平成２８年度版

沖 縄 県立 病 院 年報

沖 縄 県 病 院 事 業 局

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この年報は、平成 27 年度の沖縄県病院事業の概要をまとめたものです。
沖縄県病院事業局は、北部病院、中部病院、南部医療センター・こども医療センター、宮古病院、八重山病院及び精和病院の６病院並びに 16 ヶ所の附属診療所を運営し、各県立病院においては、地域の中核病院として、一般医
療はもとより、民間医療機関では対応困難な救急医療、高度・特殊医療や離島・へき地医療等を担っており、地域医療の確保と医療水準の向上に努めております。
県立病院が地域において必要な医療を適切かつ安定的に提供していくためには、医師・看護師等の人材確保を図るなど持続的な経営健全化に取り組む必要があります。
これらの取組により平成 27 年度においては、北部病院産婦人科医師の確保、中部病院のがん診療連携拠点病院指定、南部医療センター・こども医療セン
ターの小児救命救急センターの指定、宮古病院の地域がん診療病院指定、八重山病院の地域周産期母子医療センターの認定等の実績を挙げることができました。
一方、病院事業の経営面においては、不良債務や資金不足を生じるなど、厳しい経営状況が続いていたことから、｢県立病院経営再建計画｣（平成 21 年度から平成 23 年度）を策定し、安定的な経営基盤の構築に向けて経営全般にわたる改革に取り組んだ結果、資金不足の解消、不良債務の解消、経常収支の黒字化の３つの目標を達成しました。
更に、平成 24 年度からは「県立病院経営安定化計画」（平成 24 年度から平成 28 年度）を策定し、経常収支の黒字維持、手元流動性の確保、長期債務の縮減を目標として経営を行い、平成 26 年度までは経営改善の成果を挙げていたものの、平成 27 年度決算においては経常損失を計上するなど厳しい経営状況となっております。
今後とも沖縄県病院事業局は、県民が求める良質な医療を安定的かつ継続的に提供していくために、全職員一丸となって経営の改善に取り組むとともに、医師・看護師等の人材確保、医療提供体制の整備や他の医療機関との役
割分担、機能連携の充実を図ってまいります。
この年報を発行するに当たり、平素、県立病院の運営にご協力をいただいております関係各位に感謝申し上げますとともに、本県の県立病院事業における理解の一助としてご活用いただければ幸甚に存じます。
平成 29 年３月
沖縄県病院事業局
局長 伊江 朝次

凡１例

この年 報 で県 立 病 院 及 び診 療 所 とは、沖 縄 県 病 院 事 業 の設 置 等 に関 する条 例（昭和４７年５月１５日条例第３５号）により設置された病院及びその附属診療所をいう。

２

県立名護病院は、平成３年１２月１日付で県立北部病院に名称変更したため、この年報では従来の名護病院に係る資料は全て北部病院に統一した。

３

病床数とは、医療法に基づき県知事の使用許可を受けた病床数を原則としたが、事項により必ずしもこれに従わなかった。

４

入院患者延数とは、毎日の退院患者数と毎日午前 0 時現在の在院患者数の累計である。

５

診療科別とは、病院において標榜している診療科別に区分したものである。

６

診療実日数は、入院については年度内の歴日数、外来については、年度内の歴日数から、土
曜日・日曜日・祝日及び年末年始の休日等外来診療を行わなかった日を除いた日数である。

７

財務の概況において、県立病院課（本庁）の経費等は各病院に按分計上した。

８

経営分 析に関する用 語については、原 則として地方公 営企業 年鑑（総務省 自治財 政局 編）の用語例に準じた。

９

年報表中の符号の用法は次のとおりである。
「－」該当事実のないもの「…」資料なし、又は不詳のもの「○」掲載単位に満たないもの「△」マイナスの場合

10

年報表中、「南部医療センター」「医療センター」「センター」とあるのは、「南部医療センター・こども医療センター」を表しており、「北部」とあるのは「北部病院」を表している。（「中部」「宮古」「八重山」「精和」も同様）
1１ 端数整理については四捨五入によっている。したがって必ずしも合計が 100％にならない。
12以上のほか注記が必要と思われるものは、それぞれの箇所に記載した。

目

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第Ⅰ章 県立病院の概況
第 1 沿革及び組織···································································································· 1
１ 沿 革 ············································································································ 1
２ 組 織 ············································································································ 8
３ 位 置 ············································································································ 9
第 2 現況 ·············································································································· 11
１ 本庁及び県立病院一覧表 ·················································································· 11
２ 指定医療機関等の種類 ····················································································· 13
３ 病床数の推移 ································································································· 15
４ 高度・特殊診療病床等の状況 ············································································ 17
第 3 県内医療機関に占める県立病院の位置 ································································ 18
１ 病院数及び病床数の状況 ·················································································· 18
２ 医療従事者の状況 ··························································································· 19
３ 県内の医療事情 ······························································································ 19

