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Table 1 Characteristics of study site, Hokkaido and all of Japan

From: Impact of home and community-based services on hospitalisation and institutionalisation among individuals eligible for long-term care insurance in 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. *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. *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. *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. *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. *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 Benefit Expenditures". Data for Hokkaido for 2002 is substituted for that for 2001.
  6. *6 Support level for 2007 means Support level 1.
  7. *7 Care level 1 for 2007 includes Support level 2.
  8. *8 "Preventive care" and "Night care" are included for 2007.
  9. *9 "Preventive care" is included for 2007.
  10. *10 "Preventive care" and "Services for the elderly with dementia" are included for 2007.
  11. *11 Consists of regular and medically-related Respite care. "Preventive care" is included for 2007.
  12. *12 Counted as institutional services in this study. "Preventive care" is included for 2007.
  13. *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. *14 "Community-based welfare facilities for the elderly requiring care" are included for 2007.
  15. All years are fiscal years; April to March.
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BMC Health Services Research

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