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Analysis on the effects of the decentralization on the efficiency and equity of the social security system

分权对社会保障制度效率与公平的影响分析

基本信息

批准号：
17330072
负责人：
IZUMIDA Nobuyuki
金额：
$ 9.75万
依托单位：
National Institute of Population and Social Security Research
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2005
资助国家：
日本
起止时间：
2005 至 2007
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-17330072/
关键词：
political decentralization social security system municipality governance efficiency equity

项目摘要

Like in other developed countries, social security system in Japan requires its reform. Central government in Japan controls the whole of the social security system while the municipalities have the discretionary power in the delivering the social security services, to some extent. (Note that in Japan, the notion of the social security system includes the health insurance, pension benefits, long term care insurance, income support, benefits for disabled, and so on.) However, the municipality is not just a provider. Governor in the municipality must be elected through the election. Hence the municipality provides the supplement services additional to the national services or the services specific to the residents in the area if the residents demand the governor to provide such services. The purpose of this research is to empirically clarify the effect of the political decentralization on the efficiency and equity of the social security system, and analyze how the governance roles or tas … More ks in social security system should be allocated to the central and local government in the normative view point.Research results are as follows. At first, we reviewed the history of the political decentralization process in Japan, and the possible effects of the process. Municipality specific benefits or services have not been included in the social security benefit statistics, so that we tried to estimate it. Especially on the public provision of the day-care center services for children or provision of the nursery schcol services are considered By using the municipality-based data set, the effects of the abolishment of the financial support by the central government to the local government was empirically analyzed.On the public health care system, the function of the regional health planning were considered, and the effects of the subsidy to the public hospital are empirically analyzed in terms of the horizontal equity. On the long term care, by using the questionnaire survey to the elderly, the relationship between social network of the elderly and their health status, and the demand for needs for the welfare services provided by the municipality.On the income support system, the interview-based research was made for clarifying the appropriateness of the discretionary power and of the burden of the work for the specialist in charge of income support, in municipality. Another study tries to estimate the quantities and costs of the care for the elderly in the “homeless shelters". “Homeless" means the person without living home in Japan. They said that the homeless lost their home with the bankrupt or long lasting unemployment. However, this research figure out the fact that the possibility of the existence of the aged person in the homeless shelters without the experience of the homeless situation.One of the limitations of this research is that we did not deal with the matters on the welfare system for disabled persons. This is our future research agenda. Less

与其他发达国家一样，日本的社会保障制度也需要改革。日本中央政府控制着整个社会保障体系，而市政府在一定程度上拥有提供社会保障服务的自由裁量权。(请注意，在日本，社会保障制度的概念包括健康保险、养老金福利、长期护理保险、收入支持、残疾人福利等。)然而，市政府不仅仅是一个提供者。该市州长必须通过选举产生。因此，如果居民要求省长提供这种服务，市政当局将在国家服务之外提供补充服务，或为该地区的居民提供专门的服务。本研究的目的是实证阐明政治分权对社会保障制度效率和公平的影响，并分析治理角色或Tas…从规范的角度看，社会保障体系中的资金应该更多地分配给中央和地方政府。首先，我们回顾了日本政治分权进程的历史，以及这一过程可能产生的影响。城市特定的福利或服务没有包括在社会保障福利统计中，所以我们试图对其进行估计。特别是在公共提供儿童日托中心服务或托儿所服务的情况下，利用基于直辖市的数据集，实证分析了中央政府取消对地方财政支持的效果；在公共医疗体系中，考虑了区域卫生规划的作用，从横向公平的角度对公立医院的补贴效果进行了实证分析。在长期护理方面，通过对老年人的问卷调查，老年人的社会网络与其健康状况的关系，以及对社区福利服务的需求；在收入支持系统方面，通过访谈研究，明确直辖市负责收入支持的专家的自由裁量权和工作负担的适当性。另一项研究试图估算“无家可归者收容所”照顾老人的数量和成本。“无家可归者”指的是在日本无家可归的人。他们说，无家可归的人因为破产或长期失业而失去了家园。然而，本研究发现，在没有经历过无家可归者情况的情况下，流浪者收容所中存在着老年人存在的可能性，本研究的局限性之一是没有涉及残疾人福利制度的问题。这是我们未来的研究议程。较少

项目成果

期刊论文数量（0）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

公立病院に対する繰入金と医療サービスの水平的公平性

公立医院筹资与医疗服务横向公平

DOI：
发表时间：
2007
期刊：
医療経済研究 19巻1号
影响因子：
0
作者：
稲田七海;Nanami INADA;稲田七海;澤野孝一朗;熊谷成将
通讯作者：
熊谷成将

Municipal Integration, Community Size and the Local Government

市政一体化、社区规模和地方政府

DOI：
发表时间：
2006
期刊：
Oikonomica vol42(3,4)
影响因子：
0
作者：
稲田七海;Nanami INADA;稲田七海;澤野孝一朗;熊谷成将;Koichiro SAWANO;Narimasa KUMAGAI;熊谷成将;澤野孝一朗;澤野孝一朗;澤野孝一朗;Koichiro SAWANO
通讯作者：
Koichiro SAWANO

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