2023 Fiscal Year Final Research Report
A Comprehensive Study of Health, Social Services and Regional Government Reform in Finland.
| Project/Area Number |
17K04138
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Sociology
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| Research Institution | Tsuru University |
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Principal Investigator |
TANAKA Satomi 都留文科大学, 教養学部, 教授 (00300129)
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| Project Period (FY) |
2017-04-01 – 2024-03-31
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| Keywords | フィンランド / 医療保健サービス / 社会福祉サービス / 地方自治制度 / 改革 / 高齢化 / 福祉国家 / 北欧 |
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| Outline of Final Research Achievements |
Developed countries are being forced to reform their social security systems in the face of globalization and population aging. This study focuses on the reforms implemented in Finland, a Nordic welfare state, to maintain medical health and social services, eliminate health inequalities, and contain the growth of costs for both services. Reforms in Finland have attempted to enlarge the unit responsible for organizing services. In the most recent reform, a wellbeing services county was established between the national government and local governments, and organizational responsibility was transferred from local governments to this county. This reform has created management challenges for local governments, and recently coordination between services transferred to the county and those maintained by local governments has become an issue.
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| Free Research Field |
社会学
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| Academic Significance and Societal Importance of the Research Achievements |
本研究は、北欧型の福祉国家であるフィンランドにおいて、地方自治制度改革と抱き合わせで実施された社会福祉・医療保健製サービス改革が、サービス提供にかかる合理化に照準を合わせて実施されたことを示した。また、改革後の基礎自治体において、住民の福祉の促進が、文化、スポーツ事業との関連で捉えられている点を明らかにした。これは、日本の厚生労働行政における地域共生社会の実現、自治体で取り組まれている住民参加のまちづくりの理念と実体とは、全く様相を異にしている。本研究は、福祉国家の経路依存性の強さを示し、日本の関連分野の現況を、理念的背景を含めて相対化して眺めるのに役立つ対照事例を提起できた点に意義がある。
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