Characteristics of in-patient care for the people in Osaka with special reference to the region of medical care

目的：通过对大坂市所有市町村的国民健康保险医疗数据进行分析，从基础医疗区域的角度明确住院和门诊医疗的特点，为今后各区域的医疗规划做出贡献。1995年5月，从大坂的所有44个城市、城镇和村庄获得了住院和门诊医疗服务的数据（分别为74，486和1，860，062次申请）。结果：（1）各年龄组的患者人数比例：65岁以上的患者人数比例，丰野地区（63.2%）和三岛地区（62.4%）较高。(2)入院率（每100名被保险人）：75岁或以上患者的入院率在仙州河最高（11.6），在丰野河最低（9.1）。(3)75岁以上的长期住院（180天以上）患者的住院率（每1000名被保险人）在仙州河最高（54.5），在丰野河最低（29.4）。(4)住院天数比例：65岁或以上患者的住院天数比例在丰野（66.1%）和大坂市南部地区（66.0%）较高。(5)医疗保险点的比例：三岛、丰野和河内南部地区65岁以上患者的医疗保健点比例较高（超过65%）。

Objective : To clarify the characteristics of in-patient and out-patient medical care from the point of the Basic Medical Care Region, which will contribute the medical care planning in a future in each Region, by analyzing the data of medical care offered under the National Health Insurance schemes in all municipalities in Osaka.Subjects : Data on in-patient and out-patient medical care offered in May, 1995, (74,486 and 1,860,062 claims, respectively) were obtained from all 44 cities, towns, and villages in Osaka. Items surveyed for each patient were the place and owner of medical institution used, days and points for in-patient or out-patient in the month surveyed, and total in-patient days from admission day.Results : (1) Proportion of number of patients by age group : Proportion of number of patients aged 65 or more was higher in Toyono (63.2%) and Mishima (62.4%) Regions. (2) Admission rate (per 100 insured persons) : Admission rate of patients aged 75 or more was highest (11.6) in Senshu R.and lowest (9.1) in Toyono R.(3) Admission rate (per 1000 insured persons) of long-stay (more than 180 days or more) patients aged 75 or more was highest (54.5) in Senshu R.and lowest (29.4) in Toyono R.(4) Proportion of in-patient days : Proportion of in-patient days of patients aged 65 or more was higher in Toyono (66.1%) and Osaka-city southern Area (66.0%) Rs. (5) Proportion of medical are insurance points : Proportion of medical care points of patients aged 65 or more was higher (more than 65%) in Mishima, Toyono, and Kawachi southern Area Regions.