Sociological Study on Structural Change of Publicness: the Case of Medical Care and Welfare

在全球化下，从公共到私人的运动正在进行中，并极大地改变了当地社会。本研究的目的是研究作为生活基础的医疗和福利领域的公共性结构变化，提出医疗和教育是否与其他市场服务相同或不同的问题，研究行政与私营部门的关系。我们的假设是：教育和医疗领域的私营化和放松管制是有问题的，因为教育和医疗在社区中实现了许多功能，他们的工作带来了麻烦，无论是行政机构还是私人机构。因此，行政和私人的合作成为一个重要的问题，社区结构和非营利组织和专业人员的作用可能变得重要。本研究在医疗、福利和育儿支持领域验证了这一假设。在医疗和福利的合作中，专业人员的作用对于把握当地居民的需求是重要的。法索默：他们必须从事基于社区的活动，并且熟悉社区。证实了医疗机构与社区的紧密联系，社区医疗不能仅靠一家医院来解决，有必要将其作为城市规划与行政和当地居民相结合来推进。

Under globalization the movement from public to private is in progress and has changed local society greatly. The purpose of this research is to study the structural change of publicness in the field of medical care and welfare which are basis of life.Putting a question whether medical care or education is the same as other market services or different, we have studied the relationship between administration and private sector. Our hypothesis is as follows; privatization and deregulation in the field of education and medical care are problematic because education and medical care achieve many functions in the community and their work bring about troublesome, whether supply agents are the administration or private organization. Therefore the collaboration of administration and private becomes an important issue, and community structure and the role of NPO and professionals may become important.This study verified this hypothesis in the field of medical care, welfare, and child-rearing support.In the cooperation between medical care and welfare it is important as the role of professionals to grasp local resident's needs. Fathomer it is necessary that they perform community based activity and they are familiar with community. It is confirmed that the medical institution is greatly connected with the community, community medicine cannot be solved only by a hospital, and it is necessary to advance it as city planning with administration and local residents.