Detailed Data 3 Changes in National Medical Care Expenditure and Percentage Distribution

Treatment type	FY1962	FY1965	FY1970	FY1975	FY1980	FY1985	FY1990	FY1995	FY2000	FY2006	FY2007	FY2008	FY2009
Estimated amount (¥100 million)
National medical care expenditure	6,132	11,224	24,962	64,779	119,805	160,159	206,074	269,577	301,418	331,276	341,360	348,084	360,067
General medical expenditure	5,372	10,082	22,513	59,102	105,349	140,287	179,764	218,683	237,960	250,468	256,418	259,595	267,425
Hospitals	2,948	5,499	12,121	32,996	62,970	92,091	123,256	148,543	161,670	168,943	173,102	174,801	181,411
General clinics	2,424	4,583	10,392	26,106	42,379	48,195	56,507	70,140	76,290	81,525	83,316	84,794	86,014
Impatient medical fee	2,344	4,104	8,799	25,427	48,341	70,833	85,553	99,229	113,019	122,543	126,132	128,248	132,602
Hospitals	2,072	3,635	7,801	22,640	43,334	65,054	80,470	94,545	108,642	117,885	121,349	123,822	128,348
General clinics	272	469	998	2,787	5,007	5,778	5,082	4,684	4,376	4,658	4,782	4,426	4,254
Outpatient medical fee	3,028	5,978	13,714	33,675	57,008	69,454	94,211	119,454	124,941	127,925	130,287	131,347	134,823
Hospitals	875	1,864	4,320	10,356	19,636	27,037	42,786	53,997	53,028	51,058	51,753	50,979	53,063
General clinics	2,153	4,113	9,394	23,319	37,372	42,417	51,425	65,456	71,913	76,867	78,534	80,368	81,760
Dental medical fees	759	1,143	2,448	5,677	12,807	16,778	20,354	23,837	25,569	25,039	24,996	25,777	25,587
Pharmacy dispensing medical fees	3)	...	...	...	1,649	3,094	5,290	12,662	27,605	47,061	51,222	53,955	58,228
Hospital meals and living expenses	4)	•	•	•	•	•	•	10,801	10,003	8,229	8,206	8,152	8,161
Medical care fees at health service facilities for the elderly 5)	•	•	•	•	•	•	666	3,385	•	•	•	•	•
Home-visit nursing medical fees	•	•	•	•	•	•	•	210	282	479	518	605	665
Percentage distribution (%)
National medical care expenditure	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
General medical expenditure	87.6	89.8	90.2	91.2	87.9	87.6	87.2	81.1	78.9	75.6	75.1	74.6	74.3
Hospitals	48.1	49.0	48.6	50.9	52.6	57.5	59.8	55.1	53.6	51.0	50.7	50.2	50.4
General clinics	39.5	40.8	41.6	40.3	35.4	30.1	27.4	26.0	25.3	24.6	24.4	24.4	23.9
Impatient medical fee	38.2	36.6	35.2	39.3	40.3	44.2	41.5	36.8	37.5	37.0	36.9	36.8	36.8
Hospitals	33.8	32.4	31.3	34.9	36.2	40.6	39.0	35.1	36.0	35.6	35.5	35.6	35.6
General clinics	4.4	4.2	4.0	4.3	4.2	3.6	2.5	1.7	1.5	1.4	1.4	1.3	1.2
Outpatient medical fee	49.4	53.3	54.9	52.0	47.6	43.4	45.7	44.3	41.5	38.6	38.2	37.7	37.4
Hospitals	14.3	16.6	17.3	16.0	16.4	16.9	20.8	20.0	17.6	15.4	15.2	14.6	14.7
General clinics	35.1	36.6	37.6	36.0	31.2	26.5	25.0	24.3	23.9	23.2	23.0	23.1	22.7
Dental medical fees	12.4	10.2	9.8	8.8	10.7	10.5	9.9	8.8	8.5	7.6	7.3	7.4	7.1
Pharmacy dispensing medical fees	3)	...	...	...	1.4	1.9	2.6	4.7	9.2	14.2	15.0	15.5	16.2
Hospital meals and living expenses	4)	•	•	•	•	•	•	4.0	3.3	2.5	2.4	2.3	2.3
Medical care fees at health service facilities for the elderly 5)	•	•	•	•	•	•	0.3	1.3	•	•	•	•	•
Home-visit nursing medical fees	•	•	•	•	•	•	•	0.1	0.1	0.1	0.2	0.2	0.2

Source: “Estimates of National Medical Care Expenditure”, Statistics and Information Department, Minister's Secretariat, MHLW

(Note) 1. With the enforcement of long-term care insurance system in April 2000, some of the expenses that were subjected to national medical care expenditure were transferred to long-term care insurance fees and are no longer included in national medical expenditure on and after FY2000.

2. Estimation of figures in this table has been made since FY1962.

3. Pharmacy dispensing was included in outpatient medical fees until they were newly classified as a separate item in FY1977.

4. The figures for FY2005 indicate “hospital meal expenses” (total amount of hospital meal expenses and standard co-payment) and figures for FY2006 indicate the total amount of hospital meal expenses, standard co-payment for meal expenses, hospital living expenses, and standard co-payment for living expenses.

5. Medical care fees at health service facilities for the elderly are not included in national health expenditure on and after FY2000 because the these fees are those who are certified for long-term care need.