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Action research on revitalization of rural depopulated areas

农村贫困地区振兴行动研究

基本信息

批准号：
11610114
负责人：
SUGIMAN Toshio
金额：
$ 2.3万
依托单位：
Kyoto University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1999
资助国家：
日本
起止时间：
1999 至 2001
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11610114/
关键词：
rural depopulated area community revitalization community participatory democracy welfare for the elderly group dynamics action research community medicine 地域活性化高齢社会

项目摘要

The present study investigated various attempts to revitalize rural depopulated areas through introducing resident's participatory democracy system and developing community health care system. The study was carried out in two fields, i.e., Chizu town, Tottori Prefecture and Miyama town, Kyoto Prefecture, where researchers promoted their investigation while actively participating in resident's movement.In Chizu town, a new participatory democracy system had been introduced in 15 among a total of 89 villages in the town. As a result, it was found that a village that was successful in revitalization took a course in which an informal small group of residents who had already started a series of trial-and-error to revitalize their village was justified with the introduction of the new system by the vast majority of residents in the village. Moreover, an attempt to develop a mutual collaboration among several villages that were involved in the movement was investigated.In Miyama town, participatory management system for community health care had been developed for several years by the collaboration among three parties, i.e., medical staffs in a clinic, top of the town office like a town mayor and a deputy mayor, and representatives of a group of residents. It was found that, even among the persons who were positive for it, several different ways of justification were observed. Specifically, some emphasized the exclusive concentration of efforts on good medical care for residents while others regarded resident's participation in decision-making on community health care as a way of revitalizing the community or a way of decreasing an asymmetrical power relation between a medical doctor and a resident that is still prevailing in many communities in Japan.

本研究探讨了通过引入居民参与式民主制度和发展社区卫生保健制度来振兴农村人口稀少地区的各种尝试。该研究在两个领域进行，即，在鸟取县千津市和京都县三山市，研究人员一边积极参与居民运动，一边推进调查。千津市在89个村中的15个村实施了新的参与式民主制度。结果发现，在振兴成功的村庄中，一小部分非正式居民已经开始了一系列试错，以振兴他们的村庄，这是因为村里的绝大多数居民引入了新制度。此外，还调查了在参与该运动的几个村庄之间开展相互合作的尝试。在三山镇，通过三方合作，诊所的医务人员，镇长和副镇长等镇政府高层，以及居民代表。结果发现，即使在那些对它持肯定态度的人中，也观察到几种不同的辩护方式。具体而言，有些人强调要集中精力为居民提供良好的医疗服务，而另一些人则认为，居民参与社区医疗决策是振兴社区的一种方式，或者是减少医生和居民之间不对称权力关系的一种方式，这种关系在日本的许多社区仍然普遍存在。