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令和5年度後期高齢者医療事業年報 全体版 (56 ページ)
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44
(1)
（％）
3.3
-3.2
2.7
4.0
4.2
2.9
2.6
1.9
3.7
1.1
2.2
3.4
4.3
5.1
4.6
5.5
5.1
4.2
4.6
2.5
4.6
6.7
4.9
3.5
4.4
5.3
4.3
4.9
4.5
5.7
5.6
5.3
4.5
5.8
4.4
3.7
2.9
3.4
3.7
2.7
6.2
4.4
4.2
2.2
4.0
2.3
3.0
3.4
3.6
3.3
3.0
4.7
（件）
対前年
度比
194,810,612
188,554,192
193,686,040
201,361,592
209,914,949
9,081,462
2,481,331
2,436,926
3,885,494
2,141,262
2,166,537
3,233,744
4,534,684
2,868,212
2,857,854
11,267,748
9,644,681
20,543,198
15,566,181
4,124,920
1,684,854
1,671,067
955,644
1,453,031
3,822,078
3,472,894
6,629,404
10,953,327
3,007,130
2,082,833
3,789,868
13,900,500
10,088,405
2,241,665
1,611,268
926,766
1,399,181
2,925,690
5,324,729
3,079,310
1,124,407
1,735,413
2,273,475
1,281,257
9,228,016
1,696,725
2,822,008
3,128,469
2,153,281
2,072,617
3,001,757
1,543,646
件数
調
剤
（千円）
費用額
2,752,737,605
2,688,590,771
2,697,162,356
2,715,188,944
2,818,097,341
139,373,273
34,501,035
33,470,726
50,554,487
31,361,729
27,830,907
44,265,653
67,082,305
38,658,330
38,106,811
149,922,889
128,206,165
264,895,854
199,267,358
51,395,641
25,703,080
26,339,668
15,046,903
19,464,815
53,789,617
45,643,535
81,494,844
144,707,881
39,806,194
30,286,775
57,887,053
190,142,512
131,472,908
28,869,659
22,826,738
13,493,478
19,434,108
39,499,858
71,601,234
38,775,002
17,026,936
26,249,544
32,264,687
19,652,258
114,768,850
20,383,765
36,517,132
39,626,380
31,202,001
26,552,588
38,170,046
20,504,127
医療費の状況（その２）
3.9
-2.3
0.3
0.7
3.8
2.0
1.7
1.1
2.9
0.4
2.1
2.7
3.0
3.9
4.2
5.3
4.3
3.7
4.1
2.3
4.4
5.4
5.2
2.5
4.6
5.0
4.2
4.3
4.9
4.4
4.4
4.7
4.1
5.1
4.2
3.0
1.5
2.6
3.6
3.2
5.3
3.5
3.4
1.2
4.1
2.2
2.5
4.1
4.7
4.1
3.5
5.1
（％）
対前年
度比
13,571,473
12,598,101
12,612,452
12,815,194
13,587,322
777,675
133,816
133,870
205,794
117,878
126,175
191,649
269,868
172,617
205,343
589,282
523,965
1,043,415
695,938
226,363
156,461
153,302
98,954
92,111
233,785
191,136
330,536
666,252
179,183
139,287
305,397
932,240
631,372
153,125
119,346
72,728
99,441
254,914
373,672
233,413
121,514
123,171
187,015
148,709
748,940
127,347
229,882
299,586
193,549
152,162
288,431
136,713
（件）
件数
（再掲）
1.7
-7.2
0.1
1.6
6.0
5.0
8.2
4.7
7.3
2.6
4.2
5.4
7.1
5.6
3.8
7.8
8.0
6.3
8.6
4.2
4.2
6.7
3.9
3.0
4.7
5.4
6.6
8.0
6.8
7.5
7.0
7.6
6.0
6.4
1.9
2.6
3.0
6.4
7.0
3.9
5.7
4.8
3.7
5.2
5.8
3.1
4.5
4.3
4.2
4.8
2.6
