Supply/utilization ratio
The results of the supply/utilization ratio were shown in Fig. 1 and Tables 1 and 2. The supply/utilization ratios in overall Japan were 1.19 and 1.42 when one rehabilitation provider provided 15 units and 18 units of rehabilitation per day, respectively.
When one rehabilitation provider provided 15 units per day, the supply/utilization ratios were the lowest in Aichi (0.92), Gifu (1.02), and Chiba prefectures (1.03). By region, the ratios were the lowest in Tokai (0.99) and Kanto (1.11). The ratios were highest in Tottori (1.55), Akita (1.52), and Niigata prefectures (1.45). By region, the supply/utilization ratios were highest in Hokuriku (1.38), Chugoku and Tohoku (1.33 respectively), and Shikoku (1.29).
When one rehabilitation provider provided 18 units of rehabilitation per day, the supply/utilization ratios were lowest in Aichi prefecture (1.11), and highest in Tottori prefecture (1.86) By region, the ratio was higher in Hokuriku (1.66), Chugoku and Tohoku (1.59 respectively), and Shikoku (1.54).
Utilization/needs ratio
The results regarding the utilization/needs ratio were shown in Figure 2 and Tables 1 and 2. The ratio was highest in Kyusyu and Shikoku regions (1.37). However, it was lowest in Tohoku (0.68) and Hokuriku regions (0.79).
The number of rehabilitation providers per population and the number of rehabilitation units per provider
The results on the number of rehabilitation providers per population and that of rehabilitation units per provider were shown in Figure 3 and Tables 1 and 2.
The number of rehabilitation providers per 1,000 population in Japan was approximately 1.1. The number was highest in Shikoku (1.87) and Kyusyu regions (1.84). However, the number was lowest in Kanto (0.81), Tokai (0.87), and Hokuriku regions (0.87).
The overall number of rehabilitation units per provider per day in Japan was 12.6. The number was highest in Tokai (15.2), and Kanto regions (13.5). However, the number was lowest in Tohoku, Shikoku, and Chugoku regions.
Table 1 should be placed here.
Table 1The supply/demand-related indicators by prefectures
prefecture
|
Supply/demand ratio by # of Rehabilitation units/ personnel*day
|
Utilization/
Needs ratio
|
# of Personnel/
1,000 population
|
Rehabilitation units/ personnel*day
|
Region
|
15 units
|
18 units
|
Hokkaido
|
1.22
|
1.46
|
1.13
|
1.37
|
12.3
|
Hokkaido
|
Aomori
|
1.31
|
1.58
|
0.71
|
0.97
|
11.4
|
Tohoku
|
Iwate
|
1.37
|
1.64
|
0.64
|
0.94
|
10.9
|
Tohoku
|
Miyagi
|
1.25
|
1.50
|
0.69
|
0.78
|
12.0
|
Tohoku
|
Akita
|
1.52
|
1.82
|
0.48
|
0.87
|
9.9
|
Tohoku
|
Yamagata
|
1.32
|
1.58
|
0.78
|
1.12
|
11.4
|
Tohoku
|
Fukushima
|
1.32
|
1.59
|
0.72
|
0.96
|
11.3
|
Tohoku
|
Ibaraki
|
1.28
|
1.53
|
0.77
|
0.90
|
11.8
|
Kanto
|
Tochigi
|
1.06
|
1.27
|
0.89
|
0.84
|
14.2
|
Kanto
|
Gumma
|
1.22
|
1.47
|
0.99
|
