2020 Volume 21 Issue 1 Pages 20-24
The additional medical coverage to maintain or improve activities of daily living started in 2014. This coverage is paid for physical therapist working full time in ward. The acute phase hospital introducing this coverage was as low as 4.9%, and in many hospitals, decline in revenue is stated as a reason not to introduce it. Little has been reported evaluating this coverage from an economic point of view. The purpose of this study is to examine the impact of this coverage on hospital management. This is a retrospective study at Showa general hospital. Study subjects were patients who stayed between December 2015 and November 2016 in the ward in which a physical therapist worked full time, and patients who stayed in the ward evaluating the need for placement of a physical therapist. The collected record contains number of days stayed. The number of patients in the ward where physical therapist worked full time was 1,558, while simulation group had 1,140. The total score of the additional coverage and fee-for-service rehabilitation was 147,900 higher for dedicated group than for simulation group. The implementation of additional medical coverage to maintain or improve activities of daily living leads to early initiation of rehabilitation, and it is expected to be effective for improving medical quality and contributing to hospital management.
