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１．医療費及び１施設当たり医療費
（１）医療費の伸び率（対前年同期比）及び推移
（単位：億円）
| 医療機関病床規模別 |
平成13年度 |
平成14年度 |
平成15年度 |
平成16年度 |
|
平成13年度 |
平成14年度 |
平成15年度 |
平成16年度 |
| 計 |
計 |
４〜９月 |
10〜３月 |
計 |
４〜９月 |
10〜3月 |
４〜２月 |
４〜９月 |
10〜2月 |
１月 |
２月 |
計 |
計 |
４〜９月 |
10〜３月 |
計 |
４〜９月 |
10〜3月 |
４〜２月 |
４〜９月 |
10〜2月 |
１月 |
２月 |
| 保険医療機関 |
医科歯科計 |
1.9% |
-1.9% |
-1.5% |
-2.4% |
1.0% |
0.5% |
1.6% |
0.9% |
0.5% |
1.3% |
0.1% |
1.4% |
271,027 |
265,753 |
132,570 |
133,183 |
268,541 |
133,270 |
135,271 |
246,748 |
133,954 |
112,794 |
22,121 |
22,329 |
| 医科 |
計 |
1.9% |
-2.1% |
-1.8% |
-2.5% |
1.4% |
0.9% |
1.9% |
0.9% |
0.5% |
1.3% |
0.3% |
1.8% |
244,984 |
239,808 |
119,441 |
120,366 |
243,116 |
120,491 |
122,624 |
223,522 |
121,107 |
102,414 |
20,194 |
20,310 |
| 病院 |
計 |
1.5% |
-1.5% |
-1.6% |
-1.4% |
1.5% |
1.4% |
1.6% |
0.5% |
0.1% |
0.9% |
1.0% |
-0.1% |
169,434 |
166,864 |
83,041 |
83,823 |
169,363 |
84,196 |
85,166 |
155,186 |
84,323 |
70,864 |
14,242 |
13,809 |
| 小計 |
1.5% |
-1.5% |
-1.6% |
-1.4% |
1.5% |
1.4% |
1.6% |
0.5% |
0.2% |
0.9% |
1.0% |
-0.1% |
169,390 |
166,817 |
83,015 |
83,801 |
169,328 |
84,172 |
85,155 |
155,147 |
84,300 |
70,847 |
14,238 |
13,805 |
| |
20〜49床 |
-0.9% |
-5.9% |
-5.3% |
-6.4% |
-1.3% |
-2.3% |
-0.3% |
-2.3% |
-2.1% |
-2.5% |
-3.4% |
-2.6% |
5,334 |
5,021 |
2,538 |
2,483 |
4,957 |
2,480 |
2,477 |
4,421 |
2,427 |
1,994 |
394 |
390 |
| 50〜99 |
0.9% |
-3.8% |
-3.3% |
-4.3% |
-0.5% |
-1.0% |
-0.0% |
0.3% |
0.0% |
0.6% |
0.1% |
0.3% |
15,896 |
15,296 |
7,664 |
7,632 |
15,219 |
7,589 |
7,630 |
13,920 |
7,590 |
6,329 |
1,269 |
1,247 |
| 100〜199 |
3.4% |
-1.9% |
-1.5% |
-2.2% |
1.7% |
1.4% |
2.0% |
0.5% |
0.3% |
0.8% |
1.0% |
-0.3% |
32,870 |
32,247 |
16,083 |
16,164 |
32,806 |
16,315 |
16,491 |
30,086 |
16,362 |
13,724 |
2,769 |
2,672 |
| 200〜299 |
-1.0% |
-1.6% |
-2.1% |
-1.2% |
0.9% |
1.2% |
0.6% |
-0.5% |
-0.7% |
-0.2% |
0.3% |
-1.3% |
23,300 |
22,916 |
11,378 |
11,538 |
23,118 |
11,514 |
11,604 |
21,000 |
11,433 |
9,567 |
1,938 |
1,847 |
| 300〜499 |
1.1% |
-1.1% |
-1.7% |
-0.5% |
2.5% |
2.4% |
2.6% |
1.6% |
1.2% |
1.9% |
1.6% |
1.0% |
44,029 |
43,544 |
21,626 |
21,918 |
44,634 |
22,140 |
22,494 |
41,301 |
22,417 |
18,884 |
3,779 |
3,673 |
