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09年4月の介護費6,000億円突破、居宅介護支援費は13％アップ－－国保中央会

国民健康保険中央会は09年4月・5月の介護給付費の状況を発表した。
発表によると、09年4月・5月の「介護費」「保険給付額」ともに前年同月比で6％増加となった。介護費では4月度6,052億円、5月度6,243億円で6,000億円を突破しており、保険給付額では4月度5,401億円、5月度5,570億円となっている。

利用件数の増加が顕著な居宅サービスは、09年4月度は「訪問リハビリテーション」、「福祉用具貸与」、「居宅療養管理指導」、「特定施設入居者生活介護」で10％程度の増加した。
地域密着型介護サービスに至ってはさらに多く「夜間対応型訪問介護」、「小規模多機能型居宅介護」、「地域密着型特定施設入居者生活介護」、「地域老人福祉施設」などで50％～90％の増加率となっている。
訪問リハビリに関しては、件数の増加以上に介護費が増加しており、09年4月度では17億円で27.1％の増加となっている。

居宅介護支援については、件数は09年4月度で2,599件3.2％の増加となっているが、介護費では269億円13.1％の増加で介護保険改正の影響が表れている。1件当たりの介護費は09年3月の9,411円に対し、4月では10,342円と931円増加しているが、これは独居や認知症などの加算や地域区分の料率の見直しが影響していると言える。

逆に利用件数がマイナスとなっている居宅サービスは09年4月度では「短期入所療養介護（病院など）」-14.9％、「短期入所療養介護（老健）」-1.0％、「訪問入浴介護」-0.7％で病院などの療養型の利用が顕著な減少となった。療養型についても介護療養型医療施設の廃止や医療保険療養病床の縮小の動きによる影響が考えられる。

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