{"created":"2023-06-20T13:03:40.806633+00:00","id":2218,"links":{},"metadata":{"_buckets":{"deposit":"92b0c085-7234-4f02-8cb0-68737e0678cc"},"_deposit":{"created_by":10,"id":"2218","owners":[10],"pid":{"revision_id":0,"type":"depid","value":"2218"},"status":"published"},"_oai":{"id":"oai:osu.repo.nii.ac.jp:00002218","sets":["19","19:472","19:472:479"]},"author_link":["1308","4039"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-10-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"69","bibliographicPageStart":"53","bibliographicVolumeNumber":"21","bibliographic_titles":[{"bibliographic_title":"大阪産業大学経済論集"},{"bibliographic_title":"OSAKA SANGYO UNIVERSITY JOURNAL OF ECONOMICS","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"　The purpose of this paper is to clarify the establishment and development of home medical care in the public medical fee system of Japan in an attempt to verify whether switching to hospital care from home medical care can really reduce national medical expenses. Specifically, we will clarify, on a time line, how home medical care has been incorporated and positioned in the public medical fee system. In the literature to date, Ito （2008） is the only study found that has traced and clarified the inclusion of home medical care in the public medical fee system. The significance of this paper is to provide further discussion of what has transpired in the development of home medical care since 2008 and Ito’s study.","subitem_description_type":"Abstract"}]},"item_10002_description_6":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"　国は，地域医療構想において，在宅医療を推進しようとしている。その動きの中で繰り返し主張されるのは，「国民医療費の上昇を抑制する方法として，入院医療を在宅医療に切り替える」ことである。「在宅医療が入院医療よりも安上がりになる」と考えているのである。本当にそうだろうか。筆者は，在宅医療の国民医療費削減効果を検証するため，齋藤（2017），齋藤（2018），齋藤（2019）を著した。これまで明らかになったのは，在宅医療は必要であるし，推進していくことが重要であるものの，在宅医療の推進が国民医療費の削減となるかどうかは不透明なことである。\n　本稿の目的は，入院医療を在宅医療に切り替えることで，本当に国民医療費が削減できるのかどうか検証する第一歩として，診療報酬制度における在宅医療の形成と展開を明らかにする。具体的には，診療報酬制度に，在宅医療がどのように盛り込まれ，位置づけられてきたかを，時系列で明らかにしていく。これまでの診療報酬制度における在宅医療の形成と展開を追跡し明らかにしたものは，伊藤（2008）以外は，管見の限り存在しない。\n本稿の意義は，伊藤（2008）が明らかにしていない2008年以降の在宅医療の形成と展開を\nも明らかにし，その特徴を明らかにすることである。\n　本論文の構成は次の通りである。\n「１．在宅医療の登場の背景」では，在宅医療が登場してきた２つの背景を明らかにする。「２．診療報酬制度における在宅医療」では，診療報酬制度における在宅医療の変遷を明らかにする。「３．診療報酬制度における在宅医療の特徴」では，在宅医療がその対象者（患者）と診療項目を増やしてきた一方で，近年は点数の算定が複雑になりつつあることを明らかにする。\n","subitem_description_type":"Other"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"大阪産業大学学会"}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11394639","subitem_source_identifier_type":"NCID"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1345-1448","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"齋藤, 立滋"},{"creatorName":"サイトウ, リュウジ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SAITO, Ryuji","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-01-24"}],"displaytype":"detail","filename":"053_069齋藤先生.pdf","filesize":[{"value":"1.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"053_069齋藤先生","url":"https://osu.repo.nii.ac.jp/record/2218/files/053_069齋藤先生.pdf"},"version_id":"38285709-83a7-4fe1-9199-0cdf05793e0a"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"在宅医療","subitem_subject_scheme":"Other"},{"subitem_subject":"診療報酬制度","subitem_subject_scheme":"Other"},{"subitem_subject":"Home Medical Care","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Public Medical Fee System","subitem_subject_language":"en","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"診療報酬制度における在宅医療の形成と展開","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"診療報酬制度における在宅医療の形成と展開"},{"subitem_title":"The Establishment and Development of Home Medical Care in the Public Medical Fee System of Japan","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"10","path":["19","472","479"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-01-24"},"publish_date":"2020-01-24","publish_status":"0","recid":"2218","relation_version_is_last":true,"title":["診療報酬制度における在宅医療の形成と展開"],"weko_creator_id":"10","weko_shared_id":-1},"updated":"2023-10-24T01:35:23.724968+00:00"}