1.14
|
12.3
|
Kanto
|
Saitama
|
1.11
|
1.33
|
0.90
|
0.82
|
13.5
|
Kanto
|
Chiba
|
1.03
|
1.23
|
1.02
|
0.90
|
14.6
|
Kanto
|
Tokyo
|
1.10
|
1.32
|
0.91
|
0.79
|
13.7
|
Kanto
|
Kanagawa
|
1.11
|
1.33
|
0.73
|
0.67
|
13.5
|
Kanto
|
Niigata
|
1.45
|
1.73
|
0.56
|
0.85
|
10.4
|
Hokuriku
|
Toyama
|
1.44
|
1.73
|
0.71
|
1.06
|
10.4
|
Hokuriku
|
Ishikawa
|
1.32
|
1.59
|
0.93
|
1.17
|
11.4
|
Hokuriku
|
Fukui
|
1.30
|
1.56
|
0.97
|
1.26
|
11.6
|
Hokuriku
|
Yamanashi
|
1.16
|
1.39
|
1.28
|
1.49
|
12.9
|
Kanto
|
Nagano
|
1.38
|
1.65
|
0.93
|
1.35
|
10.9
|
Hokuriku
|
Gifu
|
1.02
|
1.23
|
0.82
|
0.81
|
14.7
|
Tokai
|
Shizuoka
|
1.06
|
1.28
|
0.96
|
0.97
|
14.1
|
Tokai
|
Aichi
|
0.92
|
1.11
|
1.14
|
0.85
|
16.2
|
Tokai
|
Mie
|
1.10
|
1.32
|
0.76
|
0.80
|
13.7
|
Tokai
|
Shiga
|
1.25
|
1.50
|
0.82
|
0.87
|
12.0
|
Kinki
|
Kyoto
|
1.25
|
1.50
|
1.01
|
1.16
|
12.0
|
Kinki
|
Osaka
|
1.16
|
1.40
|
1.05
|
1.06
|
12.9
|
Kinki
|
Hyogo
|
1.19
|
1.43
|
1.04
|
1.15
|
12.6
|
Kinki
|
Nara
|
1.21
|
1.45
|
1.00
|
1.16
|
12.4
|
Kinki
|
Wakayama
|
1.07
|
1.28
|
1.16
|
1.30
|
14.1
|
Kinki
|
Tottori
|
1.55
|
1.86
|
1.06
|
1.72
|
9.7
|
Chugoku
|
Shimane
|
1.50
|
1.80
|
0.78
|
1.32
|
10.0
|
Chugoku
|
Okayama
|
1.37
|
1.64
|
1.00
|
1.35
|
10.9
|
Chugoku
|
Hiroshima
|
1.16
|
1.40
|
1.13
|
1.23
|
12.9
|
Chugoku
|
Yamaguchi
|
1.44
|
1.73
|
1.02
|
1.59
|
10.4
|
Chugoku
|
Tokushima
|
1.39
|
1.66
|
1.37
|
2.02
|
10.8
|
Shikoku
|
Kagawa
|
1.21
|
1.45
|
1.17
|
1.45
|
12.4
|
Shikoku
|
Ehime
|
1.17
|
1.40
|
1.18
|
1.46
|
12.8
|
Shikoku
|
Kochi
|
1.40
|
1.68
|
1.96
|
3.10
|
10.7
|
Shikoku
|
Fukuoka
|
1.29
|
1.55
|
1.52
|
1.75
|
11.6
|
Kyusyu
|
Saga
|
1.14
|
1.36
|
1.86
|
2.09
|
13.2
|
Kyusyu
|
Nagasaki
|
1.23
|
1.48
|
1.47
|
1.89
|
12.2
|
Kyusyu
|
Kumamoto
|
1.38
|
1.66
|
1.37
|
1.94
|
10.8
|
Kyusyu
|
Oita
|
1.26
|
1.52
|
1.55
|
2.07
|
11.9
|
Kyusyu
|
Miyazaki
|
1.40
|
1.68
|
0.91
|
1.33
|
10.7
|
Kyusyu
|
Kagoshima
|
1.10
|
1.31
|
1.99
|
2.29
|
13.7
|
Kyusyu
|
Okinawa
|
1.28
|
1.54
|
1.62
|
1.58
|
11.7
|
Kyusyu
|
Table Legend: Table 1 shows the results regarding the supply/demand-related indicators by prefectures |
Disease-specific rehabilitation
The results on the utilization/needs ratio of disease-specific rehabilitation services were shown in Figure 4 and Table 2. Specifically for cerebrovascular disease and musculoskeletal disorder rehabilitation, the utilization/needs ratio was the highest in Kyusyu and Shikoku regions, and lowest in Tohoku and Hokuriku regions. Kyusyu region had the highest utilization/needs ratios for all the disease-specific rehabilitation services other than for disuse-syndrome.
For musculoskeletal-disorder rehabilitation, the utilization/needs ratio was the highest in Kyusyu and Shikoku regions (1.99 and 1.69, respectively), and the lowest in Tohoku and Hokuriku (0.62 and 0.80, respectively; Table 2, Fig 4-a).
