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Summary medical in 2008

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Summary of medical facilities investigation

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1.Medical facilities

(1) Hospital remains at the same level, and existence floor facility decreases general medical office, and dental clinic does not change

(2) Bed capacity of general medical office is trend toward decreases

(3) Mean hospitalization of hospital is some trend toward decreases

(4) Bed availability of tuberculosis bed decreases

(5) The daily mean hospitalization number of patients of hospital, the foreign number of patients decrease

Excel Number of the table 1 medical facilities, [EXCEL file/36KB according to establisher, annual]

Excel Number of the table 2 medical facilities, [EXCEL file/29KB according to type, annual of facility]

Excel Table 3 a population of 100,000 vs. number of the medical facilities, [EXCEL file/34KB according to type, annual of facility]

Excel Table 4 bed capacity, [EXCEL file/30KB according to type, annual of bed]

Excel Table 5 a population of 100,000 vs. bed capacity, [EXCEL file/34KB according to type, annual of bed]

2.Medical personnel

(1) Doctor, dentist, pharmacists increase year by year

(2) Hospital duty, 23.4% are medical office establishment 48.1% of doctors

(3) 60.1% of dentists are medical office establishment

(4) It is prepared hospital, medical office 39.1% of pharmacists drugstore duty, 25.3% 

Summary of investigation

1.Medical facilities investigation

(1) Purpose of investigation
 This investigation clarifies the actual situation of distribution of medical facilities (hospital, medical office to fix for law No. 205) in medical law (1948) of the whole country and maintenance and grasps medical treatment function of medical facilities and is intended that we get the basics of medical administration information.

(2) The history of investigation
 This investigation was doing "medical care investigation that we saw from facility surface" carried out in 1948 with forerunner, and we set medical facilities investigation rule (1953 public welfare departmental order No. 25) based on statistical law (1947 law No. 18) in 1953, and it was designated statistics (No. 65).
 We investigated every year until 1972, but it revises medical facilities investigation rule in 1973 and carries out "medical facilities static condition investigation" for the purpose of grasping the detailed actual situation of all medical facilities every three years from 1975 and decides to carry out "medical facilities change investigation" based on application, reports such as establishment, the abolition submitted to by medical facilities every month and continues up to the present day.
 In addition, we investigated as of the end of December until 1981, but investigate as of October 1 from 1984.

(3) Type, period of investigation and date
・  Medical facilities static condition investigation (we say "static condition investigation" as follows.)
   As of static condition investigation (once in three years) October 1
・  Medical facilities change investigation (we say "change investigation" as follows.)
   It is one year from change investigation (every month) every month October 1 

(4) Subjects of survey

 All medical facilities which we establish at the time of static condition investigation investigation
 It is the acceptance or medical facilities which we disposed of by reports such as establishment, the abolition, change based on change investigation medical law
 They include medical office only for house call, kaiho**sho in Okinawa in medical facilities, but midwifery home, care for the elder healthcare facility, public health center do not include.

(5) Matter of investigation
 The situation of facility name, the location, establisher, specialities, facilities of facility, the number of workers and the duty, permission bed capacity, the situation of social insurance medical treatment, the situation of conduct of presence, medical treatment of notification of emergency hospital, medical office and inspection, other matters which is related

(6) Method of investigation and system
 Static condition investigation depended on own method that manager of medical facilities filled in on questionnaire by oneself in total.

  Ministry of Health, Labour and Welfare -- metropolis and districts ------- public health center -- medical facilities
               └─Public health center setting city, special ward─┘    

 Based on application, reports such as establishment, the abolition, prefectural governors or the head of city, special ward to install public health center in made change questionnaire and submitted change investigation to the Minister of Health, Labour and Welfare.

  Ministry of Health, Labour and Welfare -- metropolis and districts - - - - - - - - - - - - - hospital, medical office
              └─Public health center setting city, special ward - - - medical office 
 

(7) Count of result
 It was performed in the Minister's Secretariat at Ministry of Health, Labour and Welfare Statistical Information Department.

