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

1.本研究是在大阪府15个市的合作下，利用1991-1993年的国民健康保险记录进行的。其目的是从这三年的变化角度，展示这些城市门诊患者的数量和条件与他们各自预期寿命的一些特征。从1991年5月、1992年5月和1993年5月大阪府15个市的全民医保门诊记录中，重点关注了主要慢性病患者，即肿瘤、循环系统疾病和消化系统疾病。从这些患者的保险记录中，分别按39岁及以下、40岁至、65岁及以上年龄段分析了人均病例数、人均治疗天数、人均治疗点数。分析了这些因素与0、20、40、65和70…时预期寿命的关系每座城市的更多信息。本研究涵盖的15个城市为：岸和田市、出水松市、凯都卡市、森口市、平田市、茨城市、瑶市、出水野市、松原市、水野市、泽津市、高石市、东阪市和片野市。对于每个循环系统疾病保险的门诊病例数，皮尔逊相关系数显示，39岁及以下和40至69岁的大多数人的皮尔逊相关系数为负值。对于65岁及以上的男性，相关系数为正值，而对于女性，1992年和1993年为负值。对于每个参保人的治疗天数和每个参保人的治疗次数，系数大多为负值。在消化道疾病方面，39岁及以下人均患病人数与人均预期寿命之间的相关系数均为负值。关于每个参保人的治疗天数和每个参保人的治疗点数，所有系数均为负值。这些结果表明，在预期寿命较长的城市中，在循环系统疾病和消化道疾病方面，人均治疗天数和人均治疗点数较低。这表明，在预期寿命较长的城市，这些疾病的发病率较低。预期寿命和肿瘤之间的关系很低。较少

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