674 21 保健衛生 Survey of Medical Institutions (Fundamental Statistical Survey) This survey has been conducted by the Ministry of Health, Labour and Welfare since 1953, with the aim to clarify geographical distribution and conditions of hospitals and clinics throughout the country. It had been conducted annually until 1972. In 1973, the ordinance was revised and the survey was reorganized into the present form consisting of two parts: the static survey and the dynamic survey. The static survey is conducted every three years with the aim to grasp the conditions of all the medical institutions, whereas the dynamic survey is conducted monthly on the basis of the applications and reports of opening and closing submitted by medical institutions. The static survey covers all the hospitals and clinics established under the Medical Care Act, and conducted by the method of entering questionnaires by the administrators of medical institutions through the channel of prefectures, cities having health centres and special wards, and health centres. The reference date was December 31 until 1981, but it is October 1 since 1984. The dynamic survey is conducted through the channel of prefectures, and cities having health centres and special wards. Hospital Reports The reports have been compiled every month since 1949 by the Ministry of Health, Labour and Welfare in order to clarify the utilization of hospitals and clinics equipped with beds by the patients. Since 1973, the situation of persons engaged as of October 1 is inquired by this survey. The survey covers all the hospitals prescribed by the Medical Service Act, and is conducted by the method of entering the questionnaires by the administrators of hospitals through prefectures, cities having health centres and special wards, and health centres. Survey of Physicians, Dentists and Pharmacists This survey is conducted by the Ministry of Health, Labour and Welfare with the aim to clarify the distribution and working conditions of physicians, dentists and pharmacists. Under the provisions of the Medical Practitioners Act and the Dental Practitioners Act both enacted in 1948 and the Pharmacists Act enacted in 1960, all the physicians, dentists and pharmacists are obliged to notify of the conditions as of the end of December every year to the Minister of Health, Labour and Welfare. The survey is based on the notices and had been conducted every year until the partial revision of the acts in July 1982. It has been conducted every two years since then. The reference date is December 31, and the survey is conducted through the channel of prefectures, cities having health centres and special wards, and health centres. 図21 1 死因別死亡率 DEATH RATES BY CAUSES OF DEATH 300 280 260 悪性新生物 Malignant neoplasms 240 220 200 180 ︵人口 心疾患 (高血圧性を除く) Heart diseases excluding hypertensive heart diseases 160 万対 10 140 120 ︶ per 100,000 population 100 脳血管疾患 Cerebrovascular diseases 80 60 肺炎 Pneumonia 40 交通事故 Transport accidents 20 56 1981 60 1985 年 平成 年 昭和 0 2 1990 7 12 17 22 24 1995 2000 2005 2010 2012 第21−15表参照。See Table 21−15.
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