最近の血液検査(7)

血液検査における保険診療上の留意点

〆　谷　直　人*
　　　　　　　　　　　　　　　　　　　　　　
Hematologic and Hemostatic Tests Availability in View of
Remuneration for Medical Services

Naoto SHIMETANI, MD*

Hematologic and hemostatic tests are important and indispensable for diagnosing any kind of hematologic disease. Recent advances in hematologic tests are seen in automation of the blood cell counts and morphological analyses that are required for diagnosing hematologic diseases, and in the accumulation and availability of genetic and chromosomal examinations related to their diagnosis. Although hemostatic tests used to be mainly aimed at checking bleeding tendency, they are now being directed toward diagnosing thrombotic tendency.
Medical expenses have hardly been increased in past revisions of reimbursement schedules for medical services, which has driven hospital management into an even tighter corner. In the field of laboratory examination, test fees were heavily slashed and calculated on an all-inclusive basis, forcing budgetary restrictions on the management of test laboratories.
I discuss the medical reimbursement for hematologic and hemostatic tests, focusing on the fiscal 2002 revision of the medical service fee schedule implemented in April.
[Rinsho Byori 50 : 786〜790, 2002 ]

*Department of Clinical Pathology, Koshigaya Hospital, Dokkyo University School of Medicine, Koshi-gaya 343-8555

【Key Words】hematologic and hemostatic tests(血液学的検査)，health insurance reimbursement revision (診療報酬改定)，medical reimbursement(保険請求)

*獨協医科大学越谷病院臨床検査部(〒343-8555 越谷市南越谷2-1-50)

E-mail :shime@dokkyomed.ac.jp