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Function analysis in nonprofit organization and volunteer network of health care system reformation

非营利组织与医疗卫生体制改革志愿者网络的功能分析

基本信息

批准号：
12410059
负责人：
TOKII Satoshi
金额：
$ 5.76万
依托单位：
Shukutoku 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 2002
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-12410059/
关键词：
health care system Non profit organization profession networking citizens participation social making consensus volunteer decision making in allocating the public goods 専門職(Profession)

项目摘要

We were able to obtain a lot of findings through our questioners, interview survey. It should be especially noted that there are two component parts in the nonprofit sector of United States. One consists of the nonprofit organizations that leads and supplements the formal health care system, another that departs from it. Generally the former consists of many medical facilities, such as hospitals and nursing home. Some of these organizations have transformed into the for-profit and another has been faced with the conflict between voluntarism and management, as the preeminence of the market makes progress in the medical industry. The latter is supported largely by grass roots and civic voluntary actions. There is a broad cooperation and collaboration with the medical professions, the citizens or the clients, by which the health care services are provided and by which the efforts to solve the problems remaining in the formal health care system are performed.Based on these pictures, we wil … More l urge that we should appreciate the influence of the voluntary actions performed at the nonprofit organizations on the formal health care system as the follows. Against the background of the development of the medicine and medical technology, today the relation between the medical professions and the clients in the formal system have been segmentized deadly and the medical professions' practice have been divided into several specialized parts, and thus the comprehensive ability to be essentially in the medical practice is likely to break up. However, grass roots nonprofit organizations try to restore the comprehensive ability to be essentially in the medical practices through reconstructing the cooperative or collaborative relation among medical professions and between the public and medical profession. By doing so, they are posing the problems to be solved to the side of a formal system on the basis of findings from their activities. But the activities of these organizations remain from beginning to end in piecemeal approach - that is, there are very few networks and cooperation in their activities. There could be a social structure and awareness inherent in United States that let most American accept the health care services only as market goods. Nevertheless we can suggest fairly that there are a number of activities of the nonprofit organizations, especially community organizations, which would build a new social value (new public good) taking over from this old. Less

通过问卷调查、访谈调查，我们得到了很多的发现。应该特别指出的是，美国的非营利部门有两个组成部分。一种是引导和补充正规医疗保健系统的非营利组织，另一种是脱离正规医疗保健系统的非营利组织，前者通常包括许多医疗设施，如医院和疗养院。随着市场优势在医疗行业中的日益凸显，这些组织中的一些已经转变为营利性组织，另一些则面临着非营利性与管理之间的冲突。后者在很大程度上得到基层和公民志愿行动的支持。通过与医疗专业人员、公民或客户的广泛合作与协作，提供保健服务，并努力解决正规保健系统中存在的问题。根据这些情况，我们将 ...更多信息我敦促我们应该理解非营利组织的志愿行动对正规医疗保健系统的影响，如下所示。在医学和医疗技术发展的背景下，目前正式制度下的医疗职业与服务对象的关系被严重分割，医疗职业的实践被分割为若干专业部分，医疗实践中本质的综合能力有可能被割裂。而基层非营利组织则试图通过重建医疗行业之间、公众与医疗行业之间的合作或协作关系，恢复其在医疗实践中的综合能力。他们这样做，是根据其活动的调查结果，向正式系统提出需要解决的问题。但是，这些组织的活动自始至终都是零敲碎打的，也就是说，它们的活动很少有网络和合作。美国可能有一种固有的社会结构和意识，让大多数美国人只接受医疗保健服务作为市场商品。尽管如此，我们可以公平地建议，非营利组织，尤其是社区组织的许多活动将建立一种新的社会价值观（新公共产品）来取代旧的社会价值观。少