The analysis of the effect of doctor assistants on hospital management in the balance of the receipts against the expense

Abstract

The additional adjunct for doctor assistant, DA, was introduced in the revision of medical treatment reward for the first time in 2008. However, with the concern that this additional adjunct alone could not meet the required personnel expenses, there were hospitals which opted out of the introduction of DA out of fear that it may reduce the profit of the hospital. On April, 2014, our hospital have employed 33 DAs. The annual expenses required for the DA employment is calculated based on the annual salary and the annual expenses of employment insurance is 643,830,000 yen. On the other hand, the income by the additional adjunct of the DA placement of 15：1 was 73,047,000 yen. This resulted in 8,664,000 yen as an annual profit. In addition, the DA introduction resulted in not only decreasing the office work of physicians but also increasing inpatient and operation volumes. In conclusion, the introduction of DA contributes to increase in hospital profits.