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{"sheet":"歯科","index":0,"n_rows":158,"n_cols":43,"rows_kept":158,"cut":false,"hidden":false,"merged":[[155,0,155,3],[158,0,158,6],[146,0,146,3],[147,0,147,3],[148,0,148,3],[152,0,152,3],[153,0,153,3],[154,0,154,3],[140,0,140,3],[141,0,141,3],[142,0,142,3],[143,0,143,3],[144,0,144,3],[145,0,145,3],[138,0,138,3],[123,0,123,3],[124,0,124,3],[125,0,125,3],[126,0,126,3],[127,0,127,3],[121,0,121,3],[122,0,122,3],[132,0,132,3],[135,0,135,3],[136,0,136,3],[137,0,137,3],[106,0,106,3],[107,0,108,3],[112,0,112,3],[113,0,113,3],[114,0,114,3],[131,0,131,3],[117,0,117,3],[118,0,118,3],[119,0,119,3],[120,0,120,3],[98,0,98,3],[99,0,99,3],[100,0,100,3],[101,0,101,3],[102,0,102,3],[103,0,103,3],[89,0,89,3],[90,0,90,3],[91,0,91,3],[92,0,92,3],[93,0,93,3],[97,0,97,3],[83,0,83,3],[84,0,84,3],[85,0,85,3],[86,0,86,3],[87,0,87,3],[88,0,88,3],[71,0,72,3],[74,0,74,3],[76,0,76,3],[77,0,77,3],[78,0,78,3],[82,0,82,3],[75,0,75,6],[58,0,58,3],[62,0,62,3],[70,0,70,3],[63,0,64,3],[65,0,65,3],[66,0,66,3],[39,0,39,1],[44,0,44,1],[53,0,54,3],[55,0,56,3],[57,0,57,3],[52,0,52,3],[17,1,17,4],[18,1,18,4],[19,1,19,4],[20,1,20,4],[21,1,21,4],[25,1,25,4],[22,1,22,4],[23,1,23,4],[24,1,24,4],[13,1,13,4],[4,2,4,5],[5,2,5,5],[6,2,6,5],[7,2,7,5],[8,2,8,5],[9,2,9,5]],"flags":["formulas_cached_only"]}
[null,"　　　　　　　　平成26年度　診療報酬改定影響調査【歯科】"]
[null,null,"　(基本情報は、平成26年10月1日現在とします。)"]
["基本情報"]
["■施設名、所在地、記入担当者等"]
[null,"施設名"]
[null,"所在地"]
[null,"記入担当者"]
[null,"電話番号"]
[null,"ＦＡＸ番号"]
[null,"ｅ－ｍａｉｌ"]
[]
["■施設の形態"]
["　　施設の形態について、お答えください。",{"$nulls":37},"該当する項目に○をつけて下さい","①.病院（歯科入院届出あり）","②.診療所（歯科診療所）","③.病院（歯科入院届出なし）","④.診療所（医科と併設）"]
[null,"該当する項目に○をつけて下さい"]
[null,"（1.病院（歯科入院届出あり）　2.診療所（歯科診療所） 3.病院（歯科入院届出なし）  4.診療所（医科と併設）)"]
[]
["■次の施設の中で、該当する番号に○をつけてください。"]
[null,"1.地域医療支援病院",{"$nulls":36},"1.地域医療支援病院","①.地域医療支援病院"]
[null,"2.地域歯科診療支援病院",{"$nulls":36},"2.地域歯科診療支援病院","②.地域歯科診療支援病院"]
[null,"3.歯科保健センターの併設",{"$nulls":36},"3.歯科保健センターの併設","③.歯科保健センターの併設"]
[null,"4.単独型臨床研修病院",{"$nulls":36},"4.単独型臨床研修病院","④.単独型臨床研修病院"]
[null,"5.管理型臨床研修病院",{"$nulls":36},"5.管理型臨床研修病院","⑤.管理型臨床研修病院"]
[null,"6.協力型臨床研修病院",{"$nulls":36},"6.協力型臨床研修病院","⑥.協力型臨床研修病院"]
[null,"7.臨床研修協力施設",{"$nulls":36},"7.臨床研修協力施設","⑦.臨床研修協力施設"]
[null,"8.連携型臨床研修施設",{"$nulls":36},"8.連携型臨床研修施設","⑧.連携型臨床研修施設"]
[null,"9.該当なし",{"$nulls":36},"9.該当なし","⑨.該当なし"]
[]
["■職員数※臨時・非常勤職員は、常勤換算して計上して下さい。"]
[null,null,"人数"]
[null,"歯科医師"]
[null,"研修医管理型"]
[null,"研修医協力型"]
[null,"歯科衛生士"]
[null,"歯科技工士"]
[null,"歯科助手"]
[null,"その他"]
[null,"計",0]
[]
["■患者数(人）"]
[null,null,"平成25年10月","平成26年10月"]
["入院患者延数（人）"]
["外来患者延数（人）"]
[]
["■行為別収益（千円）"]
[null,null,"平成25年10月","平成26年10月"]
["入院診療報酬額"]
["外来診療報酬額"]
[]
["○下記項目を何件算定していますか。件数を記入してください。"]
[]
["基本診療料"]
["変更"]
["項目",null,null,null,"点数","平成25年10月","平成26年10月"]
["初診料",null,null,null,"234点"]
[{"$nulls":4},"282点"]
["再診料",null,null,null,"45点"]
[{"$nulls":4},"72点"]
["外来環境体制加算　　　初診時",null,null,null,"26点"]
