A Study on the present and future/ marginal analysis by the clinical fuction evaluation and prefecture dependent analysis in special functioned hospital- Before/ after public nursing care insuranve-

通过1999/ 2000/ 2001年使用香川县医疗保险报酬[国民健康保险证书]（KOKUHO RESEPUTO）。分析了119种疾病中46种疾病的4项临床指标（区域依赖比[%]、区域患者比[%]、依赖熵、临床领域熵）。并对15年（1985年、1999年）的老年病（恶性肿瘤、脑血管病和心脑血管病）的4项指标进行了分析。并对65岁以上患者的4项指标进行了分析，分析了公共护理保险对同一疾病实施前后的情况。在上述检验中，我们估计了位于三木镇的特殊功能医院K（香川医学院医院：KMSH）的现在功率和未来/边际功率。KMSH对香川县的医疗保健需求产生了影响。特殊疾病，如恶性肿瘤、脑/心血管疾病和其他特殊疾病，影响程度高，范围广，但其他疾病的影响程度不高。但在后期，这些影响和疆域的倾向并不突出。但在65年以上的时间里，门诊和住院患者对许多疾病实施护理保险前后的变化是突出的。总的观察，如果没有KMSH的特殊创新，进一步的突出演变是无法计算的

By using the Medical Insurance Remuneration [National Health Insurance Certificates] (KOKUHO RESEPUTO) of Kagawa prefecture in 1999/ 2000/ 2001. 4 out- and in- patient clinical indices (Territory Dependent Ratio [%], Territory Patient Ratio [%], Dependent Entropy, Clinical Sphere Entropy) were analyzed on 46 diseases out of 119 diseases. Adding to them, on geriatric diseases (malignant tumor, cerebrovascular diseases and cardiovascular diseases) were analyzed for 15 years (1985, 1999) about the 4 indices. And, 4 indices of over 65 years patients were also analyzed before and after the enforcement of Public Nursing Care Insurance on the same diseases. Above mentioned examinations, we estimate the following results about Present Power and Future/ Marginal Power of the Special Functioned Hospital K (Kagawa Medical School Hosipital: KMSH) situated in Miki Town. KMSH have had the inpact on the demand of medical care in Kagawa prefecture. About the spesial disease, e. g., malignant tumor, cerebro/ cardiovascular disease and other special diseases, the inpacts were high, and the territory is broad spectrum, but the other diseases were not. But in late years, these tendencies of inpacts and territory were not prominent. But for the over 65 years, alternations before and after the enforcement of Nursing Care Insurance on many disease both by out- and in- patient is prominent. Totally observed, without the special innovation of KMSH, further prominent evolution could be uncalculated