2.Hospital report

(1) Purpose of report
 We grasp hospitals of the whole country, the use situation of patient in medical office having medical treatment bed and the situation of worker and are intended that we get the basics of medical care administration information.

(2) The history of report
 Forerunner of this report was "hospital weekly bulletin" which started in October, 1945, but we changed to monthly report from weekly bulletin in June, 1948 and we set the medical law enforcement regulations (1948 public welfare departmental order No. 50) in November of the year and made grounds of report clear and did with report based on medical law from 1949.

 We change name to "hospital report" by revision of the medical law enforcement regulations in 1954 and do with approval statistics investigation based on the statistical report adjustment method (1952 law No. 148) and further add worker vote from 1973 and decide to demand report from medical office having nursing-home-type unit (the existing "medical treatment bed") from 1998.
 In addition, grounds of report became medical law enforcement order (1948 cabinet ordinance No. 326) from March, 2001.

(3) Type, period of report and date
 Patient vote (every month report) from January 1, 2008 to December 31
 As of worker vote (we report only hospital once a year) October 1, 2008 
 

(4) Object of report
 Medical office having hospitals of the whole country, medical treatment bed

(5) Matter of report
 The patient vote hospitalization number of patients, the new hospitalization number of patients, the discharge number of patients, the foreign number of patients
 The number of worker vote doctor, dentist, pharmacist, nurses 
 

(6) Method of report and system
 Manager of patient vote hospital and medical office having medical treatment bed made and submitted to the Minister of Health, Labour and Welfare.
 Manager of worker vote hospital made and submitted to the Minister of Health, Labour and Welfare.

  Ministry of Health, Labour and Welfare -- metropolis and districts ------- public health center -- Hospital, medical office
               └─Public health center setting city, special ward─┘     

(7) Count of result
 It was performed in the Minister's Secretariat at Ministry of Health, Labour and Welfare Statistical Information Department.

3.Doctor, dentist, pharmacist investigation

(1) Purpose of investigation
 About doctor, dentist and pharmacist, we clarify distribution by nature, age, classification of duties, engagement place and clinical department names (we remove pharmacist.), and this investigation is intended that we get the basics of public welfare labor administration information and carries out every year every two years at after the same year until 1982.

(2) Date of investigation
 As of December 31, 2008

(3) Subjects of survey and object
 Address was in our country and did each report vote of pharmacist who reported by doctor whom we reported by Medical Practitioners Act Article 6 Paragraph 3, dentist whom we reported by Dentist Act Article 6 Paragraph 3 and Pharmacist Law Article 9 with object of investigation.

(4) Matter of investigation
 Address, the nature, the date of birth, the registration date, classification of duties, main business content (except pharmacist), the location of engagement, engaging clinical department name (except pharmacist)

(5) Method of report and system
 We submit report vote submitted by doctor, dentist who are person of report duty and pharmacist to Minister of Health, Labour and Welfare report at public health center.

  Ministry of Health, Labour and Welfare -- metropolis and districts ------- public health center -- doctor, dentist, pharmacist
               └─Public health center setting city, special ward─┘

(6) Count of result
 It was performed in the Minister's Secretariat at Ministry of Health, Labour and Welfare Statistical Information Department.

4.Precautions

(1) Terms of representation sign

Of calculation when there is not  
When it is inappropriate to represent calculation ignorance or calculation  
When statistics item is not possible  
When it does not reach 1 of last figure that result that we rounded at the ratios should represent  0.0
When we mean the number of the decrease or rate of decline  

(2) As number of publication rounds off in summary of result, the total of breakdown may not match "the total number".

(3) As for the population that we used a population of 100,000 pairs for for the ratio calculation by summary of result, "2005 national census" is - proportional distribution finished population (Ministry of Internal Affairs and Communications Statistics Bureau).

