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Primary Endodermal Epithelial Cell Culture from the Yolk Sac Membrane of Japanese Quail Embryos
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Japanese surgical resource utilization in 2016.

Yoshinori Nakata1, Yuichi Watanabe2, Hiroto Narimatsu3

  • 1Teikyo University , Tokyo, Japan.

International Journal of Health Care Quality Assurance
|July 9, 2019
PubMed
Summary

Japanese surgeons show significant differences in efficiency scores across specialties. The 2016 surgical payment system revision may not accurately reflect resource utilization in surgical procedures.

Keywords:
Data envelopment analysisResource efficiency

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Area of Science:

  • Healthcare Economics
  • Surgical Outcomes Research
  • Health Services Research

Background:

  • The Japanese surgical payment system underwent revision in April 2016.
  • Evaluating resource utilization is crucial for optimizing healthcare payments.

Purpose of the Study:

  • To assess the Japanese surgical payment system's resource utilization efficiency.
  • To analyze surgeon efficiency across different specialties post-payment system revision.

Main Methods:

  • Data envelopment analysis (DEA) using the Charnes-Cooper-Rhodes model was employed.
  • Surgical records from April to September 2016 were analyzed.
  • Surgeon efficiency was calculated based on surgical fees relative to resources used (personnel, time).

Main Results:

  • A total of 2,558 surgical procedures by 109 surgeons were analyzed.
  • Significant differences in surgeon efficiency scores were observed across specialties (p=0.000).
  • Neurosurgery demonstrated significantly higher efficiency scores compared to obstetrics/gynecology, general surgery, orthopedics, emergency surgery, urology, otolaryngology, and plastic surgery (p<0.05).

Conclusions:

  • Surgeon efficiency varies significantly by specialty.
  • The current Japanese surgical reimbursement system may not adequately reflect actual resource utilization.
  • Further adjustments to the payment system may be needed to align with resource efficiency.