{"created":"2023-07-25T10:32:23.817068+00:00","id":4817,"links":{},"metadata":{"_buckets":{"deposit":"87deb325-709b-4244-a472-bf4227ad465d"},"_deposit":{"created_by":4,"id":"4817","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"4817"},"status":"published"},"_oai":{"id":"oai:hbg.repo.nii.ac.jp:00004817","sets":["267:894:927"]},"author_link":["22239","22240"],"item_10004_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2007-03-20","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"29","bibliographicPageStart":"23","bibliographicVolumeNumber":"8","bibliographic_titles":[{"bibliographic_title":"看護学統合研究"}]}]},"item_10004_description_19":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_10004_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"　少子高齢化による人口比率の変化や疾病構造の変化や医療技術の高度化，更に経済成長率の伸び悩みによる平均所得の低迷により，国は余儀なく医療制度改革を行う事態となった。その目玉となったのが日本版DRG/PPSであるDPC/PPSである。DPC自体は医療の透明化を図る上で有効な策と言えるが，それによる影響が医療現場で起きているし，医療費の包括化であるDPC/PPSは現在大きな議論の的となっている。まだDPCを採用している病院も数少なく，必要とされるデータも数限られた状態であるが，今後更に採用病院が増えていくことが予想されるであろうが，その基準について更なる検討がなされている。DPC以外の問題点も指摘し，今後の影響について考察する。","subitem_description_type":"Abstract"}]},"item_10004_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"呉大学看護学部"}]},"item_10004_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11499896","subitem_source_identifier_type":"NCID"}]},"item_10004_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"13460692","subitem_source_identifier_type":"ISSN"}]},"item_10004_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"櫻井, 啓一郎","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"22239","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Sakurai, Keiichiro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"22240","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-05-29"}],"displaytype":"detail","filename":"hbgn8-2_23-29.pdf","filesize":[{"value":"450.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"hbgn8-2_23-29.pdf","objectType":"fulltext","url":"https://hbg.repo.nii.ac.jp/record/4817/files/hbgn8-2_23-29.pdf"},"version_id":"cd33edb9-8975-444a-a88f-e2e217f4f6fc"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"DPC","subitem_subject_scheme":"Other"},{"subitem_subject":"PPS","subitem_subject_scheme":"Other"},{"subitem_subject":"透明化","subitem_subject_scheme":"Other"},{"subitem_subject":"混合医療","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"医療政策による今後の動向 : DPCの影響について","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"医療政策による今後の動向 : DPCの影響について","subitem_title_language":"ja"}]},"item_type_id":"10004","owner":"4","path":["927"],"pubdate":{"attribute_name":"公開日","attribute_value":"2023-05-29"},"publish_date":"2023-05-29","publish_status":"0","recid":"4817","relation_version_is_last":true,"title":["医療政策による今後の動向 : DPCの影響について"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-09-12T05:42:33.562204+00:00"}