Access

You are not currently logged in.

Access your personal account or get JSTOR access through your library or other institution:

login

Log in to your personal account or through your institution.

Main Trends in Hospital Use in Different Cities in Japan

Kozo Tatara, Fumiaki Shinsho, Chiharu Nishigaki, Toshio Takatorige, Etsuji Okamoto and Kenji Kuroda
Medical Care
Vol. 31, No. 4 (Apr., 1993), pp. 335-344
Stable URL: http://www.jstor.org/stable/3766001
Page Count: 10
  • More info
  • Cite this Item
Main Trends in Hospital Use in Different Cities in Japan
Preview not available

Abstract

In this study, trends in hospital use were identified in Japanese cities. Data for all inpatient care in May 1985 (9,555 patients) and in May 1988 (11,205 patients) paid for by National Health Insurance in 12 cities in Osaka Prefecture were analyzed. The main factor affecting differences in inpatient days per insured person of all ages (hospital use) among the cities were differences in hospital use by long-stay patients aged 70 years or older, which depended not on inpatient days per patient but on the rate of hospital admission. The main factor affecting change in mean hospital use from May 1985 to May 1988 seemed to be an increase in hospital use by long-stay patients 70 years of age or older, which did not depend on increases in the rate of hospital admission, but did depend on the number of insured persons 70 years of age or older. Calculation showed that an increase of 13 long-stay patients 70 years of age or older for 10,000 insured persons 70 years of age or older per year was to have accounted for about 40% of the increase in hospital use by all patients. If the trend for increasing hospital use in Japan is to be altered, the first step might be the careful planning for this comparatively small increase in long-stay elderly patients by promotion of a non-hospital-based care system.

Page Thumbnails

  • Thumbnail: Page 
335
    335
  • Thumbnail: Page 
336
    336
  • Thumbnail: Page 
337
    337
  • Thumbnail: Page 
338
    338
  • Thumbnail: Page 
339
    339
  • Thumbnail: Page 
340
    340
  • Thumbnail: Page 
341
    341
  • Thumbnail: Page 
342
    342
  • Thumbnail: Page 
343
    343
  • Thumbnail: Page 
344
    344