Table 1.
Characteristics of study site, Hokkaido and all of Japan
| 2001 | 2007 | ||||||
|---|---|---|---|---|---|---|---|
| Study site | Hokkaido | Japan | Study site | Hokkaido | Japan | ||
| Population*1 | 10,013 | 5,667,024 | 126,478,672 | 9,104 | 5,571,770 | 127,066,178 | |
| Proportion of the aged 65 and above (%)*1 | 28.0 | 19.0 | 18.3 | 33.0 | 23.0 | 21.6 | |
|
Proportion of the population aged 70 and above who are enrolled in Citizen' s Health Insurance (%)*2 |
- | - | - | 80.5 | - | 82.3 | |
| Outpatient medical expenditures | 22,943 | 21,971 | 21,812 | 23,941 | 22,275 | 23,030 | |
|
Average monthly expenditures per individual enrolled under the medical care for the elderly program (yen)*3 |
Inpatient medical expenditures | 38,011 | 37,208 | 26,761 | 39,628 | 45,607 | 33,683 |
| Total medical expenditures | 60,954 | 59,179 | 48,573 | 63,568 | 67,882 | 56,713 | |
| Support level*6 | 2.7 (21.0) | 1.9 (14.0) | 1.7 (13.1) | 3.4 (18.3) | 2.1 (12.2) | 2.0 (12.2) | |
| Care level 1*7 | 3.5 (26.4) | 4.3 (32.0) | 3.8 (29.3) | 4.6 (24.8) | 5.8 (34.0) | 5.1 (30.8) | |
|
Proportion of the individuals certified as being eligible for LTCI benefits among |
Care level 2 | 2.4 (18.0) | 2.5 (18.6) | 2.4 (18.9) | 3.0 (16.3) | 2.9 (17.2) | 2.9 (17.7) |
|
individuals aged ≥65 years according to eacheligibility level (%) and its distribution(%)*4 |
Care level 3 | 1.6 (12.3) | 1.5 (11.4) | 1.7 (13.0) | 2.6 (13.9) | 2.4 (14.3) | 2.6 (15.6) |
| Care level 4 | 1.5 (11.7) | 1.5 (11.4) | 1.7 (13.0) | 2.1 (11.4) | 1.9 (11.1) | 2.1 (12.7) | |
| Care level 5 | 1.4 (10.6) | 1.7 (12.6) | 1.6 (12.7) | 2.8 (15.4) | 1.9 (11.2) | 1.8 (11.0) | |
| Total | 13.1 (100) | 13.3 (100) | 12.9 (100) | 18.4 (100) | 17.0 (100) | 16.5 (100) | |
| Total amount of home and community-based services | 36,017 | 42,190 | 46,870 | 35,042 | 42,383 | 49,018 | |
| Total amount of institutional services | 295,525 | 360,799 | 347,202 | 266,367 | 270,556 | 269,441 | |
| Total amount of long-term care services | 144,532 | 123,423 | 109,802 | 103,139 | 98,776 | 90,554 | |
| Home and community-based services | |||||||
| Home-help*8 | 31,490 | 45,164 | 53,396 | 40,300 | 40,805 | 48,866 | |
| Home-visit bathing*9 | 0 | 45,376 | 48,715 | 44,962 | 52,359 | 56,356 | |
| Visiting nurse*9 | 43,964 | 37,240 | 42,223 | 24,264 | 37,751 | 41,867 | |
| Visiting rehabilitation*9 | n/a | 21,277 | 21,470 | n/a | 24,276 | 25,264 | |
| Management & guidance*9 | 13,651 | 10,098 | 9,773 | 10,882 | 9,229 | 10,067 | |
| Average monthly expenditures per recipient | Day care*10 | 35,261 | 42,566 | 52,608 | 34,242 | 53,142 | 67,279 |
| of specific care service (yen)*5 | Day rehabilitation*9 | 39,469 | 57,469 | 68,512 | 36,577 | 58,584 | 67,341 |
| Respite care*11 | 106,800 | 93,959 | 83,162 | 80,232 | 82,583 | 87,963 | |
| Rental services for assistive devices*9 | 12,359 | 13,461 | 14,349 | 12,202 | 12,163 | 14,858 | |
| Small scale community-based multiple services centres*9 | n/a | n/a | n/a | n/a | 168,732 | 173,167 | |
| Institutional services | |||||||
| Group homes for the elderly with dementia*12 | 0 | 239,865 | 238,750 | 253,656 | 261,843 | 262,342 | |
| Residential care facilities for the elderly requiring care*13 | 189,171 | 157,917 | 185,640 | 146,515 | 153,129 | 176,692 | |
| Nursing homes*14 | 273,710 | 324,612 | 329,049 | 262,478 | 253,480 | 260,221 | |
| Health services facilities for the elderly | 282,363 | 343,379 | 340,590 | 247,217 | 275,097 | 274,100 | |
| Sanatorium-type medical care facilities | 378,974 | 458,238 | 443,415 | 388,618 | 397,802 | 387,194 | |
*1 Data from Japan Geographic Data Center, "Jyumin Kihon Daicho Jinko Yoran (Population summary of basic residents' register)" at the end of the each fiscal year.
*2 Proportion of the population aged 70 and above who are enrolled in Citizen's Health Insurance (%) = The population of the Citizen's Health Insurance member aged 70 and above / The total population of the persons aged 70 and above. Data at the end of the fiscal year 2006 is used.
*3 Data from All-Japan Federation of National Health Insurance Organizations, "Kokumin-Kenko-Hoken no Jittai (Situation of Citizen' s Health Insurance)". Data for study site, Hokkaido and Japan for 2002 is substituted for those for 2001. Data for "Sorachi Chubu Koiki Rengo", which includes study site, is substituted for the study site.
*4 Proportion of the individuals certified as being eligible for LTCI benefits among individuals aged ≥65 years (%) = the number of the all aged individuals certified as long-term care / the number of the insured individuals aged 65 and above. Data for Hokkaido and Japan from Japan Ministry of Health, Labour and Welfare, "Report on the Status of the Long-term Care Insurance Project" at the end of the each fiscal year.
*5 Data for study site for 2007 excludes March 2008. Data for Hokkaido and Japan from Japan Ministry of Health, Labour and Welfare, Ministry Secretariat, Statistics and Information Department, "Survey of Long-term Care Beneft Expenditures". Data for Hokkaido for 2002 is substituted for that for 2001.
*6 Support level for 2007 means Support level 1.
*7 Care level 1 for 2007 includes Support level 2.
*8 "Preventive care" and "Night care" are included for 2007.
*9 "Preventive care" is included for 2007.
*10 "Preventive care" and "Services for the elderly with dementia" are included for 2007.
*11 Consists of regular and medically-related Respite care. "Preventive care" is included for 2007.
*12 Counted as institutional services in this study. "Preventive care" is included for 2007.
*13 Counted as institutional services in this study. "Preventive care" and "Community-based residential care facilities for the elderly requiring care" are included for 2007.
*14 "Community-based welfare facilities for the elderly requiring care" are included for 2007.
All years are fiscal years; April to March.