人の健康と栄養支援につながる病院栄養部門の利益獲得システム  [in Japanese] A SYSTEM FOR A PROFITABLE NUTRITION DIVISION ESTABLISHED FOR PROMOTING　THE NUTRITIONAL HEALTH OF JAPANESE PEOPLE  [in Japanese]

Japan faces issues associated with a super-aging society. Thus, extension of healthy life expectancy of patientsthrough dietary modification is extremely important. However, the number of registered dietitians is not enough toimprove the nutritional health of patients with personalized nutrition care because of the lack of profit from hospitalnutrition divisions. We clarified the strategies to gain profit and relevant challenges by using the SWOT analysis toimprove the dietary department of hospital subject to intervention. Data gathered indicate that the charge for subsidiesfor providing therapeutic diet, and nutrition and meal counseling should be increased. The results indicated thatthe cost of subsidies for providing therapeutic diet and nutrition and meal counseling should be increased. The resultsalso suggested the necessity of reducing tasks with opportunity losses. A hospital with the system newly establishedhas already realized the benefits of the measures implemented through the system. The system supports patientsto take in the appropriate nutrients by increasing the number of registered dieticians and calculating the estimatedenergy requirement from the actual measurements of resting energy expenditure for personalized nutrition care.