The attachment of the settlement of accounts book, and mutual agreement Central Social Insurance Medical Council and investigation implementation subcommittee to securing the medical treatment economic in-situ survey transparency.
The argument is advanced to Survey on Economic Conditions in Health Care executed aiming at the revision in fiscal year 2010 of next time by the direction where the settlement of accounts book is attached to the schedule to which each medical institution enters. In Central Social Insurance Medical Council and the investigation implementation subcommittee on the 18th, a big objection did not go out to the attachment of the settlement of accounts book. Conventionally, the case that believed the conscience of the medical institution from the theory and executed it was most in the investigation of the country of this hand. As for the next Survey on Economic Conditions in Health Care, the management realities of the medical institution that the dependable transparency is mortgaged become under the daylight.
The day medicine insists on the use of the settlement of accounts data.
It is the Japan Medical Association that originally insisted that it is necessary to use the settlement of accounts data of the medical institution. The day medicine is a show lingua in the Central Social Insurance Medical Council general assembly in October last year as for the amelioration idea of Survey on Economic Conditions in Health Care. It proposed that it renew to the investigation design based on the fixed point investigation besides insisting that it was necessary to renew on the research technique to understand the figure of the settlement of accounts base of each medical institution.
It is insisted to the general assembly that the average of the number of sickbeds and the number of followers be different because no fixed point investigation in the material entitled, the day medicine is show lingua "Problem of Survey on Economic Conditions in Health Care" according to the investigation year, and the change in the medical profession revenue be not able to be understood appropriately. Moreover, it was assumed to be a mistake to specify "Individual" and "Corporation" of the presentation of the charge and the revenue and expenditure balance of aggregation lingua "Whole" in the general practice place, "The director compensation was not included in an individual charge, and as for the revenue and expenditure difference between the individual and the corporation, the meaning was quite different", and to show the aggregation lingua figure when the finding was brought together.
In addition, about the single moon of June the investigation moon besides it is put in question not to have excluded a special case as "Coming off value"｢It is difficult to enter estimating in a small-scale clinic etc. though the charge not generated in June enters estimating the accrual forehead during year. The charge goes out easily small, and the revenue and expenditure balance goes out easily greatly. ｣It specified it.
It proposes to be to the shape posted from the settlement of accounts book as an amelioration idea on that. It was assumed that it was necessary to make the posting of the contents of the settlement of accounts book attached to the final return book for the individual as much as possible can done.
In the argument of the investigation implementation subcommittee afterwards, it has been decided to agree on the use of the settlement of accounts data, and to execute it from the next investigation. However, the Matsuura Minol commissioner (head of Kagawa Prefecture Sakaideshi) on the disbursement side was consistently insisting, "In the mortgage of the transparency and the reliability, the method that arranged the copy of the original document of the settlement of accounts book in the fil secretariat was desirable" on the style that each medical institution like conventional wrote in the schedule.
General manager Taichi Ono of medical treatment section insurance medical treatment project Office of Research : to this insistence in the investigation implementation subcommittee on the 18th. ｢It is various, and might not come out from the style of the settlement of accounts book by the establishment subject the item that wants to be examined. It takes time to the total work. ｣It made, the entering style was requested from the schedule each medical institution, and understanding was requested by continuing.
The reliability height collateral
However, the Matsuura commissioner :. ｢Because it thought my agreement with the use of the settlement of accounts data to be a rise of the reliability. In the argument of cheating data, equipment Hanai is not only a person of great rectitude. It is necessary to mortgage the reliability of data high in some shape. Do not you make it to shape that the confirmation can be done by attaching the settlement of accounts book even if the entry to the schedule is continued?｣It proposed it.
The diagnosis and treatment side and both big objections did not go out of the disbursement side for this proposal. The Toshio Nakagawa commissioner (medicine standing governor of the day) also｢It agrees with the Matsuura commissioner's proposal though it is thought that such an investigation is the one solemnly executing it on the basis of the theory. It is likely to be able to correspond by attaching the settlement of accounts book. ｣It described.
It agreed almost to attach the settlement of accounts book from the next investigation as commissioner's opinion though the conclusion became carrying over from needing the adjustment with ministries concerned next time.
Data with a high transparency or more is collected even if the office work of the secretariat excessively considers the bird clapper and Central Social Insurance Medical Council commissioner's consensus it is who has made the argument based on the evidence.