7.5
（％）
対前年
度比
医
425,717,503
406,252,238
401,524,886
401,107,025
420,105,309
25,719,728
4,239,435
4,296,223
5,885,850
3,697,186
4,108,746
5,630,998
7,618,204
5,154,754
6,304,136
17,043,942
14,859,146
29,109,340
18,837,145
7,189,598
4,699,798
4,868,050
3,080,615
2,903,247
6,777,051
5,506,198
10,060,561
19,107,841
5,418,917
4,211,911
9,406,024
27,961,759
19,119,957
4,473,587
3,694,275
2,284,958
3,141,552
7,738,223
12,097,583
8,192,748
4,159,368
3,924,345
6,008,624
5,470,657
26,404,196
4,465,563
7,819,431
10,857,496
6,297,829
5,248,271
10,455,961
4,554,282
（千円）
費用額
食事療養・生活療養
費
1.2
-4.6
-1.2
-0.1
4.7
3.0
7.2
3.1
6.3
0.9
3.4
3.3
5.7
4.5
2.8
6.4
6.6
5.7
7.9
2.5
3.3
3.7
2.8
2.6
3.1
5.3
6.3
7.1
6.0
5.8
4.8
6.6
5.0
5.5
1.1
0.6
1.8
4.4
6.3
3.0
4.3
4.1
1.8
3.8
4.3
2.7
3.6
3.6
4.0
2.7
1.2
5.3
（％）
対前年
度比
療
（件）
1,105,465
1,254,984
1,425,718
1,637,442
1,844,533
60,153
15,219
12,465
23,463
5,993
11,014
16,461
28,060
15,785
24,024
82,353
68,023
203,946
121,625
18,989
12,809
20,628
11,908
8,354
24,916
36,601
39,236
147,595
24,805
17,971
45,008
222,605
103,498
25,286
22,833
8,319
10,017
19,005
45,153
18,455
11,349
13,697
21,405
10,110
91,700
11,316
13,416
26,652
18,948
17,004
20,320
16,041
件数
（続き）
12.8
13.5
13.6
14.9
12.6
9.4
12.3
8.6
16.6
5.4
10.0
19.5
16.8
12.3
10.6
15.4
14.4
11.7
13.7
8.8
10.4
10.7
4.4
3.1
7.8
14.7
19.6
13.3
13.3
12.0
12.0
15.6
9.9
12.0
10.7
3.4
6.2
10.2
13.0
5.8
7.8
9.0
9.4
10.0
13.2
7.9
12.4
17.8
10.4
10.4
11.0
21.0
（％）
対前年
度比
訪問看護
115,022,474
137,260,415
164,177,517
199,408,060
243,098,206
8,465,985
2,211,373
1,743,557
3,416,295
761,177
1,319,517
1,749,335
3,440,368
1,724,203
3,139,874
10,460,064
8,931,778
23,746,408
16,288,056
2,047,911
1,927,052
3,943,584
971,051
855,548
2,594,256
5,352,754
6,187,933
25,009,547
3,599,560
1,802,159
5,248,892
32,229,229
12,347,892
2,942,480
3,204,599
967,977
914,966
1,979,655
4,920,691
2,135,704
1,409,994
2,029,684
2,626,287
1,244,347
12,923,036
1,136,760
1,348,809
3,169,339
2,166,207
1,741,995
2,517,069
2,203,248
（千円）
費用額
17.1
19.3
19.6
21.5
21.9
20.7
15.5
11.6
32.1
7.8
9.6
26.8
28.1
13.0
24.1
28.0
27.1
23.5
23.9
18.6
32.7
16.0
3.3
25.0
19.8
23.0
49.1
20.0
22.7
34.4
27.2
25.4
16.2
25.9
14.3
8.1
11.8
17.9
22.3
9.3
7.4
13.7
11.0
12.1
17.2
8.2
12.0
27.8
12.7
14.7
13.0
25.6
（％）
対前年
度比
（件）
12,441,943
10,515,793
10,637,717
10,898,434
11,543,824
426,499
49,939
60,967
126,543
56,354
58,892
141,203
132,191
139,140