For cerebrovascular-disease rehabilitation, the utilization/needs ratio was the highest in Hokkaido, Kyusyu, and Shikoku regions (1.26, 1.99, and 1.69, respectively; Table 2, Fig4-b), and was lowest in Tohoku and Hokuriku (0.78 and 0.80, respectively).
For disuse-syndrome rehabilitation, the utilization/needs ratio was highest in Hokkaido and Kinki regions (1.29 and 1.28, respectively), while lowest in Tokai and Chugoku regions (0.61 and 0.54, respectively; Table 2, Fig 4-c). By prefectures, the ratio was highest in Okinawa and Kochi (2.56) and Nara (1.62), while lowest in Okayama (0.34), Aichi (0.37), and Hiroshima (0.41).
For cardiac-disorder rehabilitation, the utilization/needs ratio was highest in Kyusyu and Hokkaido regions (1.53 and 1.30, respectively), and lowest in the Tohoku region (0.56; Table 2, Fig 4-d).
For respiratory-disorder rehabilitation, the utilization/needs ratio was highest in Kyusyu (1.76) and lowest in the Tohoku region (0.65).
Regarding the amount of utilization of disease-specific rehabilitation, musculoskeletal disorder rehabilitation accounted for 45.6% of the disease-specific rehabilitation services (H000-H003, H007-H008 in Table 1), cerebrovascular disease rehabilitation; 38.6%, disuse syndrome rehabilitation; 9.1%, respiratory disorder rehabilitation; 2.5%, cardiac disorder rehabilitation; 2.2%, cancer rehabilitation; 1.3%, and pediatrics rehabilitation; 0.8%. Cerebrovascular disease and musculoskeletal disorder rehabilitation accounted for 84% of the disease-specific rehabilitation services.
The results of the time trend are shown in Figure 5. Concerning the time trend, while the increase rate from the previous year was 1 to 3% for cerebrovascular disease, cerebrovascular disease, and respiratory disorder rehabilitation, the rate was more than 5% for disuse syndrome, cardiac disorder, and cancer rehabilitation.
Table 2 should be placed here.
Table 2 Results regarding the indicators by region
region
|
Supply/utilization ratio per personnel*day
(15 units per personnel)
|
Supply/utilization ratio per personnel*day
(18 units per personnel)
|
Utilization/
Needs
|
# of Personnel/
1,000 population
|
# of Rehabilitation units/ personnel*day
|
H000
Cardiac
|
H001
Cerebrovascular-disease
|
H001-2
Disuse-syndrome
|
H002
Musculoskeletal-disorder
|
H003
Respiratory-disorder
|
Hokkaido
|
1.22
|
1.46
|
1.13
|
1.37
|
12.3
|
1.30
|
1.26
|
1.29
|
1.12
|
0.99
|
Tohoku
|
1.33
|
1.59
|
0.68
|
0.92
|
11.3
|
0.56
|
0.78
|
0.86
|
0.62
|
0.65
|
Kanto
|
1.11
|
1.33
|
0.86
|
0.81
|
13.5
|
0.88
|
0.89
|
1.15
|
1.05
|
1.04
|
Hokuriku
|
1.38
|
1.66
|
0.79
|
0.87
|
10.8
|
0.85
|
0.80
|
0.78
|
0.80
|
0.80
|
Tokai
|
0.99
|
1.19
|
1.00
|
0.87
|
15.1
|
0.95
|
0.92
|
0.61
|
1.29
|
1.00
|
Kinki
|
1.18
|
1.42
|
1.03
|
1.10
|
12.7
|
1.16
|
1.00
|
1.28
|
1.15
|
0.94
|
Chugoku
|
1.33
|
1.59
|
1.03
|
1.38
|
11.3
|
0.92
|
1.06
|
0.54
|
1.25
|
1.20
|
Shikoku
|
1.29
|
1.54
|
1.37
|
1.87
|
11.6
|
0.92
|
1.38
|
1.13
|
1.69
|
1.08
|
Kyusyu
|
1.26
|
1.51
|
1.53
|
1.84
|
11.9
|
1.53
|
1.38
|
1.13
|
1.99
|
1.76
|
Table Legend: Table 2 shows the results regarding the supply/demand-related indicators by region |