美国入院医疗费用(不含医生诊疗费)的四分之一是花费在临床检查和X 光检查上.长期以来人们为了减少医生的检查指示而进行了各种各样的尝试,但是,这一切全都失败了.对此人们期待着由通过医疗保险的支付来达到原价补偿的方式,以提高医生的成本意识。为此,从1983年10月引入了Medicare(老人、残疾人医疗保险)DRG-PPS(诊断分类定额报销制度).但是,以大学附属医院的医生为对象进行了对各种检查费 One-fourth of US hospital admissions (excluding doctors’ fees) is spent on clinical examinations and X-ray examinations. Various attempts have been made to reduce doctors’ examination instructions for a long time, but all this All of them failed. People are looking forward to the way to achieve the original price compensation through the payment of medical insurance to raise the cost awareness of doctors. Therefore, we introduced Medicare (medicine insurance for the elderly, person with a disability) DRG-PPS (diagnosis classification fixed reimbursement system) from October, 1983. However, we performed various examination costs for doctor of university affiliated hospital