112,934
675,410
499,932
1,350,762
918,656
136,391
111,070
84,057
53,315
67,559
190,061
189,572
254,677
750,331
119,252
104,194
366,977
1,582,482
616,580
151,618
151,827
20,183
24,310
82,981
222,039
82,610
69,023
82,322
95,498
50,890
444,911
70,929
165,941
114,805
85,922
69,697
139,291
43,087
件数
2.0
-15.5
1.2
2.5
5.9
8.4
0.4
1.0
6.2
1.3
2.3
6.5
4.1
5.8
1.7
7.1
6.1
5.1
8.1
5.3
4.6
2.6
6.2
3.7
3.6
4.5
5.4
6.5
7.0
3.7
6.4
5.3
5.6
5.7
6.9
5.7
6.6
5.7
9.3
6.0
7.4
4.9
9.3
11.3
5.6
2.2
5.3
5.6
6.8
9.8
3.2
12.6
（％）
対前年
度比
療養費等
189,477,409
161,725,447
165,153,031
165,127,808
175,964,341
6,715,039
737,256
847,395
1,792,367
846,839
787,104
2,050,450
1,939,857
1,933,495
1,650,179
10,230,489
7,622,675
23,637,710
16,046,411
1,822,808
1,551,769
1,041,187
577,441
1,077,471
2,318,475
2,365,043
3,681,722
12,762,273
1,580,995
1,328,328
5,577,158
25,905,911
8,449,465
1,702,072
1,783,870
363,678
407,644
990,516
3,501,360
1,132,832
852,911
1,081,742
1,410,524
676,935
6,139,553
941,639
1,983,208
1,555,992
989,218
911,233
1,980,738
681,367
（千円）
費用額
2.2
-14.6
2.1
-0.0
6.6
9.0
3.3
-0.8
8.1
1.0
2.5
4.4
3.7
3.4
1.5
6.9
5.9
6.5
8.9
4.1
5.0
2.6
4.8
3.3
2.2
4.0
6.8
9.8
5.5
5.4
7.0
6.7
6.6
4.6
3.0
12.0
8.8
1.6
11.6
5.5
3.0
6.5
6.9
9.9
4.9
4.6
4.2
3.6
3.6
11.1
3.9
14.2
（％）
対前年
度比
(1)
（％）
3.3
-3.2
2.7
4.0
4.2
2.9
2.6
1.9
3.7
1.1
2.2
3.4
4.3
5.1
4.6
5.5
5.1
4.2
4.6
2.5
4.6
6.7
4.9
3.5
4.4
5.3
4.3
4.9
4.5
5.7
5.6
5.3
4.5
5.8
4.4
3.7
2.9
3.4
3.7
2.7
6.2
4.4
4.2
2.2
4.0
2.3
3.0
3.4
3.6
3.3
3.0
4.7
（件）
対前年
度比
194,810,612
188,554,192
193,686,040
201,361,592
209,914,949
9,081,462
2,481,331
2,436,926
3,885,494
2,141,262
2,166,537
3,233,744
4,534,684
2,868,212
2,857,854
11,267,748
9,644,681
20,543,198
15,566,181
4,124,920
1,684,854
1,671,067
955,644
1,453,031
3,822,078
3,472,894
6,629,404
10,953,327
3,007,130
2,082,833
3,789,868
13,900,500
10,088,405
2,241,665
1,611,268
926,766
1,399,181
2,925,690
5,324,729
3,079,310
1,124,407
1,735,413
2,273,475
1,281,257
9,228,016
1,696,725
2,822,008
3,128,469
2,153,281
2,072,617
3,001,757
1,543,646
件数
調
剤
（千円）
費用額
2,752,737,605
2,688,590,771
2,697,162,356
2,715,188,944
2,818,097,341
139,373,273
34,501,035
33,470,726
50,554,487
31,361,729
27,830,907
44,265,653
67,082,305
38,658,330
38,106,811
149,922,889
128,206,165
264,895,854
199,267,358
51,395,641
25,703,080
26,339,668
15,046,903
19,464,815
53,789,617
45,643,535
81,494,844
144,707,881
39,806,194
30,286,775
