Current Status of Calculation of Continence Care Fee for Out-Patients at Kurosawa Hospital

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  • 黒沢病院における外来排尿自立指導料算定対象者の現状
  • クロサワ ビョウイン ニ オケル ガイライ ハイニョウ ジリツ シドウリョウ サンテイ タイショウシャ ノ ゲンジョウ

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Abstract

The continence self-management programme fee (CSPF) for hospitalized patients was revised in 2020 to include those receiving consistent care on an out-patient basis. We extracted candidate patients for CSPF on an out-patient basis (out-patient candidates hereafter) from those for whom-CSPF had been calculated during hospitalization at our hospital, and defined those who had undergone a medical examination related to continence care as out-patient calculation candidates. Of the 956 patients for whom CSPF had been calculated during hospitalization, 482 patients (50%) were out-patient candidates ; 275 (54%) and 169 (33%) of whom were seen in the urology and neurosurgery departments, respectively. Of the 482 out-patient candidates, 238 (49%) were out-patient calculation candidates ; 197 (83%) and 14 (6%) of whom were seen in the urology and neurosurgery departments, respectively. Forty-two and 41 of the calculation candidates were cases of benign prostatic hyperplasia and bladder cancer, respectively. The CSPF was actually processed 93 times for 78 of the 482 out-patient candidates (16%). There were various obstacles in the current system of calculating the fees to realize consistent care from hospitalization to out-patient care.

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  • 泌尿器科紀要

    泌尿器科紀要 68 (3), 81-85, 2022-03-31

    泌尿器科紀要刊行会

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