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["このエクセルファイルは、マクロを使っています。\nセキュリティの警告でマクロが無効にされた場合は、コンテンツの有効化を行って下さい。"]
["平成30年度厚生労働行政推進調査事業費補助金（政策科学推進研究事業）「都道府県医療費適正化計画推進のための健診・医療等の情報活用を担う地域の保健医療人材の育成に関する研究」（研究代表者：国立保健医療科学院　横山徹爾）"]
["平成20～24年　保健所・市町村別死因別標準化死亡比(SMR)と死亡数・過剰死亡数の見える化ツール(2019年3月)"]
["【説明】「平成20年～平成24年 人口動態保健所・市町村別統計」第３表・第５表に基づき、保健所・市町村別死因別標準化死亡比(SMR)と死亡数・過剰死亡数を計算して一覧表にし、図で見える化できるようにしました。各欄の意味は以下の通りです。"]
["SMR：全国=100とした時の、各保健所・市町村の死亡しやすさを意味します。"]
["*印が付加されたSMRは、P<0.05で有意（偶然変動の範囲とは考えにくい高さまたは低さ）であることを意味します。"]
["死亡数：死亡した実人数です。"]
["過剰死亡数：SMR=100だった場合に比べると、何人過剰に死亡したと考えられるかを示しました。例えば、SMR=110で死亡数=200人だったとすると、110のうち10が過剰ですから、200×(110-100)÷110≒18人が過剰に死亡した人数と考えます。"]
["図：棒の長さ（横方向）がSMR、棒の高さ（縦方向）は期待死亡数に比例、棒の面積は死亡数に比例するので、死亡の死因別内訳を一目で把握できます。SMRが大きく（棒が横方向に長く）、死亡数が多く（面積が大きければ）、予防可能な死因であれば、特に対策が重要だと考えられるでしょう。"]
["見える化図表の作り方"]
["（１）「数値表」シートから、調べたい市町村等を「行選択」して「コピー」"]
["（２）「元データ」シートの６行目に「ペースト」"]
["（３）「ＳＭＲ図表」シートが自動的に作成される"]
["※死亡数=0(ピリオドで表記)の死因があると、5, 8, 11, 18番の死因計算に誤差が生じます。これらの死因は他の死因から計算しているためです。ただし、実用上は大きな問題はないと考えられます。"]
["※表示倍率が100%以外だと図が乱れることがあります。（印刷には支障ありません）"]

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["「平成20年～平成24年 人口動態保健所・市町村別統計」第３表・第５表に基づき計算"]
["平成30年度厚生労働行政推進調査事業費補助金（政策科学推進研究事業）「都道府県医療費適正化計画推進のための健診・医療等の情報活用を担う地域の保健医療人材の育成に関する研究」"]
["平成20～24年　保健所・市町村別死因別標準化死亡比(SMR)と死亡数・過剰死亡数　*P<0.05で有意に高い又は低い"]
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[]
["注：　群馬県の保健所の名称は○○保健福祉事務所である。（前橋市・高崎市を除く。）"]
["　　　神奈川県の保健所の名称は○○保健福祉事務所である。（横浜市・川崎市・横須賀市・藤沢市・相模原市を除く。）"]
["　　　富山県の保健所の名称は○○厚生センターである。（富山市を除く。）"]
["　　　高知県の保健所の名称は○○福祉保健所である。（高知市を除く。）"]
["　　　福岡県の保健所の名称は○○保健福祉環境事務所である。（北九州市・福岡市・大牟田市・久留米市を除く。）"]

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["↑↑この上の行（6行目）に、調べたい市町村等のデータを「数値表」からコピー＆ペーストする。"]

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["5.悪性新生物（その他）",{"$f":"D10/(D10-E10)*100","v":97.865472522877511},{"$f":"IF(2*(1-NORMDIST((ABS(D10-D10/B10*100)-0.5)/SQRT(D10/B10*100),0,1,1))<0.05,\"*\",\"\")","v":"*"},{"$f":"D5-SUM(D6:D9)","v":20294},{"$f":"E5-SUM(E6:E9)","v":-442.62904479000741},null,{"$f":"I10/(I10-J10)*100","v":102.4902213899926},{"$f":"IF(2*(1-NORMDIST((ABS(I10-I10/G10*100)-0.5)/SQRT(I10/G10*100),0,1,1))<0.05,\"*\",\"\")","v":"*"},{"$f":"I5-SUM(I6:I9)","v":17501},{"$f":"J5-SUM(J6:J9)","v":425.2246112380422},null,97.865472522877511,null,20294,-442.62904479000741,null,102.4902213899926,null,17501,425.2246112380422,{"$f":"C12&A12","v":"*6.急性心筋梗塞"},{"$f":"N12","v":6248},{"$f":"IF(L12<100,L12,100)","v":100},{"$f":"IF(L12<100,0,L12-100)","v":7},null,{"$f":"H12&A12","v":"*6.急性心筋梗塞"},{"$f":"S12","v":4673},{"$f":"IF(Q12<100,Q12,100)","v":100},{"$f":"IF(Q12<100,0,Q12-100)","v":17.400000000000006}]