57,887,053
190,142,512
131,472,908
28,869,659
22,826,738
13,493,478
19,434,108
39,499,858
71,601,234
38,775,002
17,026,936
26,249,544
32,264,687
19,652,258
114,768,850
20,383,765
36,517,132
39,626,380
31,202,001
26,552,588
38,170,046
20,504,127
医療費の状況（その２）
3.9
-2.3
0.3
0.7
3.8
2.0
1.7
1.1
2.9
0.4
2.1
2.7
3.0
3.9
4.2
5.3
4.3
3.7
4.1
2.3
4.4
5.4
5.2
2.5
4.6
5.0
4.2
4.3
4.9
4.4
4.4
4.7
4.1
5.1
4.2
3.0
1.5
2.6
3.6
3.2
5.3
3.5
3.4
1.2
4.1
2.2
2.5
4.1
4.7
4.1
3.5
5.1
（％）
対前年
度比
13,571,473
12,598,101
12,612,452
12,815,194
13,587,322
777,675
133,816
133,870
205,794
117,878
126,175
191,649
269,868
172,617
205,343
589,282
523,965
1,043,415
695,938
226,363
156,461
153,302
98,954
92,111
233,785
191,136
330,536
666,252
179,183
139,287
305,397
932,240
631,372
153,125
119,346
72,728
99,441
254,914
373,672
233,413
121,514
123,171
187,015
148,709
748,940
127,347
229,882
299,586
193,549
152,162
288,431
136,713
（件）
件数
（再掲）
1.7
-7.2
0.1
1.6
6.0
5.0
8.2
4.7
7.3
2.6
4.2
5.4
7.1
5.6
3.8
7.8
8.0
6.3
8.6
4.2
4.2
6.7
3.9
3.0
4.7
5.4
6.6
8.0
6.8
7.5
7.0
7.6
6.0
6.4
1.9
2.6
3.0
6.4
7.0
3.9
5.7
4.8
3.7
5.2
5.8
3.1
4.5
4.3
4.2
4.8
2.6
7.5
（％）
対前年
度比
医
425,717,503
406,252,238
401,524,886
401,107,025
420,105,309
25,719,728
4,239,435
4,296,223
5,885,850
3,697,186
4,108,746
5,630,998
7,618,204
5,154,754
6,304,136
17,043,942
14,859,146
29,109,340
18,837,145
7,189,598
4,699,798
4,868,050
3,080,615
2,903,247
6,777,051
5,506,198
10,060,561
19,107,841
5,418,917
4,211,911
9,406,024
27,961,759
19,119,957
4,473,587
3,694,275
2,284,958
3,141,552
7,738,223
12,097,583
8,192,748
4,159,368
3,924,345
6,008,624
5,470,657
26,404,196
4,465,563
7,819,431
10,857,496
6,297,829
5,248,271
10,455,961
4,554,282
（千円）
費用額
食事療養・生活療養
費
1.2
-4.6
-1.2
-0.1
4.7
3.0
7.2
3.1
6.3
0.9
3.4
3.3
5.7
4.5
2.8
6.4
6.6
5.7
7.9
2.5
3.3
3.7
2.8
2.6
3.1
5.3
6.3
7.1
6.0
5.8
4.8
6.6
5.0
5.5
1.1
0.6
1.8
4.4
6.3
3.0
4.3
4.1
1.8
3.8
4.3
2.7
3.6
3.6
4.0
2.7
1.2
5.3
（％）
対前年
度比
療
（件）
1,105,465
1,254,984
1,425,718
1,637,442
1,844,533
60,153
15,219
12,465
23,463
5,993
11,014
16,461
28,060
15,785
24,024
82,353
68,023
203,946
121,625
18,989
12,809
20,628
11,908
8,354
24,916
36,601
39,236
147,595
24,805
17,971
45,008
222,605
103,498
25,286
22,833
8,319
10,017
19,005
45,153
18,455
11,349
13,697
21,405
10,110
91,700
11,316
13,416
26,652
18,948
17,004
20,320
16,041
件数
（続き）
12.8
13.5
13.6
14.9
12.6
9.4
12.3
8.6
16.6
5.4
10.0
19.5
16.8
12.3