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1.Medical facilities

(1)Hospital remains at the same level, and existence floor facility decreases general medical office, and dental clinic does not change

 The number of the medical facilities total number in Kumamoto as of October 1, 2008 is 2,500 facilities (except facility of we straighten and "are closing the office more than stop, one year").
 Hospital decreased 1 facility in 217 facilities in comparison with the previous year. General medical office decreased 10 facilities (0.7%) in 1,453 facilities in comparison with the previous year. Existence floor medical office (414 facilities) continues decreasing year by year in that, and no floor medical office has increase (1,039 facilities). Dental clinic is 830 facilities and is the equivalent in the previous year.
 There are more number of the hospitals and number of the general medical offices per a population of 100,000 than the whole country, but there is less number of the dental clinics than the whole country.
 With the number of the facilities which we looked at according to establisher, in the hospital, there are the most "medical corporations" with 161 facilities (74.2% of number of the hospitals), and subsequently "public institution" is 24 facilities (11.1%). "Medical corporation" is most next to general medical office with 683 facilities (47.0% of number of the general medical offices), and "individual" becomes 524 facilities (36.1%). "Medical corporations" increase year by year, but "individual" decreases 1982 (1,145 facilities) at peak. "Individual" is most next to dental clinic with 639 facilities (77.0% of number of the dental clinics), and "medical corporation" becomes 185 facilities (22.3%).

Change (Kumamoto) of the number of the hospitals

  Material) Ministry of Health, Labour and Welfare "medical facilities (static condition, change) investigation in 2008" (the number of the facilities as of for each ten a year one day a month)

Change (2008 from 1998) of the number of the general medical offices of Kumamoto

  Material) Ministry of Health, Labour and Welfare "medical facilities (static condition, change) investigation in 2008" (the number of the facilities as of for each ten a year one day a month)

Change (2008 from 1998) of the number of the dental clinics of Kumamoto

  Material) Ministry of Health, Labour and Welfare "medical facilities (static condition, change) investigation in 2008" (the number of the facilities as of for each ten a year one day a month)

Change (whole country and Kumamoto) of the number of a population of 100,000 vs. the medical facilities

  Material) Ministry of Health, Labour and Welfare "medical facilities (static condition, change) investigation in 2008" (the number of the facilities as of for each ten a year one day a month)

The number of hospital according to establisher and the general medical offices (2008 Kumamoto)

  Material) Ministry of Health, Labour and Welfare "medical facilities (static condition, change) investigation in 2008" (the number of the facilities as of October 1)

 

The number of the dental clinics according to establisher (2008 Kumamoto)

  Material) Ministry of Health, Labour and Welfare "medical facilities (static condition, change) investigation in 2008" (the number of the facilities as of October 1)

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(2)Bed capacity of general medical office is trend toward decreases

 As for a population of 100,000 as of October 1, 2008 vs. the bed capacity, dental clinic was 1.9 beds 363.4 beds of general medical offices 1,967.4 bed of hospital (494.9 beds of mental sickbed, infectious disease bed (old infection sickbed) 2.6 beds, tuberculosis bed 13.5 beds, medical treatment bed 548.1 beds, general beds 908.3 beds) in Kumamoto.
 Bed capacity rises 5.7 beds (a population of 100,000 vs. bed capacity) from the previous year at hospital and decreases by 10.8 beds (a population of 100,000 vs. bed capacity) in the general medical office from the previous year. However, there are still more bed capacities than the whole country as bed capacities decrease in the whole country.

Change (whole country and Kumamoto) of a population of 100,000 vs. bed capacity

Ratio of hospital bed capacity (whole country and Kumamoto) according to bed type 

  Material) Ministry of Health, Labour and Welfare "medical facilities (static condition, change) investigation in 2008" (as of October 1)

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(3) Mean hospitalization of hospital is some trend toward decreases

 General beds were last year and the equivalent when they saw annual change of mean hospitalization of hospital, and others were slight decrease.

