权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Sociological Comparative Study on Community Care Systems

社区照护系统的社会学比较研究

基本信息

批准号：
12410043
负责人：
NAGAI Akira
金额：
$ 5.82万
依托单位：
Tohoku University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2000
资助国家：
日本
起止时间：
2000 至 2003
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-12410043/
关键词：
Community Care Community Care for the Aged Social Care Community Medicine Community Work Regional Sociology Sociology of Welfare 在宅ケア施設ケア医療と福祉の連携市町村合併介護保険基礎自治体ドイツユニットケア

项目摘要

1. In contemporary Japanese communities, community care systems cannot be constructed in the same form. Therefore, it is necessary to select a comparative approach in order to analyze these systems.2. (1) In rural areas, it can be observed that characteristic community care systems are built in villages and towns. (Ex. Yasuoka village, Takeshi village, Ogawa village in Nagano prefecture) In these cases, a lot of actors which supply care service for the aged cooperate, and medical institutions lead this cooperation. In these cases, medical doctors who work in hospitals of these villages highly concern community care and they endeavor to construct community care systems.(2) In urban areas, it is difficult to build community care systems. In these areas, amount of actors which supply care service for the aged is very huge, so these actors cannot cooperate easily. But there is a case in which a private hospital leads construction of a community care system (Senju area in Tokyo).(3) In areas of isolated islands, it is difficult to build community care systems. In these areas, a most important issue of community medicine is to save patients. In these circumstances, medical doctors and officers are mainly interested in improvement of medical conditions. But there is a case in which residents of a community try to construct a community care system (Hateruma island in Taketomi town in Okinawa prefecture).3. A medical sector is very important for constructing community care systems.(1) It is necessary for medical institution to take part in community care systems.(2) It is desirable for medical doctors to accept a idea that care is more important than cure.(3) It is possible for a medical sector to destroy a chance to build community care system.But a medical sector also can change these circumstances.

1.在当代日本社区中，社区照顾系统不能以相同的形式构建。因此，有必要选择比较的方法来分析这些制度。(1)在农村，可以观察到乡镇建设特色社区照料体系。(前)长野县安冈村、竹石村、小川村)在这种情况下，许多提供养老服务的行为者合作，医疗机构主导这种合作。在这些情况下，在这些村的医院工作的医生高度关注社区护理，他们努力建设社区护理体系。(2)在城市地区，社区护理体系建设困难。在这些地区，提供养老服务的主体数量非常巨大，因此这些主体不容易合作。但有一个案例是由私人医院牵头建设社区护理系统(东京仙州岛地区)。(3)在孤岛地区，很难建立社区护理系统。在这些领域，社区医疗的一个最重要的问题是拯救患者。在这种情况下，医生和官员主要关心的是改善医疗条件。但是有一个案例，一个社区的居民试图建立一个社区照顾系统(冲绳县竹户镇的Hateruma岛)。医疗部门对于社区护理体系的建设是非常重要的。(1)医疗机构参与社区护理体系是必要的。(2)医生接受护理重于治疗的观念是可取的。(3)医疗部门有可能失去建立社区护理体系的机会。但医疗部门也可以改变这种情况。