第Ⅱ章 業務の概況
第 1 診療の状況 ····································································································· 21
１ 患者数 ·········································································································· 21（１）総括 ···································································································· 21（２）診療科別患者数 ··························································································· 23（３）診療科別時間外患者数 ·················································································· 27（４）月別救急患者数 ··························································································· 29（５）患者の市町村分布状況 ·················································································· 31（６）月別巡回診療回数及び患者延数 ······································································ 52
２ 調剤、検査、放射線、手術及び給食の状況 ·························································· 53（１）調剤の状況 ································································································· 53（２）臨床検査の状況 ··························································································· 55（３）放射線の使用状況 ························································································ 57

（４）手術、分娩等の状況 ····················································································· 61（５）給食の状況 ································································································· 65
３理学・作業療法の状況 ····················································································· 66

４人工透析の状況 ······························································································ 67

５ 公衆衛生活動の状況 ························································································ 67
第 2 職員の状況 ····································································································· 69
１ 職員数 ·········································································································· 69
２ 給 与 ·········································································································· 71
年令構成 ······································································································· 72

３４ 医師の配置状況 ······························································································ 73
５ 看護師の状況 ································································································· 79
第 3 施設・設備の整備状況······················································································ 81
１ 施設・設備の整備状況 ····················································································· 81（１）県立病院事業施設整備費の状況（総括） ······················································· 81（２）県立病院施設整備状況（財源内訳） ····························································· 83（３）県立病院主要施設整備の状況 ······································································ 85（４）国庫補助金による県立病院整備実績 ····························································· 93（５）県立病院医師住宅整備・利用状況 ································································ 95（６）県立診療所及び医師住宅の整備状況 ····························································· 97（７）県立診療所整備実績 ·················································································· 99（８）県立診療所医師・看護師住宅整備（改築）実績 ············································· 101（９）県立病院看護師宿舎整備・利用状況 ···························································· 103
２ 設備（医療機器等）の状況 ·············································································· 105（１）医療機器及び備品購入状況 ········································································ 105（２）器械備品職員 1 人当り 1 床当り整備高 ························································ 107（３）県立病院の主要医療機器整備状況 ······························································· 109（４）県立診療所の主要医療機器整備状況 ···························································· 118
第 4 電算化の状況································································································· 127１

電算化の経緯 ································································································ 127２

電算化の業務 ································································································ 129

第Ⅲ章 財務の概況
第 1 収益的収支の状況(平成 27 年度) ········································································ 132
１ 事業収益・事業費用の概況 ·············································································· 132（１）収益的収支決算比較 ················································································· 133
２ 収益の状況 ··································································································· 139

（１）医業収益の構成比 ················································································· 139（２）患者１人１日当り診療収入 ····································································· 139（３）患者１人１日当り診療行為別収入 ···························································· 139（４）診療行為別収入の構成比 ········································································ 141
３ 費用の状況 ··································································································· 143（１）総収益対総費用の割合 ··········································································· 143（２）総収益対材料費等の割合 ········································································ 143（３）医業収益対医業費用構成比 ····································································· 143（４）医業外収益対医業外費用の割合 ······························································· 145（５）患者１人１日当り診療収益対患者１人１日当り医業費用の割合····················· 145
第 2 資本的収支の状況··························································································· 147
１ 資本的収支の状況 ·························································································· 147（１）資本的収支決算の推移 ··········································································· 148（２）資本的収支の状況（病院別） ·································································· 149
第 3 資産・負債及び資本の状況··············································································· 151
１ 比較賃借対照表 ····························································································· 151
２ 短期流動性 ··································································································· 153
３ 未収金の状況 ································································································ 155（１）未収金残高（平成 27 年度末） ································································ 155（２）科目別未収金残高（平成 27 年度末） ······················································· 157（３）不納欠損額 ·························································································· 159
４ 長期健全性 ··································································································· 159
第 4 病院事業繰入金の状況····················································································· 160
第 5 企業債、借入金の状況(平成 27 年度)·································································· 161
１ 病院事業会計借入金状況一覧表 ········································································ 161
２

償還金の状況 ································································································ 163（１）企業債償還金 ······················································································· 163（２）借入資本金長期借入償還金 ····································································· 163（３）固定負債長期借入金償還金 ····································································· 163

第 6 経営分析比率································································································· 164
１ 労働生産性の状況 ·························································································· 165
２ 資本生産性の状況 ·························································································· 167
３ 主要経営指標の状況 ······················································································· 169（１）経営指標 ····························································································· 169（２）経営指標の見方 ···················································································· 171

第Ⅳ章 診療所の概況
１ 現 況 ········································································································· 175
２ 患者数 ········································································································· 179
３ 収益的収支の状況 ·························································································· 181（１）診療所運営状況（平成 27 年度） ····························································· 181（２）運営関係国庫補助金受入状況 ·································································· 183（参考資料）
１ 診療報酬改正及び薬価基準改定の推移 ·································································· 187
２ 給与改定の推移 ································································································ 188
３ 使用料の推移 ··································································································· 189
４ 手数料の推移 ··································································································· 199