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

目的：通过分析大阪市各市国民健康保险计划提供的医疗服务数据，从基本医疗地区的角度阐明住院和门诊医疗服务的特点，为未来各区的医疗服务规划做出贡献。主题：1995年5月提供的住院和门诊医疗服务数据（分别为74,486和1,860,062）来自大阪所有44个城市、乡镇和村庄。每位患者的调查项目包括所使用的医疗机构的地点和所有者，调查月份住院或门诊的天数和点数，以及从入院日起的总住院天数。结果：(1)分年龄组患者人数比例：65岁及以上患者比例以东京都地区（63.2%）和三岛地区（62.4%）较高。(2)住院率（每100名参保人）：75岁及以上患者住院率最高的是仙州（11.6），最低的是东京都（9.1）。(3)75岁及以上长期住院（超过180天）患者住院率最高的是仙州（54.5），最低的是东京都（29.4）。(4)住院天数比例：65岁及以上患者的住院天数比例在东京都（66.1%）和大阪市南部地区（66.0%）较高。(5)医疗保险点比例：65岁及以上患者的医疗护理点比例在三岛、东京都和川崎南部地区较高（65%以上）。

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.