISSN
- 13474820
- 13469843
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- NDL書誌ID
- 032636314
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- PubMed
- 36104203
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
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- 抄録ライセンスフラグ
- 使用不可