["心疾患（高血圧性疾患を除く）",{"$f":"+元データ!AX6","v":112},{"$f":"+元データ!AY6","v":"*"},{"$f":"+元データ!AZ6","v":23777},{"$f":"+元データ!BA6","v":2547.5357142857142},null,{"$f":"+元データ!BB6","v":115.7},{"$f":"+元データ!BC6","v":"*"},{"$f":"+元データ!BD6","v":23322},{"$f":"+元データ!BE6","v":3164.6966292134839},null,112,null,23777,2547.5357142857142,null,115.7,null,23322,3164.6966292134839,{"$f":"C13&A13","v":"*7.心不全"},{"$f":"N13","v":5397},{"$f":"IF(L13<100,L13,100)","v":94.7},{"$f":"IF(L13<100,0,L13-100)","v":0},null,{"$f":"H13&A13","v":"*7.心不全"},{"$f":"S13","v":8548},{"$f":"IF(Q13<100,Q13,100)","v":100},{"$f":"IF(Q13<100,0,Q13-100)","v":5.7999999999999972}]
["6.急性心筋梗塞",{"$f":"+元データ!BF6","v":107},{"$f":"+元データ!BG6","v":"*"},{"$f":"+元データ!BH6","v":6248},{"$f":"+元データ!BI6","v":408.74766355140184},null,{"$f":"+元データ!BJ6","v":117.4},{"$f":"+元データ!BK6","v":"*"},{"$f":"+元データ!BL6","v":4673},{"$f":"+元データ!BM6","v":692.59114139693372},null,107,null,6248,408.74766355140184,null,117.4,null,4673,692.59114139693372,{"$f":"C14&A14","v":"*8.その他(6,7以外)の心疾患"},{"$f":"N14","v":12132},{"$f":"IF(L14<100,L14,100)","v":100},{"$f":"IF(L14<100,0,L14-100)","v":25.186222259403948},null,{"$f":"H14&A14","v":"*8.その他(6,7以外)の心疾患"},{"$f":"S14","v":10101},{"$f":"IF(Q14<100,Q14,100)","v":100},{"$f":"IF(Q14<100,0,Q14-100)","v":24.742213209343305}]
["7.心不全",{"$f":"+元データ!BN6","v":94.7},{"$f":"+元データ!BO6","v":"*"},{"$f":"+元データ!BP6","v":5397},{"$f":"+元データ!BQ6","v":-302.04963041182663},null,{"$f":"+元データ!BR6","v":105.8},{"$f":"+元データ!BS6","v":"*"},{"$f":"+元データ!BT6","v":8548},{"$f":"+元データ!BU6","v":468.60491493383716},null,94.7,null,5397,-302.04963041182663,null,105.8,null,8548,468.60491493383716,{"$f":"C16&A16","v":"*9.脳内出血"},{"$f":"N16","v":4500},{"$f":"IF(L16<100,L16,100)","v":96},{"$f":"IF(L16<100,0,L16-100)","v":0},null,{"$f":"H16&A16","v":"9.脳内出血"},{"$f":"S16","v":3190},{"$f":"IF(Q16<100,Q16,100)","v":99.7},{"$f":"IF(Q16<100,0,Q16-100)","v":0}]
["8.その他(6,7以外)の心疾患",{"$f":"D14/(D14-E14)*100","v":125.18622225940395},{"$f":"IF(2*(1-NORMDIST((ABS(D14-D14/B14*100)-0.5)/SQRT(D14/B14*100),0,1,1))<0.05,\"*\",\"\")","v":"*"},{"$f":"D11-SUM(D12:D13)","v":12132},{"$f":"E11-SUM(E12:E13)","v":2440.8376811461389},null,{"$f":"I14/(I14-J14)*100","v":124.7422132093433},{"$f":"IF(2*(1-NORMDIST((ABS(I14-I14/G14*100)-0.5)/SQRT(I14/G14*100),0,1,1))<0.05,\"*\",\"\")","v":"*"},{"$f":"I11-SUM(I12:I13)","v":10101},{"$f":"J11-SUM(J12:J13)","v":2003.500572882713},null,125.18622225940395,null,12132,2440.8376811461389,null,124.7422132093433,null,10101,2003.500572882713,"*10.脳梗塞",7943,100,2.9000000000000057,null,"*10.脳梗塞",8177,100,8.4000000000000057]
