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.
  • Motozawa Yoshihiro
    Department of Hospital Business Management, TCROSS Co., Ltd. Department of Internal Medicine, Sanikukai Hospital
  • Saito Tadahisa
    Department of Finance, Globis University Graduate School of Management
  • Suzuki Takahiko
    Department of Cardiology, Toyohashi Heart Center

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Abstract

<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>

Journal

  • Circulation Journal

    Circulation Journal 87 (2), 240-246, 2023-01-25

    The Japanese Circulation Society

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