在宅医療の現状と課題 - mhlw.go.jp

1 0501001502002500102030405060708090100050 1001502002500102030405060708090100050100 15020025001020304050607080901002005 ( ) 2030 2055 75 1,164( 9%) 65 74 1,412(11%) 20 64 7,783(61%) 19 2,418(19%) 1 2,777 1 1,522 8,993 75 2,266(20%) 75 2,387(27%) 65 74 1,401(12%) 65 74 1,260(14%) 20 64 6,305(55%) 20 64 4,290(48%) 19 1,550(13%) 19 1,057(12%) 2010 2010 65 20 64 2005 2055 2005 2030 2055 - 18 - 18 12 1 0 500 1000 1500 2000 2500 3000 3500 2008 2025 65 2008 65 2025 65

2 28216 36354 8135 1 237 355 118 2 1361 1997 636 3 1233 1736 503 4 1715 2404 689 5 1419 1940 521 43 447 513 66 44 317 361 44 45 315 358 43 46 215 241 26 47 207 226 19 65 2008 2025 19 5 65 2 65 0 200 400 600 800 1,000 1,200 1,400 1,600 1,800 2630405060 515253545556567( ) 52 (2040 ) 21 22 ( 18 12 ) ( )

3 3 1994 0% 20% 40% 60% 80% 1951 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2009 4 0 5000 10000 15000 20000 25000 30000 14 17 20 0 5 10 15 20 25 30 35 14 17 20 5 18 24 24 24 24 24 6 9,434 10,477 11,450 11,955 12.

4 487 0 2000 4000 6000 8000 10000 12000 14000 18 19 20 21 22 1 11,879 10,661 5,833 12,487 0 2000 4000 6000 8000 10000 12000 14000 7 20 65 : 20 8 24 % % 0% 50% 100% n=1,808 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 1 n=1189) 2 (n=214 3 n=80)

5 24 9 200 Km 24 24 24 10 7 11 331 0 50 100 150 200 250 300 350 20 21 22 1 298 266 130 331 0 50 100 150 200 250 300 350 22 11 1,773 2,069 2,384 2,576 2,572 2,615 2,737 2.

6 839 226 241 253 252 250 246 254 258 0 500 1000 1500 2000 2500 3000 2002 2003 2004 2005 2006 2007 2008 2009 ( 5 277 5,434 0 1000 2000 3000 4000 5000 6000 H5 H6 H7 H8 H9 H10 H11 H12 H13 H14 H15 H16 H17 H18 H19 H20 12 N=1,713 N=1,556 14% 47% 24% 10% 5% 3 3 5 5 10 10 20 0% 20% 40% 60% 80% 100% 5 3 5 3 40 10 40 60 10 15 60 80 15 20 80 20 13 0% 20% 40% 60% 80% 100% 3 n=74 3 5 n=334 5 n=258)

7 N=214 N=880 0 6 12 18 3 3 5 5 10 10 316 1 317 18 14 233 QOL 010203040506070809010040-4445-4950-5455- 5960-6465-6970-7475-7980-8485-20 20 S62H5H11H17 8020 17 75 79 27 80 84 21 21 2010 20 15 0 100 200 300 400 500 600 N=1.

8 209 0% 2% 4% 6% 8% 10% 12% 14% 14 17 20 0 20 40 60 80 1053 12 16 22 168 212 52,539 53,304 53,642 35,667 37,550 38,736 24,584 32,109 33,591 34,707 0 10,000 20,000 30,000 40,000 50,000 60,000 H19 H20 H21 N=870 17 (n = 795)

9 21 1 1 2 2 3 3 4 4 5 5 6 6 0% 10% 20% 30% 0% 20% 40% 60% (n = 555) (n = 6) (n = 156) (n = 7) (n = 637) 0-20% 20%-40% 40%-60% 60%-80 80% 18 61% 87 39% 58 * n=145 *6 20 , 20% , 18% , 13% , 3% , 6% , 24%.

10 16% NICU NICU 24 20 18 NICU 19 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 2 21 3 20 1,331 3,320 1,331 1,820 2,041 2,328 2,430 2,608 2,867 3,017 3,3