9µ Êh lh g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 h21 h22 h23 h24 h25 h26 h27 95.0 98.1 99.1...

38
㦵Ꮚ䠄䠅ཧ⪃㈨ᩱ ཧ⪃䠍 䛆┠ḟ䛇 䠄⌧≧䞉ㄢ㢟䠅 .බ❧㝔䜢䜚ᕳ䛟⌧≧ཬ䜃⎔ቃኚ 䠄䠍䠅බ❧㝔䛾⤒Ⴀ䛾⌧≧ 䠄䠎䠅බ❧㝔䜢䜚ᕳ䛟⎔ቃ䛾ኚ .ᆅᇦ་⒪䛾☜ಖ䛸බ❧㝔ᨵ㠉䜢㐍䜑䛶䛔䛟䛷䠐䛴䛾どⅬ䛛䜙ぢ䛯ㄢ㢟 䠄䠍䠅ᆅᇦ་⒪ᵓ䜢㋃䜎䛘䛯ᙺ䛾☜ 䠄ᚋ䛾බ❧㝔⤒Ⴀ䛻䛡䛯ᥦゝ䠅 .㝔䝬䝛䝆䝯䞁䝖䛾ほⅬ䛛䜙䛾⤒Ⴀᡭẁ䛾ᐇ 䠄䠏䠅⤒Ⴀᣦᶆ䛾ศᯒ䛻ᇶ䛵䛟⤌䚸PDCA䝃䜲䜽䝹䛾ᒎ㛤 .බ❧㝔䛾⤒Ⴀ䛻ᑐ䛩䜛㈈ᨻⓗ䞉ไᗘⓗᨭ 䠄䠍䠅ᆅᇦ་⒪☜ಖ䛾䛯䜑䛾㈈ᨻⓗᨭ 䠄䠎䠅ᆅᇦ་⒪ᵓ䜢㋃䜎䛘䛯ከᵝ䛺ᙧែ䛾⦅䞉䝛䝑䝖䝽䞊䜽䛾᥎㐍 䠄䠏䠅⤒Ⴀᙧែ䛾ぢ┤䛧䜢ᨭ䛩䜛ไᗘ㐠⏝䛾ᑐᛂ 䞉䞉䞉䠬䠊䠎 䞉䞉䞉䠬䠊䠓 䞉䞉䞉䠬䠊䠍䠌 䞉䞉䞉䠬䠊䠍䠎 䞉䞉䞉䠬䠊䠎䠏 䞉䞉䞉䠬䠊䠎䠕 䞉䞉䞉䠬䠊䠏䠑 1

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Page 1: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

.

.

.PDCA

.

1

Page 2: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

.

2

Page 3: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

28 6

61.9%( 187 )

5.3%(16 )

15.6%(47 )

17.2%( 52 )

37.6%(105 )

16.8%(47 )

18.6%(52 )

26.9%( 75 )

40.2%( 255 )

12.9%(82 )

17.8%(113 )

29.0%( 184 )

40.1%(117 )

14.4%(42 )

21.2%(62 )

24.3%( 71 )

38.2%( 13 )

5.9%(2 )

23.5%(8 )

32.4%( 11 )

38.9%(137 )

20.2%(71 )

20.2%(71 )

20.%( 73 )

