Value and Belief of Health Professionals and Citizens on Health Care Policy

本研究取得以下三项成果：（1）卫生专业人员与市民对卫生政策的价值与信念的测量工具：本研究发展并检验了两个测量工具：一是市民对卫生资源分配的偏好，二是市民对卫生服务的信任。要根据成本效益数据来决定医疗资源的优先次序似乎并不容易，因此，我们需要了解市民对医疗资源分配的偏好。2）对2000年开始实施的社会长期护理保险的舆论调查，试图弄清国民对社会长期护理保险的认知和接受情况。研究结果发现：社会长期照护保险总体上被民众认知与接受程度较高。尽管该保险的自付费率一直受到批评，但大多数市民接受该费率。此外，许多人接受了由社会保险出资提供长期护理服务的私人公司。3）政策评估与人们的价值观和信仰的关系人们的价值观和信仰被认为是政策评估的重要因素，原因如下：1）政策可以从多个方面进行评估。人们的价值观和信仰有助于决定从哪些方面来评估政策。B）政策评估一般应包括定量和定性分析。定性分析包括公民和卫生专业人员对政策的接受程度。

We have obtained three results as follows ;1) The measurement instrument for the value and belief of health professionals and citizens on health care policy.We have developed and examined two measurements : one is the people's preference for health care resource allocation : the other is the trust for health care. It seems to be difficult to set the priority of health care resources based on the cost-effectiveness data, therefore we need to know people's preference for health care resource allocation. In Japan, the trust scale for health care has never been developed.2) Public opinion for the social long-term care insurance, which was introduced in 2000.We have tried to clarify how the social long-term care insurance was perceived and accepted by citizens. The overall results are followings ;Generally, the social long-term care insurance was perceived by many citizens and accepted very well. Although the out of pocket rate of the insurance has been criticized, most citizens accept the rate. Also, many people accepted the private company, which provided long-term care services funded by the social insurance.3) The relationship between the policy evaluation and the people's value and belief.The people's value and belief are regarded as the important for the policy evaluation for the following reasons :a) The policy can be evaluated from many aspects. The people's value and belief is useful to decide which aspects are used to evaluate the policy.b) The policy evaluation should generally include quantitative and qualitative analysis. The qualitative analysis includes how citizens and health professional accepts the policy.