{"created":"2023-06-19T09:12:44.999367+00:00","id":24629,"links":{},"metadata":{"_buckets":{"deposit":"44aed1ce-004a-4882-8c3f-0efc5ca8669d"},"_deposit":{"created_by":12,"id":"24629","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"24629"},"status":"published"},"_oai":{"id":"oai:kumadai.repo.nii.ac.jp:00024629","sets":["407:1523:434:1324","585:621:1332"]},"author_link":["160588"],"item_15_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-03-25","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"20","bibliographicPageStart":"3","bibliographicVolumeNumber":"2","bibliographic_titles":[{"bibliographic_title":"熊本大学政策研究","bibliographic_titleLang":"ja"}]}]},"item_15_description_5":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"地域保健サービスの提供者として保健行政の現場に身をおく筆者は、日頃から政策と政策を実施する現場との間にある種の乖離があると感じている。本稿のねらいは、この乖離が何であるのか、乖離を埋めるための術があるのかを見出すことにより、医療保険制度改革を目指す政策が現状に沿った形で実施されることを展望することにある。分析手法としては、健康に関する言説分析及び政策の歴史的分析を用いて政策と健康観の変化を追った。また、政策システム論を用いて、政策立案及び政策実施の観点から国・都道府県・市町村・国民という4層それぞれの政策に対する認識を探り、その関係性について視覚化することを試みた。その結果、各層の政策に対する認識のズレにより、掲げられた政策と政策を実施する現場との間に乖離が生じることが示唆された。そこで、各層間の政策に対する認識のズレを軽減させるための方策として、政策システムの全体像を把握したうえで、相互に積極的な議論を行うことの必要性を指摘した。","subitem_description_language":"ja","subitem_description_type":"Other"},{"subitem_description":"The author, who put my organization on the side as a community health service provider, feels that a certain kind of unbridgeable gulf has always existed between health insurance policy and the site. This text aims to view policy execution in the present situation targeted at health insurance system reform by determining if this gulf can be bridged. For the analysis, I examined a policy and the change in the outlook on health through verbal explanation analysis of the health system and historic analysis of the policy. In addition, I tried to ascertain the level of recognition of policies related to the country, administrative divisions, municipalities, and the public; I explored each of these four layers from the perspective of policy making and policy execution by using the policy system theory and visualized the relation of four layers. The results showed that the unbridgeable gulf was created by a gap in the recognition of the policy at each level. Therefore it is necessary to conduct positive discussions after understanding the entire image of the policy system as a strategy to reduce the gap in the recognition of the policy across all levels.","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_15_publisher_36":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"熊本大学","subitem_publisher_language":"ja"}]},"item_15_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA12462257","subitem_source_identifier_type":"NCID"}]},"item_15_subject_20":{"attribute_name":"日本十進分類法","attribute_value_mlt":[{"subitem_subject":"364.4","subitem_subject_scheme":"NDC"}]},"item_15_version_type_19":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"坂井，清香","creatorNameLang":"ja"},{"creatorName":"サカイ, キヨカ","creatorNameLang":"ja-Kana"},{"creatorName":"Sakai, Kiyoka","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"160588","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-03-02"}],"displaytype":"detail","filename":"KSK0002_003-020.pdf","filesize":[{"value":"3.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KSK0002_003-020.pdf","url":"https://kumadai.repo.nii.ac.jp/record/24629/files/KSK0002_003-020.pdf"},"version_id":"43635cdc-9a67-4aa5-99d9-71ee11d345b0"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"医療保険制度を支える健康観と政策","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"医療保険制度を支える健康観と政策","subitem_title_language":"ja"},{"subitem_title":"イリョウ ホケン セイド オ ササエル ケンコウカン ト セイサク","subitem_title_language":"ja-Kana"},{"subitem_title":"Health Outlook and a Policy that Supports the Health Insuarance System","subitem_title_language":"en"}]},"item_type_id":"15","owner":"12","path":["1332","1324"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2011-04-11"},"publish_date":"2011-04-11","publish_status":"0","recid":"24629","relation_version_is_last":true,"title":["医療保険制度を支える健康観と政策"],"weko_creator_id":"12","weko_shared_id":-1},"updated":"2023-10-31T05:48:46.817794+00:00"}