["　　　　　　　　　　　　　　　再診時　",null,null,null,"4点"]
[]
["医学管理等"]
["変更"]
["項目",null,null,null,"点数","平成25年10月","平成26年10月"]
["新製有床義歯管理料",null,null,null,"230点"]
[{"$nulls":4},"190点"]
["周術期口腔機能管理料（Ⅰ）",null,null,null,"手術前280点"]
["周術期口腔機能管理料（Ⅱ）",null,null,null,"手術前500点"]
[]
["リハビリ"]
["新規"]
["項目",null,null,null,"点数","平成25年10月","平成26年10月"]
["歯科口腔リハビリテーション料１　　有床義歯",null,null,null,"120点"]
[{"$nulls":4},"100点"]
["　　　　　　　　　　　　　　　　　　　　　舌接触補助床",null,null,null,"190点"]
["歯科口腔リハビリテーション料２",null,null,null,"50点"]
["＊義歯管理料が削除されリハビリテーションとして新設されたので比較するためにご記入ください"]
["項目",null,null,null,"点数","平成25年10月","平成26年10月"]
["有床義歯管理料",null,null,null,"70点"]
["有床義歯長期管理料",null,null,null,"60点"]
[]
["処置"]
["変更"]
["項目",null,null,null,"点数","平成25年10月","平成26年10月"]
["初期う蝕早期充填処置（複合レジン系）",null,null,null,"135点"]
["（グラスアイオノマー系）",null,null,null,"134点"]
["歯周安定期治療　1歯～9歯",null,null,null,"200点"]
["10歯～19歯",null,null,null,"250点"]
["20歯以上",null,null,null,"350点"]
["歯周疾患処置",null,null,null,"14点"]
["口腔内分泌物吸引",null,null,null,"48点"]
["暫間固定",null,null,null,"200点"]
["床副子　"]
["舌接触補助床新たに作製",null,null,null,"2000点"]
["旧義歯を使用した場合",null,null,null,"500点"]
[]
["歯冠修復及び欠損補綴"]
["新規"]
["項目",null,null,null,"点数","平成25年10月","平成26年10月"]
["CAD/CAM冠",null,null,null,"1200点"]
["小児保隙装置",null,null,null,"600点"]
["コンビネーション鉤　 大臼歯",null,null,null,"384点"]
["　　　　　　　　　　　　　小臼歯・犬歯",null,null,null,"368点"]
["　　　　　　　　　　　　　前歯",null,null,null,"360点"]
["ニッケルクロム・コバルトクロム",null,null,null,"266点"]
[]
["変更"]
["項目",null,null,null,"点数","平成25年10月","平成26年10月"]
["新製有床義歯管理料",null,null,null,"230点"]
[{"$nulls":4},"190点"]
[]
["手術"]
["新規"]
["項目",null,null,null,"点数","平成25年10月","平成26年10月"]
["内視鏡下上顎洞開窓術",null,null,null,"3600点"]
["広範囲顎骨支持型装置掻把術",null,null,null,"1800点"]
[]
["変更"]
["項目",null,null,null,"点数","平成25年10月","平成26年10月"]
["歯根端切除手術　歯科用CT及び手術用顕微鏡使用",null,null,null,"2000点"]
["口唇腫瘍摘出術　その他のもの",null,null,null,"3050点"]
["頬粘膜腫瘍摘出術",null,null,null,"4460点"]
["唾石摘出術　　腺体内に存在するもの",null,null,null,"6550点"]
["歯周外科手術　歯肉剥離掻把術",null,null,null,"630点"]
["歯周組織再生誘導手術　１次手術",null,null,null,"840点"]
["２次手術",null,null,null,"380点"]
["骨移植術　同種骨移植（生体）",null,null,null,"20770点"]
["同種骨移植（非生体）",null,null,null,"18300点"]
["上顎洞開窓術",null,null,null,"1300点"]
[]
["在宅医療"]
["新規"]
["項目",null,null,null,"点数","平成25年10月","平成26年10月"]
["フッ化物紙面塗布処置",null,null,null,"80点"]
[]
["変更"]
["項目",null,null,null,"点数","平成25年10月","平成26年10月"]
["歯科訪問診療1",null,null,null,"866点"]
["歯科訪問診療2",null,null,null,"283点"]
["歯科訪問診療3",null,null,null,"143点"]
["在宅患者等急性歯科疾患対応加算"]
["歯科訪問診療1",null,null,null,"170点"]
["歯科訪問診療2",null,null,null,"55点"]
["歯科訪問診療3",null,null,null,"1人のみ170点"]
[{"$nulls":4},"55点"]
["歯科訪問診療補助加算"]
["歯科訪問診療1",null,null,null,"110点"]
["歯科訪問診療2",null,null,null,"45点"]
["歯科訪問診療3",null,null,null,"1人のみ170点"]
[{"$nulls":4},"45点"]
[]
["矯正"]
["新規"]
["項目",null,null,null,"点数","平成25年10月","平成26年10月"]
["アンカースクリュー　植立",null,null,null,"500点"]
["アンカーススクリュー　1本",null,null,null,"371点"]
["アンカースクリュー　撤去",null,null,null,"100点"]
[]
["平成26年度診療報酬改定でのご意見を記載して下さい"]