10.6
15.4
14.4
11.7
13.7
8.8
10.4
10.7
4.4
3.1
7.8
14.7
19.6
13.3
13.3
12.0
12.0
15.6
9.9
12.0
10.7
3.4
6.2
10.2
13.0
5.8
7.8
9.0
9.4
10.0
13.2
7.9
12.4
17.8
10.4
10.4
11.0
21.0
（％）
対前年
度比
訪問看護
115,022,474
137,260,415
164,177,517
199,408,060
243,098,206
8,465,985
2,211,373
1,743,557
3,416,295
761,177
1,319,517
1,749,335
3,440,368
1,724,203
3,139,874
10,460,064
8,931,778
23,746,408
16,288,056
2,047,911
1,927,052
3,943,584
971,051
855,548
2,594,256
5,352,754
6,187,933
25,009,547
3,599,560
1,802,159
5,248,892
32,229,229
12,347,892
2,942,480
3,204,599
967,977
914,966
1,979,655
4,920,691
2,135,704
1,409,994
2,029,684
2,626,287
1,244,347
12,923,036
1,136,760
1,348,809
3,169,339
2,166,207
1,741,995
2,517,069
2,203,248
（千円）
費用額
17.1
19.3
19.6
21.5
21.9
20.7
15.5
11.6
32.1
7.8
9.6
26.8
28.1
13.0
24.1
28.0
27.1
23.5
23.9
18.6
32.7
16.0
3.3
25.0
19.8
23.0
49.1
20.0
22.7
34.4
27.2
25.4
16.2
25.9
14.3
8.1
11.8
17.9
22.3
9.3
7.4
13.7
11.0
12.1
17.2
8.2
12.0
27.8
12.7
14.7
13.0
25.6
（％）
対前年
度比
（件）
12,441,943
10,515,793
10,637,717
10,898,434
11,543,824
426,499
49,939
60,967
126,543
56,354
58,892
141,203
132,191
139,140
112,934
675,410
499,932
1,350,762
918,656
136,391
111,070
84,057
53,315
67,559
190,061
189,572
254,677
750,331
119,252
104,194
366,977
1,582,482
616,580
151,618
151,827
20,183
24,310
82,981
222,039
82,610
69,023
82,322
95,498
50,890
444,911
70,929
165,941
114,805
85,922
69,697
139,291
43,087
件数
2.0
-15.5
1.2
2.5
5.9
8.4
0.4
1.0
6.2
1.3
2.3
6.5
4.1
5.8
1.7
7.1
6.1
5.1
8.1
5.3
4.6
2.6
6.2
3.7
3.6
4.5
5.4
6.5
7.0
3.7
6.4
5.3
5.6
5.7
6.9
5.7
6.6
5.7
9.3
6.0
7.4
4.9
9.3
11.3
5.6
2.2
5.3
5.6
6.8
9.8
3.2
12.6
（％）
対前年
度比
療養費等
189,477,409
161,725,447
165,153,031
165,127,808
175,964,341
6,715,039
737,256
847,395
1,792,367
846,839
787,104
2,050,450
1,939,857
1,933,495
1,650,179
10,230,489
7,622,675
23,637,710
16,046,411
1,822,808
1,551,769
1,041,187
577,441
1,077,471
2,318,475
2,365,043
3,681,722
12,762,273
1,580,995
1,328,328
5,577,158
25,905,911
8,449,465
1,702,072
1,783,870
363,678
407,644
990,516
3,501,360
1,132,832
852,911
1,081,742
1,410,524
676,935
6,139,553
941,639
1,983,208
1,555,992
989,218
911,233
1,980,738
681,367
（千円）
費用額
2.2
-14.6
2.1
-0.0
6.6
9.0
3.3
-0.8
8.1
1.0
2.5
4.4
3.7
3.4
1.5
6.9
5.9
6.5
8.9
4.1
5.0
2.6
4.8
3.3
2.2
4.0
6.8
9.8
5.5
5.4
7.0
6.7
6.6
4.6
3.0
12.0
8.8
1.6
11.6
5.5
3.0
6.5
6.9
9.9
4.9
4.6
4.2
3.6
3.6
11.1
3.9
14.2
（％）
対前年
度比