["脳血管疾患",{"$f":"+元データ!BV6","v":102.7},{"$f":"+元データ!BW6","v":"*"},{"$f":"+元データ!BX6","v":14528},{"$f":"+元データ!BY6","v":381.94352482960119},null,{"$f":"+元データ!BZ6","v":107.1},{"$f":"+元データ!CA6","v":"*"},{"$f":"+元データ!CB6","v":13960},{"$f":"+元データ!CC6","v":925.45284780578834},null,102.7,null,14528,381.94352482960119,null,107.1,null,13960,925.45284780578834,"*11.その他(9,10以外)の脳血管疾患",2085,100,19.868115794247785,null,"*11.その他(9,10以外)の脳血管疾患",2593,100,13.152855538711279]
["9.脳内出血",{"$f":"+元データ!CD6","v":96},{"$f":"+元データ!CE6","v":"*"},{"$f":"+元データ!CF6","v":4500},{"$f":"+元データ!CG6","v":-187.5},null,{"$f":"+元データ!CH6","v":99.7},{"$f":"+元データ!CI6","v":""},{"$f":"+元データ!CJ6","v":3190},{"$f":"+元データ!CK6","v":-9.5987963891674113},null,96,null,4500,-187.5,null,99.7,null,3190,-9.5987963891674113,"*12.肺炎",14869,100,7.5,null,"*12.肺炎",12643,100,16.900000000000006]
["10.脳梗塞",{"$f":"+元データ!CL6","v":102.9},{"$f":"+元データ!CM6","v":"*"},{"$f":"+元データ!CN6","v":7943},{"$f":"+元データ!CO6","v":223.85519922254659},null,{"$f":"+元データ!CP6","v":108.4},{"$f":"+元データ!CQ6","v":"*"},{"$f":"+元データ!CR6","v":8177},{"$f":"+元データ!CS6","v":633.64206642066461},null,102.9,null,7943,223.85519922254659,null,108.4,null,8177,633.64206642066461,"*13.肝疾患",2489,86.6,0,null,"*13.肝疾患",1492,100,16.400000000000006]
["11.その他(9,10以外)の脳血管疾患",{"$f":"D18/(D18-E18)*100","v":119.86811579424779},{"$f":"IF(2*(1-NORMDIST((ABS(D18-D18/B18*100)-0.5)/SQRT(D18/B18*100),0,1,1))<0.05,\"*\",\"\")","v":"*"},{"$f":"D15-SUM(D16:D17)","v":2085},{"$f":"E15-SUM(E16:E17)","v":345.58832560705457},null,{"$f":"I18/(I18-J18)*100","v":113.15285553871128},{"$f":"IF(2*(1-NORMDIST((ABS(I18-I18/G18*100)-0.5)/SQRT(I18/G18*100),0,1,1))<0.05,\"*\",\"\")","v":"*"},{"$f":"I15-SUM(I16:I17)","v":2593},{"$f":"J15-SUM(J16:J17)","v":301.40957777429117},null,119.86811579424779,null,2085,345.58832560705457,null,113.15285553871128,null,2593,301.40957777429117,"14.腎不全",2533,100,1.0999999999999943,null,"*14.腎不全",2655,100,5.5999999999999943]
["12.肺炎",{"$f":"+元データ!CT6","v":107.5},{"$f":"+元データ!CU6","v":"*"},{"$f":"+元データ!CV6","v":14869},{"$f":"+元データ!CW6","v":1037.3720930232557},null,{"$f":"+元データ!CX6","v":116.9},{"$f":"+元データ!CY6","v":"*"},{"$f":"+元データ!CZ6","v":12643},{"$f":"+元データ!DA6","v":1827.773310521814},null,107.5,null,14869,1037.3720930232557,null,116.9,null,12643,1827.773310521814,"*15.老衰",2054,95.1,0,null,"15.老衰",6437,98.3,0]
["13.肝疾患",{"$f":"+元データ!DB6","v":86.6},{"$f":"+元データ!DC6","v":"*"},{"$f":"+元データ!DD6","v":2489},{"$f":"+元データ!DE6","v":-385.1339491916861},null,{"$f":"+元データ!DF6","v":116.4},{"$f":"+元データ!DG6","v":"*"},{"$f":"+元データ!DH6","v":1492},{"$f":"+元データ!DI6","v":210.21305841924405},null,86.6,null,2489,-385.1339491916861,null,116.4,null,1492,210.21305841924405,"*16.不慮の事故",4637,73.099999999999994,0,null,"*16.不慮の事故",2974,74,0]
