A multiple regression analysis was performed by hospital type to examine the length of hospital stay for cerebral infarction （without surgery） and proximal femoral fractures.　Prior to the analysis, hospitals were classified into three types:national, prefectural and municipal hospitals, public welfare hospitals, and private hospitals.　The DPC data distributed by the Ministry of Health, Labour and Welfare were then linked to the public data obtained from the regional medical information network.　The analysis using these data revealed that, for proximal femoral fractures, the length of hospital stay was longer in private hospitals.　For cerebral infarction （without surgery）, the length of hospital stay was shorter in public welfare hospitals.　In this paper, based on the results, the author argues that the inherent characteristics of the organizational structure of the hospital could provide incentives （as motivation for effort） for physicians and affect the outcome of the referral system.

　　In Japan, due to the revision of the fee for medical service in the year 2014, the basic fee 3 for short stay surgery, which requires the payment of a fixed medical fee per hospitalization （prospective payment system:PPS）, was introduced for use in lens reconstruction, etc.　Due to this, the need has been re-recognized for strengthening the support for hospital admission and discharge and for reorganizing the function of the ward.　In addition, also in Korea, a similar PPS has been practiced for similar diseases.　However, in both countries, very little has been conducted by way of a survey of the awareness of healthcare professionals regarding the PPS in clinical settings.　Therefore, for 78 Japanese and 84 Korean healthcare professionals involved in the lens reconstruction treatment and care, an awareness survey was conducted on the clinical practice efficiency and medical care under the current PPS.
　　The results have revealed that, in both countries, healthcare professionals are concerned about potential deterioration of the quality of care under the current PPS.　In addition, in Japanese healthcare professionals, there is a strong demand for the adoption of the fee-for-service concept in the physician fee assessment.　The survey results suggest that issues facing both countries concern the establishment of a fee-for-medical service-system that assesses both the health economical and medical technological aspects in the PPS as well as the construction of a subjective quality evaluation system.