Is the function evaluation coefficient II in DPC / PDPS an incentive for hospital management?

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  • DPC／PDPSにおける機能評価係数IIは病院経営へのインセンティブとなっているか

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<p>The function evaluation coefficient II in DPC / PDPS is said to be “an evaluation of incentives for improving the efficiency of the entire medical care provision system by participating in DPC / PDPS.” In this report, I examined whether this function evaluation coefficient II is an incentive for management, targeting hospitals subject to DPC in 2019, and public enterprise hospitals whose income statement is published in the same format. The analysis method used multiple regression analysis with medical practice revenue per 100 beds, medical practice costs, medical practice balance, and current account balance as objective variables, and the breakdown of function evaluation coefficient II as explanatory variables.</p><p>As a result, it was found that the function evaluation coefficient II had a significant positive effect on both medical practice revenue and medical practice cost as a whole, but did not reach a sufficient incentive from the difference in slope. By coefficient, the coverage coefficient has a positive effect on both the medical balance and the current balance, the quantitative evaluation coefficient (other than children) has a positive effect on the medical balance, and the complexity coefficient and the quantitative evaluation coefficient (children) have a positive effect on the current balance. However, the insurance medical treatment coefficient did not mean a significant effect on the balance. Furthermore, it was found that the efforts to shorten the length of hospital stay, which are seen in the efficiency coefficient, have a negative effect on the current management situation and are not linked to management. We believe that considering costs as a more appropriate coefficient by calculating costs will lead to incentives for efficiency improvement, which is the purpose of introduction.</p>

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