["14.腎不全",{"$f":"+元データ!DJ6","v":101.1},{"$f":"+元データ!DK6","v":""},{"$f":"+元データ!DL6","v":2533},{"$f":"+元データ!DM6","v":27.559841740850501},null,{"$f":"+元データ!DN6","v":105.6},{"$f":"+元データ!DO6","v":"*"},{"$f":"+元データ!DP6","v":2655},{"$f":"+元データ!DQ6","v":140.79545454545442},null,101.1,null,2533,27.559841740850501,null,105.6,null,2655,140.79545454545442,"*17.自殺",5655,95.8,0,null,"*17.自殺",2464,100,8.5]
["15.老衰",{"$f":"+元データ!DR6","v":95.1},{"$f":"+元データ!DS6","v":"*"},{"$f":"+元データ!DT6","v":2054},{"$f":"+元データ!DU6","v":-105.83175604626722},null,{"$f":"+元データ!DV6","v":98.3},{"$f":"+元データ!DW6","v":""},{"$f":"+元データ!DX6","v":6437},{"$f":"+元データ!DY6","v":-111.32146490335725},null,95.1,null,2054,-105.83175604626722,null,98.3,null,6437,-111.32146490335725,"*18.その他の死因",29506,94.94641024832859,0,null,"*18.その他の死因",25191,97.7916327115896,0]
["16.不慮の事故",{"$f":"+元データ!DZ6","v":73.099999999999994},{"$f":"+元データ!EA6","v":"*"},{"$f":"+元データ!EB6","v":4637},{"$f":"+元データ!EC6","v":-1706.3652530779759},null,{"$f":"+元データ!ED6","v":74},{"$f":"+元データ!EE6","v":"*"},{"$f":"+元データ!EF6","v":2974},{"$f":"+元データ!EG6","v":-1044.918918918919},null,73.099999999999994,null,4637,-1706.3652530779759,null,74,null,2974,-1044.918918918919]
["17.自殺",{"$f":"+元データ!EH6","v":95.8},{"$f":"+元データ!EI6","v":"*"},{"$f":"+元データ!EJ6","v":5655},{"$f":"+元データ!EK6","v":-247.9227557411275},null,{"$f":"+元データ!EL6","v":108.5},{"$f":"+元データ!EM6","v":"*"},{"$f":"+元データ!EN6","v":2464},{"$f":"+元データ!EO6","v":193.03225806451613},null,95.8,null,5655,-247.9227557411275,null,108.5,null,2464,193.03225806451613]
["18.その他の死因",{"$f":"D25/(D25-E25)*100","v":94.94641024832859},{"$f":"IF(2*(1-NORMDIST((ABS(D25-D25/B25*100)-0.5)/SQRT(D25/B25*100),0,1,1))<0.05,\"*\",\"\")","v":"*"},{"$f":"D4-D5-D11-D15-SUM(D19:D24)","v":29506},{"$f":"E4-E5-E11-E15-SUM(E19:E24)","v":-1570.4776918139632},null,{"$f":"I25/(I25-J25)*100","v":97.7916327115896},{"$f":"IF(2*(1-NORMDIST((ABS(I25-I25/G25*100)-0.5)/SQRT(I25/G25*100),0,1,1))<0.05,\"*\",\"\")","v":"*"},{"$f":"I4-I5-I11-I15-SUM(I19:I24)","v":25191},{"$f":"J4-J5-J11-J15-SUM(J19:J24)","v":-568.87260003537483},null,94.94641024832859,null,29506,-1570.4776918139632,null,97.7916327115896,null,25191,-568.87260003537483]
["* P<0.05。死亡数=0(ピリオドで表記)の死因があると、5, 8, 11, 18番の死因計算に誤差が生じます。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"棒の縦高さが期待死亡数に比例、棒の面積が死亡数に比例する。（面積で男女比較も可能）"]
["「平成20年～平成24年 人口動態保健所・市町村別統計」第３表・第５表に基づき計算・作図"]
["平成30年度厚生労働行政推進調査事業費補助金（政策科学推進研究事業）「都道府県医療費適正化計画推進のための健診・医療等の情報活用を担う地域の保健医療人材の育成に関する研究」（研究代表者：国立保健医療科学院　横山徹爾）"]