3

Page 4: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

983 975 961 943 931 917 908 897 892 881 886

235,510 233,874 230,823

228,280 224,615

221,866 219,474

217,392 216,374 213,556 212,606

800

850

900

950

1,000

1,050

1,100

1,150

1,200

180,000

190,000

200,000

210,000

220,000

230,000

240,000

250,000

H17 H18 H19 H20 H21 H22 H23 H24 H25 H26 H27

500H27 85 H27 62 H27 98

H21 H22 H23 H24 H25 H26 H27

99.6 102.7 102.2 102.6 101.4 100.9 100.0

H21 H22 H23 H24 H25 H26 H27

11.7 11.4 11.2 10.2 10.5 11.3 9.1

H21 H22 H23 H24 H25 H26 H27

12.2 11.3 11.2 10.7 10.0 10.5 10.5

H21 H22 H23 H24 H25 H26 H27

13.9 13.2 12.8 13.2 12.8 12.5 11.6

H21 H22 H23 H24 H25 H26 H27

97.2 100.8 101.2 101.7 100.0 99.3 98.7

H21 H22 H23 H24 H25 H26 H27

95.0 98.1 99.1 99.2 98.4 97.7 97.6

60

381

308365

211

138

1100

0

100

200

300

400

500

600

H21 H22 H23 H24 H25 H26 H27

189

52 80 1111

44 84

800

600

400

200

0

200

400

600

H21 H22 H23 H24 H25 H26 H27

379

14365 59

112166 171

800

600

400

200

0

200

400

600

H21 H22 H23 H24 H25 H26 H27

4

Page 5: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

200 300H27 86 H27 199 H27 243

H21 H22 H23 H24 H25 H26 H27

95.3 97.5 97.4 97.3 97.1 97.2 96.6

H21 H22 H23 H24 H25 H26 H27

15.2 15.0 15.4 15.5 15.0 14.3 14.3

H21 H22 H23 H24 H25 H26 H27

16.4 15.7 16.8 17.3 16.6 16.0 16.0

H21 H22 H23 H24 H25 H26 H27

22.6 23.4 24.1 24.3 24.5 25.0 24.1

H21 H22 H23 H24 H25 H26 H27

95.3 97.7 97.9 96.9 96.1 96.7 98.1

H21 H22 H23 H24 H25 H26 H27

98.4 98.8 98.9 98.1 97.9 98.1 97.5

19288 91 97 109 101 133

800

600

400

200

0

200

400

600

H21 H22 H23 H24 H25 H26 H27

236

114 100147 183 157

88

800

600

400

200

0

200

400

600

H21 H22 H23 H24 H25 H26 H27

35 25 23 39 45 41 57

800

600

400

200

0

200

400

600

H21 H22 H23 H24 H25 H26 H27

11.4 11.6 11.9 12.3 12.713.4

14.1 14.2 14.515.7 15.8

5.0

7.0

9.0

11.0

13.0

15.0

17.0

19.0

H17 H18 H19 H20 H21 H22 H23 H24 H25 H26 H27

400 500

10.6 10.5 10.4 10.311.0 11.5 12.0 12.3

13.3 13.4 13.8

5.0

7.0

9.0

11.0

13.0

15.0

17.0

19.0

H17 H18 H19 H20 H21 H22 H23 H24 H25 H26 H27

300 400

9.5 9.2 9.2 9.6 9.5 10.0 10.2 9.910.5 10.9

11.5

5.0

7.0

9.0

11.0

13.0

15.0

17.0

19.0

H17 H18 H19 H20 H21 H22 H23 H24 H25 H26 H27

200 300

7.8 7.4 7.4 7.5 7.6 7.6 7.8 7.7 7.8 8.0 7.9

5.0

7.0

9.0

11.0

13.0

15.0

17.0

19.0

H17 H18 H19 H20 H21 H22 H23 H24 H25 H26 H27

100 200

6.5 6.3 6.2 6.3 6.1 6.2 6.5 6.6 6.7 6.6 6.6

5.0

7.0

9.0

11.0

13.0

15.0

17.0

19.0

H17 H18 H19 H20 H21 H22 H23 H24 H25 H26 H27

100

10.6 10.5 10.6 10.9 11.3 11.8 12.3 12.313.0 13.5 13.9

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

H17 H18 H19 H20 H21 H22 H23 H24 H25 H26 H27

13.0 13.0 13.113.7

14.615.3

15.8 16.116.9

17.618.4

5.0

7.0

9.0

11.0

13.0

15.0

17.0

19.0

H17 H18 H19 H20 H21 H22 H23 H24 H25 H26 H27

500

5

Page 6: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

6

Page 7: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

24

2060 900040

50.9%

39.9%

1.35

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

1950 1960 1970 1980 1990 2000 2010 2015 2025 2035 2045 2055

15 64

65

15 64

14

65

62.1%

25.1%

1.43(2013)

