2000 2003 2004 DPC Continuum Care 32
IT HIPPA 18 IT MSW MSW MSW 18 HIPPAHealth Insurance Portability and Accountability Act of 1996 33
2002 34
1985 A B C 1020 D E F 35
A B IT A B DPC 36
RUG 19 19 RUGResource Utilization Group ADL 44 37
A B C A B MRSA C 38
2003 2003 2003 ABC DPC 2004 2003 DPC DPC DPC DPC IT 2004 39
2004 2002 2004 4 40
EBM DPC 41
2004 2000 2002 42
180 43
44
45
200 2002 46
47
2004 154 48
30 22 50 25. 22 49 37 43 2001 5,700 1,700 7,400 300 49
50
51
1927 10 1943 1948 1961 1968 1973 1983 1997 2000 2002 10 75 70 2003 GDP1961 3.2%1973 4.1%1983 6.3% 1997 7.4%1999 8.3 2000 8.0% 2001 8.52002 8.6 2002 38.3 2002 0.6 52
2002 2003 3200 1700 65 74 75 2004 28 QOL 53
4477 3630 3102 52.5 37.2 34.0 70 27.0 5.6 2.7 65 153 237 381 15.6 15.9 32.0 17.6 39.7 503 4825 2003 138087 2003 157 2003 1,870 2003 5,588 4,003 2002 4 418 2003 16.4 12.1 10.3 10.2 6.7 4.6 2002 3 183 2 1358 1 7023 2002 54
55
ICD 2003 DRG-PPS DPC 56
DPC DPC 2006 DPC ICD ICD 2001 DPC ICD 57
DRG 1400 DPC DPC 2003 DPC 58
2003 ISO 24 2004 21.2 A B C DRG/PPS DRG/PPS 59
2003 DPC DPC DPC 2001 DPC ICD10 K 14 ICD10 JCS JCS 2002 710 82 26.8 16 565 2552 DPC ver3 20 60
1860 3106 1727 DPC 20 DPC 2004 28 14 62 100010.3.1.01.1.1.1.1 14 0 1 0 0 0 1 1 1 DPC 20 61
DPC DPC DPC DPC DPC DPC 2003 DPC A 21 2.51 B C ICD D 2004 3.5 62
A DPC 10 2.51 1.51 DPC 20 82 DPC 19.3 20 B DPC DPC DPC ICD C 63
D IT IT SPD 64
ICD ICD 65
DPC RUG 66
2000 2000 218.2 2004 393.9 1.8 40~50% 2000 149 52 97 2004 307 76 231 2003 1145 40~50 35 27.2 13.4 2000 10 2003 10 600 5,083 400 3,012 3,862 3,819 67
24 68
36 30 16 2004 403525 2007 85.93.2 69
2004 30 20 70
71
72
1998 DPC 10 DPC 73
IT IT 74
24 75
76
10 4 18 77