A Study of the Change in Numbers and Conditions of Out-Patients of Urban Populations

1.本研究使用1991 ~ 1993年的国民健康保险记录，与大坂府15个城市合作进行。其目的是从这三年来变化的角度，说明这些城市门诊病人的数量和状况与其各自预期寿命的关系的一些特点。根据1991年、1992年和1993年5月大坂府15个城市的国民健康保险门诊记录，重点放在患有主要慢性病的患者，即肿瘤、循环系统疾病和消化道疾病。从这些患者的保险记录中，按照39岁及以下、40至64岁和65岁及以上的各自年龄组，对每个被保险人的病例数、每个被保险人的治疗天数和每个被保险人的治疗点进行了分析。这些因素与0、20、40、65和70岁时的预期寿命相关 关于我们 每个城市。本研究包括的15个城市是岸和田市、泉大市、海渡市、森口市、平方市、茨木市、姚市、泉佐野市、松原市、美浓市、摄津市、高石市、东大坂市和卡塔诺市。对于每个被保险人的循环系统疾病门诊病例数，男性和女性的皮尔逊相关系数在39岁及以下和40至69岁的大多数年龄段显示为负值。1992年和1993年，65岁及以上男性的系数为正值，而女性的系数为负值。人均治疗天数和人均治疗次数的相关系数大多为负值。对于消化道疾病，39岁及以下的每个被保险人的病例数与预期寿命之间的系数都显示为负值。在每名被保险人的治疗天数和每名被保险人的治疗点数方面，所有系数均为负值。这些结果表明，在预期寿命长的城市，每个被保险人在循环系统疾病和消化道疾病方面的治疗天数和治疗点数量都很低。这表明，在预期寿命长的城市，这些疾病的发病率很低。预期寿命与肿瘤的相关性较低。少

1. This study was conducted with the cooperation of 15 cities in Osaka Prefecture using records of the National Health Insurance from 1991-1993. Its objective was to show some of the characteristics of numbers and conditions of out-patients of these cities in relation to their respective life expectancies from the point of view of change through these three years.2. From the out-patient records of the National Health Insurance of 15 cities in Osaka Prefecture for May of 1991,1992, and 1993, focus was placed on patients suffering from the main chronic diseases, namely neoplasms, circulatory diseases, and digestive tract diseases. From the insurance records of these patients, analysis was conducted on the number of cases per insured, number of treatment days per insured, and treatment points per insured according to their respective age groups, 39 years and under, 40 to 64 years, and 65 years and over. These factors were analyzed in relation to the life expectancies at 0,20,40,65, and 70 … More of each city. The 15 cities included in this study was Kishiwada City, Izumiotsu City, Kaiduka City, Moriguchi City, Hirakata City, Ibaraki City, Yao City, Izumisano City, Matsubara City, Mino City, Settsu City, Takaishi City, Higashiosaka City, and Katano City.3. For the number of out-patient cases per insured for circulatory disease, the pearson correlation coefficients for both male and female showed negative values for most of ages 39 years and under and 40 to 69 years. For ages 65 years and over for male, the coefficcients showed positive values, while for females, they were negative values for 1992 and 1993. For number of treatment days per insured and number of treatment per insured, the coefficients mostly showed negative values. For digestive tract diseases, the coefficients between the number of cases per insured ages 39 years and under and the life expectancies all showed negative values. Regarding the number treatment days per insured and number of treatment points per insured, all coefficients showed negative values.4. These results show that in cities with long life expectancies, the number of treatment days per insured and the number of treatment points per insured are low with regard to circulatory diseases and digestive tract diseases. This suggests that in cities with long life expectancies, the severally of the these diseases is low. And the raltionship between life expectancies and neoplasms is low. Less