| 500床以上 |
2.3% |
-0.3% |
-0.3% |
-0.4% |
1.7% |
1.7% |
1.6% |
0.3% |
-0.3% |
1.0% |
1.4% |
-0.3% |
47,961 |
47,793 |
23,727 |
24,065 |
48,594 |
24,134 |
24,460 |
44,420 |
24,072 |
20,348 |
4,088 |
3,975 |
| 200床未満(再掲) |
2.2% |
-2.8% |
-2.4% |
-3.3% |
0.8% |
0.4% |
1.2% |
0.2% |
-0.0% |
0.4% |
0.3% |
-0.3% |
54,101 |
52,564 |
26,284 |
26,280 |
52,981 |
26,384 |
26,597 |
48,426 |
26,379 |
22,048 |
4,433 |
4,310 |
| 200床以上（再掲） |
1.1% |
-0.9% |
-1.2% |
-0.6% |
1.8% |
1.9% |
1.8% |
0.6% |
0.2% |
1.1% |
1.3% |
-0.0% |
115,289 |
114,253 |
56,731 |
57,522 |
116,346 |
57,788 |
58,558 |
106,721 |
57,921 |
48,799 |
9,806 |
9,495 |
| 診療所 |
計 |
2.7% |
-3.5% |
-2.2% |
-4.7% |
1.1% |
-0.3% |
2.5% |
1.8% |
1.3% |
2.3% |
-1.4% |
5.9% |
75,550 |
72,944 |
36,401 |
36,543 |
73,753 |
36,295 |
37,458 |
68,336 |
36,785 |
31,551 |
5,953 |
6,501 |
| 有床 |
-1.6% |
-8.4% |
-7.1% |
-9.7% |
-3.6% |
-5.1% |
-2.0% |
-2.8% |
-2.8% |
-2.7% |
-4.3% |
-1.9% |
23,363 |
21,397 |
10,929 |
10,468 |
20,633 |
10,371 |
10,262 |
18,313 |
10,081 |
8,231 |
1,578 |
1,627 |
| 無床 |
4.6% |
-1.6% |
-0.2% |
-2.8% |
3.4% |
1.8% |
5.0% |
3.8% |
3.5% |
4.2% |
-0.3% |
8.9% |
51,668 |
50,860 |
25,140 |
25,720 |
52,608 |
25,603 |
27,005 |
49,670 |
26,507 |
23,163 |
4,344 |
4,843 |
|
（２） １施設当たり医療費の伸び率（対前年同期比）及び推移
（単位：万円）
| 医療機関病床規模別 |
平成13年度 |
平成14年度 |
平成15年度 |
平成16年度 |
|
平成13年度 |
平成14年度 |
平成15年度 |
平成16年度 |
| 計 |
計 |
４〜９月 |
10〜３月 |
計 |
４〜９月 |
10〜3月 |
４〜２月 |
４〜９月 |
10〜2月 |
１月 |
２月 |
計 |
計 |
４〜９月 |
10〜３月 |
計 |
４〜９月 |
10〜3月 |
４〜２月 |
４〜９月 |
10〜2月 |
１月 |
２月 |
| 保険医療機関 |
医科 |
病院 |
計 |
1.8% |
-1.2% |
-1.3% |
-1.2% |
1.9% |
1.7% |
2.2% |
1.2% |
0.9% |
1.5% |
1.7% |
0.4% |
183,098 |
180,834 |
89,920 |
90,915 |
184,340 |
91,442 |
92,902 |
170,013 |
92,272 |
77,742 |
15,635 |
15,159 |
| 小計 |
1.8% |
-1.2% |
-1.3% |
-1.2% |
1.9% |
1.7% |
2.2% |
1.2% |
1.0% |
1.5% |
1.7% |
0.5% |
183,169 |
180,911 |
89,955 |
90,957 |
184,414 |
91,474 |
92,944 |
170,129 |
92,345 |
77,786 |
15,641 |
15,171 |
| |
20〜49床 |
1.2% |
-3.9% |
-3.6% |
-4.2% |
0.1% |
-0.4% |
0.7% |
1.1% |
0.6% |
1.6% |
1.3% |
1.2% |
39,171 |
37,634 |
18,893 |
18,740 |
37,676 |
18,812 |
18,865 |
34,744 |
18,930 |
15,814 |
3,139 |
3,104 |
| 50〜99 |
1.1% |
-3.5% |
-2.9% |
-4.2% |
0.3% |
-0.7% |
1.4% |
