@article{oai:niigata-u.repo.nii.ac.jp:00019401,
 author = {小山, 真},
 issue = {4},
 journal = {新潟医学会雑誌, 新潟医学会雑誌},
 month = {Apr},
 note = {In spite of painstaking efforts to improve their econonic standing, the settled accounts of 73% of the municipal hospitals in Japan showed a loss for 1992 due to only slight increases in revenue and considerable increases in costs. The relatively slight increase in revenus was ultimately caused by frequent cuts in standard drug prices over past 10 years. In other words, the frqnent cuts not only reduced expected drug revenues in individual hospitals but also affected the medical technology fees. In Japan, these fees have been compensated by the financial resources brought about by cuts of drug prices. However, the margin of compensation has also been reduced as the cuts in drug prices have reached their limit. Moreover, recent substantial increases in the cost of medical care for the elderly has placed further demands on the budget for national health care, for which total accounts has been fixed for long periods of time by the Ministry of Public Welfare of Japan. Both the increased demands on the budget for national health care and the stagnant increase of medical technology fees through the cuts of standard drug prices will inhibit sound operation and future growth of health care in Japan. Thus, the author wishes to stress the necessity of a substantial increase of the budget for national health care.},
 pages = {270--273},
 title = {4) 診療報酬のあり方 : 技術評価を中心に(シンポジウム 保険医療をめぐる諸問題, 第489回新潟医学会総会）},
 volume = {108},
 year = {1994}
}