A Study on the Socioeconomic Meanings and Factors of 'Agro-Medico-Polis' ; A Case Study of Usuda Town in Nagano Prefecture

本研究探讨日本农村“农医都市”的意义与条件。“农医城”是指农村资源与医疗、卫生服务相结合，并以系统的方式发挥作用的社区。在“农医城”中，各组成部分之间形成了经济循环和物质循环。本研究以日本长野县牛田町为例，分析了牛田町的结构特征及其形成的历史过程。在宇须田町，有佐久中心医院，这是一个众所周知的农村社会的医学中心。“农医城”可以从区域经济、物质循环、个体与群体之间的社会关系等方面进行分析。因此，本研究是在实地调研的基础上，结合对三个村农户的问卷调查结果，对“A 关于我们 本文从以下几个方面分析了“农医市”中的医疗卫生问题：（1）“农医市”中医疗卫生工具和材料的流动及相关事项;（2）医院中负责医疗卫生和其他服务（如床单清洗）的人员的消费活动和纳税情况。本分析根据与医疗机构和设施的关系程度分为三个领域，即第一领域、第二领域和第三领域。第一个领域包括医院、诊所、护士学校等;第二个领域包括护理服务和福利工作、提供医院膳食和床单等;第三个领域包括提供食品材料、妇女直接销售小组和有机农业小组。除了将家庭厨余变成肥料的堆肥中心外，还需要更多的研究。从社会关系的角度来看，医院门口的各种文化活动和农产品的直接销售有助于深化“农医城”的发展。少

This study examines the meaning and conditions of the "agro-medico-polis" in the rural Japan. An "agro-medico-polis" is defined as a community where rural resources are integrated with medial care, health service, and wetrare works in a systematic way. In the "agro-medico-polis", economic circulation and material circulation are formed among its components. This study takes Usuda Town, Nagano Prefecture as a good example of "agro-medico-polis", and analyzed the structural characteristics of Usuda Town and the historical process of their formulation. In Usuda Town, there is Saku Central Hospital, which is well known for a center of medical science for rural societies. An "agro-Medico-Polis"' can be analyzed from the aspect of regional economy, material cycle, and social relationships among individuals and groups. Thus, this study is consisted from the field research concerning these three aspects and results from a questionnaire survey to farmers in there villages.Economic results of "A … More gro-Medico-Polis" are analyzed from the following points: (1)the flow of implements and materals for medical care and the related matters in the "agro-Medico-Polis", and (2)consuming activities and tax payment by the hospital persons who are in charge of medical cares and other services such as linen cleaning. This analysis is conducted by breakdown into three spheres, namely the primary sphere, the secondary sphere, and the tertiary sphere according to the extent of relations with medical institutions and facilities. The primary sphere is consisted of hospitals, clinics, nurse schools, and so on. The secondary sphere consisted of care services and welfare works, provision of hospital meals and linens, and so on. The tertiary sphere is consisted of provision of food materials, direct sale group of womern and organic farming group.As to material cycle, more research is needed except the compost center which changes household kitchen waste into manure. From the viewpoint of social relationships, a variety of cultural activities and direct sale of agricultural products near the entrance of hospital contribute to deepening the development of 'Agro-Medico-Polis'. Less