1.1% |
1.3% |
1.0% |
0.4% |
0.3% |
65,902 |
63,569 |
31,857 |
31,711 |
63,784 |
31,628 |
32,159 |
58,803 |
32,031 |
26,772 |
5,368 |
5,270 |
| 100〜199 |
2.1% |
-2.7% |
-2.6% |
-2.8% |
1.4% |
1.0% |
1.7% |
0.7% |
0.6% |
0.8% |
0.9% |
-0.1% |
122,320 |
119,062 |
59,375 |
59,686 |
120,695 |
59,968 |
60,728 |
110,843 |
60,324 |
50,520 |
10,189 |
9,854 |
| 200〜299 |
1.3% |
-0.9% |
-1.0% |
-0.9% |
1.5% |
1.6% |
1.5% |
-0.0% |
-0.2% |
0.1% |
0.7% |
-1.2% |
198,155 |
196,327 |
97,539 |
98,787 |
199,368 |
99,061 |
100,310 |
181,757 |
98,912 |
82,845 |
16,782 |
16,046 |
| 300〜499 |
1.2% |
-1.1% |
-1.3% |
-0.8% |
2.2% |
2.3% |
2.0% |
0.4% |
-0.1% |
0.9% |
0.5% |
0.1% |
396,090 |
391,872 |
194,563 |
197,310 |
400,305 |
199,130 |
201,169 |
366,349 |
198,935 |
167,413 |
33,504 |
32,533 |
| 500床以上 |
1.9% |
0.8% |
0.8% |
0.7% |
2.9% |
2.5% |
3.4% |
1.4% |
1.2% |
1.6% |
2.1% |
0.8% |
960,815 |
968,119 |
481,287 |
486,825 |
996,457 |
493,206 |
503,286 |
920,021 |
499,073 |
420,941 |
84,636 |
82,304 |
| 200床未満（再掲） |
2.2% |
-2.7% |
-2.3% |
-3.0% |
1.3% |
0.7% |
1.8% |
1.3% |
1.1% |
1.4% |
1.4% |
0.5% |
83,733 |
81,509 |
40,703 |
40,806 |
82,530 |
40,980 |
41,552 |
76,216 |
41,451 |
34,766 |
6,995 |
6,802 |
| 200床以上（再掲） |
2.1% |
-0.4% |
-0.4% |
-0.4% |
2.2% |
2.1% |
2.3% |
0.5% |
0.2% |
0.9% |
1.1% |
-0.2% |
413,729 |
412,154 |
204,732 |
207,422 |
421,202 |
209,113 |
212,090 |
385,894 |
209,480 |
176,413 |
35,450 |
34,365 |
| 診療所 |
計 |
1.4% |
-4.4% |
-3.1% |
-5.7% |
-0.0% |
-1.4% |
1.3% |
0.8% |
0.4% |
1.3% |
-2.4% |
4.9% |
9,475 |
9,056 |
4,531 |
4,525 |
9,053 |
4,467 |
4,586 |
8,310 |
4,484 |
3,825 |
721 |
788 |
| 有床 |
2.4% |
-3.3% |
-2.4% |
-4.2% |
2.6% |
1.1% |
4.2% |
2.0% |
2.4% |
1.4% |
-0.2% |
2.2% |
13,877 |
13,422 |
6,739 |
6,682 |
13,774 |
6,815 |
6,961 |
12,787 |
6,982 |
5,805 |
1,118 |
1,155 |
| 無床 |
1.9% |
-3.9% |
-2.5% |
-5.3% |
0.2% |
-1.2% |
1.6% |
1.4% |
0.8% |
2.0% |
-2.5% |
6.7% |
8,286 |
7,962 |
3,964 |
3,997 |
7,978 |
3,917 |
4,060 |
7,359 |
3,947 |
3,411 |
639 |
712 |
|
| （注） |
１． |
社会保険診療報酬支払基金審査分、国保連合会審査分の医療費（算定ベース）であり、公費負担医療を含む。（現金支給及び労災等は含まない。） |
| ２． |
病床規模については、医療機関単位別データを「医療施設動態調査（月末概数）」（統計情報部）と突合することにより、医療施設調査の「病床数」に基づき分類している。 |
| ３． |
「小計」は、医療施設調査と突合したデータについて集計したものである。 |
|