Journal of Nursing & Care

Tomoya Akiyama

Publications

• Special Issue Article
  Economic Estimation of Nursing Services under the Diagnostic Procedure Combination/Per-Diem Payment System
  Author(s): Tomoya Akiyama, Naomi Akiyama, Kenshi Hayashida and Hiroshi TamuraTomoya Akiyama, Naomi Akiyama, Kenshi Hayashida and Hiroshi Tamura
  
  Aim: The purpose of this study was to determine whether the amount of nursing services estimated under the classification of Nursing Need Degree is adequately evaluated for each Diagnostic Procedure Combination (DPC) reimbursement. Methods: A longitudinal cohort study design was employed to examine all 28,757 hospitalizations, except for those due to tuberculosis, in Hospital A in Japan between July 2008 and March 2010. We excluded the following patients from analysis: patients who were not applicable to the DPC system; patients who were hospitalized beyond the specified DPC period; and patients who were applicable to the specified hospital fee. We collected data from the administration system of medical business and Nursing Need Degree (NND). We calculated the mean of the hospital fee portion (i.e., fees for room and nursing services) per t.. Read More»
  DOI: 10.4172/2167-1168.S5-008

  Abstract PDF