Changes in Health Expenditure for the Elderly in the Later Stage of Life

FY	Total	Medical fees	Inpatient	Outpatient	Dental	Pharmacy dispensing	Hospital meals and living	Health service facilities for the elderly	Home-visit nursing	Medical fee allowance, etc.
Actual amount (¥100 million)	FY1984	36,098	34,645	19,725	14,025	895	689	.	.	.	764
FY1985	40,673	38,986	22,519	15,433	1,034	785	.	.	.	902
FY1986	44,377	42,445	24,343	16,924	1,178	902	.	.	.	1,030
FY1987	48,309	46,104	26,247	18,605	1,252	1,037	.	.	.	1,168
FY1988	51,593	49,138	27,798	19,975	1,365	1,133	.	.	.	1,296
FY1989	55,578	52,573	29,400	21,743	1,430	1,312	.	26	.	1,441
FY1990	59,269	55,669	30,724	23,315	1,630	1,457	.	253	.	1,523
FY1991	64,095	59,804	32,325	25,705	1,773	1,689	.	619	.	1,633
FY1992	69,372	64,307	35,009	27,249	2,049	1,992	.	970	5	1,626
FY1993	74,511	68,530	36,766	29,536	2,228	2,529	.	1,442	29	1,535
FY1994	81,596	72,501	38,235	31,790	2,476	3,133	1,855	1,888	86	1,439
FY1995	89,152	75,910	38,883	34,319	2,708	3,909	4,678	2,582	174	1,224
FY1996	97,232	82,181	42,314	36,789	3,078	4,620	4,816	3,259	323	1,094
FY1997	102,786	85,475	44,205	37,965	3,305	5,606	4,869	4,198	479	1,073
FY1998	108,932	88,881	46,787	38,584	3,511	6,900	4,967	5,285	657	1,101
FY1999	118,040	94,653	49,558	41,181	3,915	8,809	5,115	6,426	858	1,169
FY2000	111,997	94,640	48,568	41,871	4,200	10,569	4,612	7,436	235	1,271
FY2001	116,560	97,954	50,296	43,243	4,416	12,462	4,677	670	191	1,277
FY2002	117,300	97,155	51,198	41,434	4,522	13,913	4,689	-2	192	1,352
FY2003	116,523	95,653	51,828	39,609	4,216	14,711	4,645	-1	174	1,342
FY2004	115,763	94,429	52,048	38,371	4,010	15,143	4,654	-1	190	1,347
FY2005	116,443	94,441	52,867	37,726	3,848	15,777	4,679	0	205	1,342
FY2006	112,594	91,492	51,822	36,129	3,540	15,579	3,970	0	225	1,329
FY2007	112,753	91,048	52,167	35,524	3,357	16,345	3,877	0	239	1,344
FY2008	114,145	91,558	53,009	35,029	3,520	17,035	3,850	-	264	1,438
FY2009	120,108	95,672	55,594	36,381	3,698	18,717	3,914	0	289	1,517
FY2010	127,213	101,630	55,594	37,654	3,981	19,631	4,015	0	318	1,620

Source “Annual Report on Medical Care Service Programs for the Late-Stage Elderly”, Health Insurance Bureau, MHLW (Note) 1. Terms are defined as follows.

a. Medical fees: Expenses paid for medical care services received at insurance medical care facilities providing insured services, etc. (excluding insurance pharmacies, etc.). (Benefit in kind)

b. Pharmacy dispensing: Expenses paid for drugs supplied at insurance pharmacies, etc. (Benefit in kind)

c. Meal and living:

d. Home-visit nursing: Expenses paid for home-visit nursing care services received that are provided by the offices of the specified service providers(Benefit in kind)

e. Medical treatment, etc.: Expenses paid for prosthetic devices supplied or treatment by judo therapists received in accordance with Articles 77 and 83 of the Act on Assurance of Medical Care for Elderly People (Benefit in cash)

f. Medical care fees at health service facilities for the elderly:

Expenses paid for facility treatment at health service facilities for the elderly. (Benefit in kind) (Not applicable after March 2010)

g. Expenses include co-payment, standard co-payment for mail/living expenses, and basic fees of home-visit nursing.

2. The figures up to March 2008 are for those subjected to medical services that are provided in the Health and Medical Services Act for the Aged.

3. Health expenditure for elderly in their latter stage of life before January 1983 was subjected to the former Medical expenditure payment system for the elderly while that of February 1983 and later was subjected to medical services that were provided for in the Health and Medical Services Act for the Aged. The increased number of subject persons due to the creation of the health services system for the elderly makes the figures between FY 1981 and 1982 and between FY 1982 and 1983 difficult to compare. In addition, that of April 2008 and later indicates expenditure for the health care system for elderly in their latter stage of life and thus the figures between FY2007 and 2008 are also difficult to compare due to the different systems used.