Annual change of mean hospitalization of hospital

  Material) Ministry of Health, Labour and Welfare "hospital report"

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(4)Bed availability of tuberculosis bed decreases

 Tuberculosis bed that was tendency to increase decreases in succession for four years when we see bed availability of hospital and decreases altogether.

Annual change (2008 from 1998) of bed availability of hospital

  Material) Ministry of Health, Labour and Welfare "hospital report"

 Note: (3)Other beds of, (4) are beds (they include old nursing-home-type unit of passing.) of medical treatment bed, general beds and others of passing old. Representation of "other beds" disappeared from public announcement for 2004, and it was representation of mental disease bed, infectious disease bed, tuberculosis bed, medical treatment bed and general beds.

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(5)The daily mean foreign number of patients of hospital, the foreign number of patients decrease

 The mean hospitalization number of patients decreases by 4.4 in 1,693.3 people for a population of 100,000:1 day of 2008 in hospital, and, as for the average outpatient department number of patients, 33.2 decrease in comparison with 1,219.9 and the previous year for a population of 100,000:1 day.

Annual change (2008 from 1998) of patients with daily mean hospitalization of hospital, the foreign number of patients

  Material) Ministry of Health, Labour and Welfare "hospital report"

Note: We do not agree with report number in before 1999 on the mean foreign number of patients for a population of 100,000:1 day because we calculated the foreign days with calculation-style change of country again 365 days as (as for the leap year 366 days/year) for one year.

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2.Medical personnel

(1) Doctor, dentist, pharmacists increase year by year

 The number of doctor, dentist, the pharmacists increases year by year. In addition, the number of the doctors exceeds the whole country when they see the number of doctor, dentist, the pharmacists of a population of 100,000 pairs, but dentist, the number of the pharmacists are less.

Kumamoto of the number of a population of 100,000 vs. doctor, dentist, the pharmacists and national change

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(2) Hospital duty, 23.4% are medical office establishment 48.1% of doctors

 The number of the doctors of this prefecture where had report as of December 31, 2008 is 4,706. They occupy approximately 72% of the whole in (23.4%) 2,262 people (48.1%), medical office establishment or 1,099 authorized representative of juristic person hospital duty when we see in classification of duties.
 In addition, engaging specialities have most internal medicine mainly followed by it is order of orthopedics, surgery.

As of number of the report doctors (employment place: Kumamoto) December 31, 2008 according to type of duties

  Material) Ministry of Health, Labour and Welfare "doctor, dentist, pharmacist investigation"

As of number of the medical treatment engagement doctors (employment place: Kumamoto) December 31, 2008 according to main clinical department name

  Material) Ministry of Health, Labour and Welfare "doctor, dentist, pharmacist investigation"

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(3) 60.1% of dentists are medical office establishment

 The number of the dentists of this prefecture where had report as of December 31, 2008 was 1,256. Medical office duty is 391 (31.1%), and medical office establishment or 755 authorized representative of juristic person (60.1%) occupies about 90% of the whole in them when we see in classification of duties.

As of types of duties, number of the dentists (employment place: Kumamoto) December 31, 2008 according to clinical department

  Material) Ministry of Health, Labour and Welfare "doctor, dentist, pharmacist investigation"

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(4) It is prepared hospital, medical office 39.1% of pharmacists drugstore duty, 25.3%

 The number of the pharmacists of this prefecture where had report as of December 31, 2008 is 3,247. There is the most drugstore duty in 1,269 people (39.1%) when we see in classification of duties, and subsequently composition of hospital, medical office is 822 (25.3%).

Number of the pharmacists (employment place: Kumamoto) December 31, 2008 according to type of duties

  Material) Ministry of Health, Labour and Welfare "doctor, dentist, pharmacist investigation"

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Fax: 096-384-9870
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