Using structural equation modeling for secondary medical areas throughout Japan in 2015Takuya KUSUNOKI, Tohru YOSHIKAWA, and Ryo SANUKI This research aims to clarify the related structure of the distribution of general, chronic phase, and psychiatric sickbeds and capacity of long-term care insurance facilities in secondary medical areas, The results are as follows:1. urbanity and depopulation, which are latent factors of regional characteristics, influence the latent factors of sickbed distribution, such as acute care abundance, chronic care abundance, clinic care abundance, and observed variable of long-term care insurance facilities and home care support facilities, through the concentration of elderly.2. the number of universities with medical schools is positively affected by urbanity and positively affects acute care abundance.