Effect of the introduction of telecommunications network system into social welfare administration for elderly people in mountainous area

近年来，政府对老年人福利政策的关注从医疗保健转向生活质量的改善，在山区推进了城市、乡镇和乡村的区域合并，行政中心向合并地区的中心区转移。老年人的出行负担将增加。我们可以考虑两个问题，即交通工具的缺乏和旅行距离的变长。有些市政府提供福利巴士和福利出租车。第二个问题是电信网络的建设和维护。即使居民不外出，老年人也可以在家中享受各种公共服务，这是一种制度，但山区的老年人大多是由中央政府资助的，这些效果没有得到足够的把握。另外，费用由谁承担？关于这些问题的讨论并不 ...更多信息 本研究探讨在山区老人福利管理中引入电信网络系统的可能性，以及电信网络系统对改善山区老人生活质量的效果和测量方法。研究结果如下：（1）山区社会福利政策的效益可以用条件价值法（CVM）来衡量。支付意愿的大小受居民对社会福利政策的了解程度、收入和年龄的影响很大。(2)As对地方公共服务的用户成本分摊方法、收费和筹资制度进行了比较和分析。明确了该系统的优点和缺点，并推荐了一种筹资系统。（3）从成本效益来看，远程医疗系统是最可取的政策。需要二级运输政策。特别是社区公交车的引入，会出现老年人潜在的交通需求。最后介绍了可视电话系统的性价比，通过可视电话系统，我们可以在家里进行简单的购物和到医院体检，其性价比不如上述两种策略。少

Recently an administrative concern about the welfare policies for elderly people has been changing for improvement of quality of life (QOL) from medical care.A regional merger of cities, towns and villages has been promoted in mountainous area and the administrative center moves to the central district of merged area. The load of travel of elderly people will increase. We can consider two problems regarded as a lack of the transportation means and travel distance becoming long.The first problem is a security of transportation. There are some municipalities operating a welfare bus and a welfare taxi.The second problem is construction and maintenance of a telecommunications network. Even if inhabitants do not go out, it is the system that elderly people can get various public services at home.However most of them in mountainous area are financially aided by the central government and those effects are not grasped enough. In addition, who bears the cost? The discussions on those are not e … More nough.In this study we investigate on the possibility of introductions of a telecommunications network system to elderly people welfare administration in mountainous area and those effects of QOL improvement for elderly people and measurement methods of the effects. Obtained results are described as followings:(1)It is possible to measure an advantage of a social welfare policy in mountainous area in terms of CVM (contingent value method). The amount of willingness to pay is influenced with residents' understanding degree-for a social welfare policy, an income and age greatly.(2)As a method of a users' cost sharing for local public service, a charge and fund-raising system are compared and examined. A both-system advantage and a weak point are made clear and a fund-raising system is recommended.(3)Judging from a cost performances, telehealth systems are the most desirable policy. Secondary transportation policies are desired. In particular community buses introduction can appear potential traffic demands of elderly people. Finally the cost performances of picture phones system introduction, by which we can do simple shopping and take a medical examination of hospitals at home, are available is inferior to above mentioned tow policies. Less