Effectiveness and Challenges in Local Self-Governance: Multifunctional Autonomy in Japan.
Effectiveness and Challenges in Local Self-Governance: Multifunctional Autonomy in Japan.
复制标题
DOI：
10.3390/ijerph18020574
复制
发表时间：
2021-01-12
影响因子：
--
通讯作者：
Sano C
中科院分区：
文献类型：
--
作者：
Ohta R;Ryu Y;Kataoka D;Sano C
在政府支持下的社区组织，称为地方自治（LSG），是一种通过针对当地问题的解决方案实现社区福祉的政策权力下放形式。LSG的一种形式是多功能自治，公民可以在政府的支持下全面管理他们的社区。本研究采用混合方法，通过评估日本农村社区的相关优势和挑战，阐明了多功能自治对健康预期寿命的影响。无残疾预期寿命从65岁（DFLE-65）进行了评估，比较健康的预期寿命之间的两个农村日本城市（有/无多功能自主）。比较显示，更好的DFLE-65只有在老年男性在一个城市的多功能自治。成本效益分析调查的预算和DFLE-65的变化之间的关系，使用问卷调查数据。多功能自动化的成本效益分析表明，61，147日元/DFLE-65。专题分析显示，多功能自主为老年男子创造了新的角色，改善了社区关系。然而，可持续的多功能自治在LSG社区可能会受到阻碍普遍老龄化的社会，代沟，农村社区和地方政府之间缺乏相互理解。为确保多功能自治的可持续性，地方社区与政府之间以及各代人之间的合作至关重要。
Community organizing with government support, termed local self-governance (LSG), is a form of policy decentralization for community wellbeing through solutions tailored to local issues. One form of LSG is multifunctional autonomy, in which citizens can comprehensively manage their communities with government support. This study clarified the effect of multifunctional autonomy on healthy life expectancy by assessing related advantages and challenges in rural Japanese communities, using a mixed-methods approach. Disability-free life expectancy from 65 years (DFLE-65) was assessed to compare healthy life expectancies between two rural Japanese cities (with/without multifunctional autonomy). Comparisons revealed better DFLE-65 only among older men in a city with multifunctional autonomy. A cost-effectiveness analysis investigated the relationship between the budget and DFLE-65 change using questionnaire data. Cost-effectiveness analysis of multifunctional autonomy indicated 61,147 yen/DFLE-65. Thematic analysis revealed that multifunctional autonomy created new roles for older men, improving community relationships. However, sustainable multifunctional autonomy in LSG communities may be hindered by a generally aging society, generation gap, and lack of mutual understanding between rural communities and local governments. To ensure the sustainability of multifunctional autonomy, collaborations between local communities and governments and among various generations are critical.
登录
查看更多内容
影响因子：
1.4
作者：
Ohta, Ryuichi;Ryu, Yoshinori;Katsube, Takuji
通讯作者：
Katsube, Takuji
影响因子：
1.6
作者：
Ohta, Ryuichi;Sato, Mikiya;Maeno, Tetsuhiro
通讯作者：
Maeno, Tetsuhiro
DOI：
10.1177/1473325020973343
发表时间：
2021-03
期刊：
Qualitative social work : QSW : research and practice
影响因子：
--
作者：
Ohta R;Yata A
通讯作者：
Yata A
DOI：
10.3390/ijerph17239136
发表时间：
2020-12-07
影响因子：
--
作者：
Blakey J;Clews J
通讯作者：
Clews J
DOI：
10.1606/1044-3894.2016.97.33
发表时间：
2016-01-01
影响因子：
0.9
作者：
Austin, Michael J.;Anthony, Elizabeth K.;Mathias, John
通讯作者：
Mathias, John