Vol. 14 No. 2 2005 249 259 Λ1 1961 1fl 2fl 1 1970 1961 1973 2 1973 1980 1990 199930 y1) 2010 54 5.6% 2025 104 4.5% 2000 1.75% 2001 1.5% 1995 7.1% 2010 11% 2025 17% 2.5 1 Λ1 700-0865 6-20 249
250 1 11 437 1999 1995 1999 1997 1999 http://www.mhlw.go.jp/toukei/saikin/hw/k-iryohi/99/index.html 11 2 2.1 1961 y2) 1961 5,130 1982 13 8,659 27 3 ο 7% 1999 30 9,000 8% 1985 4 1 1999 3 1 2025 71 2 1 50 1 y3) 2 1961 1965 1966 1973 7 10%
251 2 11 12 1 1973 1974 36.2% 1973 1974 10 1983 1990 1 1998 2:1% 3% 20 30 90 2.2 2001 607 y4) y5) y6) y7) 2001 45.3% 1)
252 3 1969 1998 56 9 7 2001 y8) 2 2.3 1973 70 1 2) y9) 1983 3) 70% y10) 1986 1 5,976 1987 1
253 1 65 1950 2050 II 1996 470 473 382 385 362 365 806 809 750 753 814 817 1995 3,667 1998 2 4,350 1983 5,400 1998 2 0,769 1983 3,638 1998 1 7,107 1 2 1999 y11) 6 9,091 7 2,254 3,163 1993 7 1996 4,193 2 32.3% 1999 y12) 5 8,743 6 776 2,033 1996 1,976 33% 767 1,766 1,457 83% 1999 170 1,190 3,220 150 1,967 60.6%
254 4 1 3 3.1 1945 65 1950 8,300 2000 12,600 1.5 65 413 2,075 5 2000 2050 1.6 65 2000 OECD 1 y13) 4 3 5 y14) 4 y15) 3.2 1 1
255 5 62 4.1 1999 1 y16) y17) 5 c a b 5 b c b d e 5 4) = y18) 1 =10 5) 1958 5 ο10% 1978 1 ο 5% y19) y20) 1990
256 1998 1.5% 1.5% 0.7% 1.5% 2000 1.9% 2002 20 3.3 1950 1994 3 54 6) y21) 1 1 7) 2000 6 28.2% 4 1 1996 1990 28.6% 22.6% 1989 18.2% 11.7% 9.3% 1 1.54 2.94 1.44 2.76 1990 30% y22) 8) 20 4 = y23) y24) 3 3
257 1998 y25) 45.8% 1985 38.9% 1998 54.2% 1985 61.1% 1985 y26) 1993 9) 1 2000 4 1996 33.5 7.1 14.3 y27) 1996 35 64 43.3 15% 22 1996 1,000 13.2 4.1 8.2 y28) 10) 1 y 1 1985 16 2 97 3.0% 6.2% 1999 y 2 3 y 3 407070 1 70 781,600 70 150,700 5.2 4.5 1996 y 4 http://www.mof.go.jp/gbb/1403.htm y 5 y 6 70.2% 1996 35.8% 1997 36.9% 2001 y 7 + + / y 8 2001 1 70 1 200
258 3,000 200 5,000800 4 y 9 3 y10 50% 1986 80% 1990 100% y11 1999 y12 1999 y13 65 1 0 ο64 1 y14 OECD Health Data '97. OECD total health expenditure 410 2000 y15 y16 y17 y18 2 1 2001 53 2001 y19 40 y20 y21 y22 y23 20 y24 4 1 1998 y25 1998 y26 2 2 y27 OECD Health Date '98. y28 OECD Health Date '98.
259 1 http://www.mof.go.jp/jouhou/syukei/sy014.htm 2 290 315 1999 3 E. 3 1997 445 75 1999 5 2001 52 10 2001 6 2001 56 2001 7 2001 271 279 2001 8 150 180 2000 9 2001 250 252 2001 10 2001 249 2001 16 11 20 Current State and Problem of Finance for Medical Services in Japan KeiSAKAMOTO (Accepted Nov. 20, 2004) Key words : finance for medical services, national medical expenditure, medical insurance system Abstract All Japanese were able to receive medical services through the implementation of the Universal Coverage of Public Health Insurance to All Japanese" in 1961. In addition, various types of infectious diseases decreased sharply through medical technology and the improvement of public health measures; and the average life span was greatly extended. On the other hand, national medical health expenditures keep increasing. It has caused a financial crisis for medical health services in Japan. In this paper, the factors causing such an increase in medical service expenditures are empirically analyzed. The conclusions drawn are that not only the increasing average age of the population alone is to blame, but also the medical treatment service system must be a factor in the increase in national medical expenditure. Also, the excessive demand for medical treatment service is caused due to the system of medical care itself. Correspondence to : KeiSAKAMOTO Social Welfare Corporation SEIOUKAI, ASAHIENN Okayama, 700-0865, Japan (KawasakiMedical Welfare Journal Vol.14, No.2, 2005 249 259)