12,730

11,662

3,685

6,773

1,204

8,674

3,464

4,418

791

24 1 10 1

25 2010 12,806 63.8 23.0

2013

7

Page 8: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

0%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

0

500,000

1,000,000

1,500,000

2,000,000

2,500,000

3,000,000

3,500,000

2025 65

2010 65

2025 65 65

2016 20192017 2018

2020

2014

2016

2016

Page 9: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

1.80 1.76 1.79 1.79 1.79

0.22 0.22 0.22 0.21 0.20

0.73 0.70 0.72 0.73 0.70

3.27 3.16 3.13 3.12 3.09

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

2011 2012 2013 2014 201512

102016 3

2017 4 171112 893 200 406

2014 150 15km150

15Km 3002016 3

31

1. 96.3%2. 43.6%3. 38.9%4. 38.6%5. 34.9%

43. 9.9%44. 8.5%45. 7.7%46. 6.0%47. 3.9%

100 43. 60.0%)44. 58.8%45. 57.1%46. 54.5%47. 50.0%

11

H29.5.11 経済財政諮問会議 民間議員資料

Page 10: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

.

B

D

C

A

10

Page 11: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

1216

20

39

12

44

19

8

28 28 28 28 10 12 29

22 11

Page 12: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

.

PDCA

12

Page 13: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

13

Page 14: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

100

14

Page 15: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

KPI

KPIKPI

29 13

14

251

310

701

0 200 400 600 800

858

92

69

291

429

494

0 100 200 300 400 500 600 700 800

HP

858

15

Page 16: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

etc.

22

0.0

10.0

20.0

30.0

40.0

50.0

0

10,000

20,000

30,000

40,000

50,000

18 19 20 21 22

0.0

2.0

4.0

6.0

8.0

10.0

12.0

0

5,000

10,000

15,000

20,000

25,000

30,000

18 19 20 21 22

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

0

100

200

300

400

500

600

20 21 22

200

2,000

4,000

6,000

8,000

10,000

0

50,000

100,000

150,000

200,000

250,000

18 19 20 21 22

22

0

2,000

4,000

6,000

8,000

10,000

12,000

185,000

190,000

195,000

200,000

205,000

210,000

215,000

22 23 24 25 26 27

0.0

2.0

4.0

6.0

8.0

10.0

0

5,000

10,000

15,000

20,000

25,000

30,000

22 23 24 25 26 27

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

0

100

200

300

400

500

600

700

800

22 23 24 25 26 27

0.0

10.0

20.0

30.0

40.0

50.0

0

10,000

20,000

30,000

40,000

50,000

22 23 24 25 26 27

16

Page 17: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

100

17

Page 18: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

PDCA

Actio

n

Structure

(1) (2)

18

Page 19: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

A-1

A-2

A-3

A-1-a

A-1-b

A-1-b-1

A-1-b-2

A-1-b-3

A-1-b-1-1

A-1-b-1-2

A-1-b-1-3

A-2-a

A-2-b

A-2-a-1

A-2-a-2

A-2-a-2-1

A-2-a-2-2

B-1

B-2

B-3

B-3

B-1-a

B-1-b

B-1-c

B-1-d

B-1-e

Input Output

B-3

B-1-aB-1-e

B-1-e B-3

A-2-a-1A-2-a-2

A-2-a

A-1-b

B-1-a

A

B

753

19

Page 20: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

502

7.5

20

Page 21: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

A578 67.4

B 278 32

754 88 65176

.

.

21

Page 22: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

第4回地域医療の確保と公⽴病院改⾰の推進に関する調査研究会

(平成29年3⽉28⽇) 伊関委員提出資料

Page 23: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

.

23

Page 24: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600
Page 25: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

25

Page 26: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

26

Page 27: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

27

Page 28: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

28

Page 29: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

29

Page 30: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

40

25

30

Page 31: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

ICT

417

126

87

H21

60

305

H30

ICT

6262 31

Page 32: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

/ / /

/ /

32

Page 33: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

.

33

Page 34: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

40

34

Page 35: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

35

Page 36: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

36

Page 37: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600

37

Page 38: 9µ ÊH LH g* 2( q97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 Þ60 381 308 365 211 138 Þ1 Þ100 0 100 200 300 400 500 600