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1998-2018年日本DPC/PDPS变迁
1998-2018年日本DPC/PDPS变迁
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2024国内外DRG外支付情况更新及创新技术支付现状分析报告（50页）.pdf
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日本诊断群分类支付制度的发展经历了试点阶段（1998-2002年）和分阶段实施（2003 年至今）两个阶段。1998 年 11 月日本厚生劳动省和所属的卫生经济与政策研究协会在 10 家国立医院开展了基于疾病诊断分组的按人次住院定额支付（日本版DRG/PPS）试点。2001 年 4 月在试点基础上开发了具有日本特点的疾病诊断分组系统（Diagnosis-Procedure-Combination，DPC）。2003 年 3 月日本国会对 DPC 制度进行立法，同年 4 月日本厚生劳动省在特定机能医院导入 DPC 制度，主要针对急性期入院患者。2010 年 12 月日本厚生劳动省将 DPC 制度内涵由疾病诊断分组拓展到疾病诊断分组/按床日定额支付制度（DPC/PDPS）。DPC/PDPS 制度由医院自行决定是否实施，至 2018 年 DPC/PDPS 已出 11 版，实施医院达 1730 家，包括 4955 个诊断群分类，涵盖 18 个主要诊断。
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2024国内外DRG外支付情况更新及创新技术支付现状分析报告（50页）.pdf
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