{"created":"2023-06-19T07:30:27.177237+00:00","id":370,"links":{},"metadata":{"_buckets":{"deposit":"84c32846-40b4-4beb-b046-6e038512b01a"},"_deposit":{"created_by":3,"id":"370","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"370"},"status":"published"},"_oai":{"id":"oai:nodai.repo.nii.ac.jp:00000370","sets":["47:48:89:91"]},"author_link":["1984","1986","1980","1983","1981","1995","1991","1998","1989","1997","1999","1985","1979","1993","2001","1988","1982","1987","1990","1994","1996","1978","2000","1992"],"item_1_biblio_info_12":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueNumber":"2","bibliographicPageEnd":"109","bibliographicPageStart":"103","bibliographicVolumeNumber":"54","bibliographic_titles":[{}]}]},"item_1_description_10":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_description":"本研究は,総務省が平成17年(2005)年に分類した小規模自治体を対象として,次のことを明らかにすることを目的とした。1)保健医療福祉の関連指標について,類似する自治体間で比較を行うこと,つまり地域診断を実施すること,2)介護及び医療費に関連する因子を明らかにすることである。対象となる類似自治体は,総務省類型分類(人口及び産業構造から分類)で,平成17(2005)年度に山梨県小菅村が該当した「町村I-1(人口5,000人未満で,第二,三次産業従事者が80%以上,第三次産業従事者55%未満),54自治体」であった。本研究開始時の平成20(2008)年8月時点において,54町村すべての合併状況を確認した結果,独立して存続している町村は11であった。用いた指標は,老人医療費,入院費,介護費,人口,高齢化率,核家族世帯数,第一次・二次・三次の各産業従事者割合,要介護認定率,平均寿命などあった。11町村の中で,特徴的だった例を4つ列挙する。1)長野県天竜村は平均寿命が長く,医療費と介護費も低い傾向にあった(医療費・介護費併用型)。2)小菅村と山梨県鳴沢村は,医療費や介護費,介護認定率が低かった(医療費・介護費安価型)。3)東京都御蔵島村と群馬県上野村は,医療費は低いが介護費が高かった(介護費依存型)。4)沖縄県北大東村は,寿命は長いが,介護費が高かった(その他型)。重回帰分析の結果,医療費と有意な相関があったのは,入院費であった。介護費と有意な相関があったのは,65歳以上の親族のいる核家族世帯数であった。小規模自治体において,介護保険依存と医療費依存の方向性を有する自治体があり,保健医療福祉の評価には,両者を合わせて検討する必要性が示唆された。サンプルサイズが小さいということや,検討に用いることができたデータの内容について限界はあるが,核家族と入院が介護費用と医療費に影響を及ぼしている可能性があることが示された。","subitem_description_type":"Other"}]},"item_1_description_11":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_description":"The objectives of this study were to compare medical expenses of similar local governments, and to clarify the factors related to expenses for care and medicine. The subjects of our investigation were local governments with a national classification in fiscal 2005 that was similar to Kosuge village in Yamanashi based on population and industrial structure : the population was smaller than 5000, the total percentage of secondary and tertiary industry was more than 80%, and the percentage of tertiary industry was less than 55%. These criteria were met by 54 local governments. When we started this investigation in August 2008, 11 governments remained unconsolidated. The indices consisted of medical expenses for the aged, hospital expenses, nursing-care expenses, population size, aging population, the number of nuclear families, the industrial structure, the percentage of advanced nursing care, and life expectancy. The outstanding points were as follows : 1) Tenryu village in Nagano showed long life expectancy and low medical and nursing-care expenses (combination type by medical and nursing-care expenses) ; 2) Kosuge and Narusawa village in Yamanashi showed low medical and nursing-care expenses and a low percentage of advanced nursing-care (low-cost type of medical and nursing-care expenses) ; 3) Mikurajima village in Tokyo and Ueno village in Gunma showed low medical expenses and high nursing-care expenses (dependent type by nursing-care expense) ; and 4) Kitadaito village in Okinawa showed long life expectancy and high nursing-care expenses (other type). In multiple regression analysis, only hospital expense was found to explain medical expenses, and the number of nuclear families consisting of the elderly was found to explain nursing-care expenses. These results imply that there are two types of local governments that must be considered in health care analyses : one depends on nursing-care, and the other depends on medicine. In spite of the small sample size as statistical data discussion for interpretation, results from this study suggest that nuclear families and hospitalization affect nursing-care and medical expenses.","subitem_description_type":"Other"}]},"item_1_description_13":{"attribute_name":"レポート・講演番号","attribute_value_mlt":[{"subitem_description":"E","subitem_description_type":"Other"}]},"item_1_description_15":{"attribute_name":"表示順","attribute_value_mlt":[{"subitem_description":"4","subitem_description_type":"Other"}]},"item_1_description_16":{"attribute_name":"アクセション番号","attribute_value_mlt":[{"subitem_description":"KJ00005590479","subitem_description_type":"Other"}]},"item_1_description_8":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"論文","subitem_description_type":"Other"}]},"item_1_description_9":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Article","subitem_description_type":"Other"}]},"item_1_source_id_1":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AN00164184","subitem_source_identifier_type":"NCID"}]},"item_1_text_6":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_value":"東京農業大学地域環境科学部身体教育学研究室 "},{"subitem_text_value":" 一般財団法人身体教育医学研究所 "},{"subitem_text_value":" 東御市立みまき温泉診療所 "},{"subitem_text_value":" 東御市立みまき温泉診療所 "},{"subitem_text_value":" 東京大学大学院教育学研究科 "},{"subitem_text_value":" 東京大学大学院教育学研究科 "},{"subitem_text_value":" 東京大学大学院教育学研究科 "},{"subitem_text_value":" 東京大学大学院教育学研究科 "},{"subitem_text_value":" 東京農業大学応用生物科学部栄養科学科 "},{"subitem_text_value":" 東京農業大学応用生物科学部栄養科学科 "},{"subitem_text_value":" 東京農業大学応用生物科学部栄養科学科 "},{"subitem_text_value":" 十文字学園女子大学人間生活学部食物栄養学科"}]},"item_1_text_7":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Laboratory of Physical and Health Education, Faculty of Regional Environment Science, Tokyo University of Agriculture "},{"subitem_text_language":"en","subitem_text_value":" Physical Education and Medicine Research Foundation "},{"subitem_text_language":"en","subitem_text_value":" Mimaki Onsen (Spa) Clinic, Tomi City "},{"subitem_text_language":"en","subitem_text_value":" Mimaki Onsen (Spa) Clinic, Tomi City "},{"subitem_text_language":"en","subitem_text_value":" Department of Physical and Health Education, Graduate School of Education, The University of Tokyo "},{"subitem_text_language":"en","subitem_text_value":" Department of Physical and Health Education, Graduate School of Education, The University of Tokyo "},{"subitem_text_language":"en","subitem_text_value":" Department of Physical and Health Education, Graduate School of Education, The University of Tokyo "},{"subitem_text_language":"en","subitem_text_value":" Department of Physical and Health Education, Graduate School of Education, The University of Tokyo "},{"subitem_text_language":"en","subitem_text_value":" Department of Nutritional Sciences, Faculty of Applied Bio-Science, Tokyo University of Agriculture "},{"subitem_text_language":"en","subitem_text_value":" Department of Nutritional Sciences, Faculty of Applied Bio-Science, Tokyo University of Agriculture "},{"subitem_text_language":"en","subitem_text_value":" Department of Nutritional Sciences, Faculty of Applied Bio-Science, Tokyo University of Agriculture "},{"subitem_text_language":"en","subitem_text_value":" Department of Food and Nutrition, Faculty of Human Life, Jumonji University"}]},"item_1_title_3":{"attribute_name":"論文名よみ","attribute_value_mlt":[{"subitem_title":"カソ コウレイカ ノ ススム ノウソンチョウソン ニ オケル チイキシンダン ト イリョウヒカンレンシヒョウ ノ ケントウ"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"上岡, 洋晴"},{"creatorName":"カミオカ, ヒロハル","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1978","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"岡田 真平"},{"creatorName":"オカダ, シンペイ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1979","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"奥泉 宏康"},{"creatorName":"オクイズミ, ヒロヤス","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1980","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"半田 秀一"},{"creatorName":"ハンダ, シュウイチ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1981","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"朴 相俊"},{"creatorName":"パク, シュンジュン","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1982","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"本多 卓也"},{"creatorName":"ホンダ, タクヤ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1983","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"森山 翔子"},{"creatorName":"モリヤマ, ショウコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1984","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"武藤 芳照"},{"creatorName":"ムトウ, ヨシテル","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1985","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"川野 因"},{"creatorName":"カワノ, ユカリ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1986","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"日田 安寿美"},{"creatorName":"ヒダ, アズミ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1987","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"森 佳子"},{"creatorName":"モリ, ケイコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1988","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"長澤 伸江"},{"creatorName":"ナガサワ, ノブエ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1989","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"KAMIOKA, Hiroharu","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1990","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"OKADA Shinpei","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1991","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"OKUIZUMI  Hiroyasu","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1992","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"HANDA Shuichi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1993","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"PARK Sunjun","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1994","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"HONDA Takuya","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1995","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"MORIYAMA Shoko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1996","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"MUTOH Yoshiteru","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1997","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"KAWANO Yukari","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1998","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"HIDA Azumi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1999","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"MORI Keiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"2000","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"NAGASAWA Nobue","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"2001","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-04-20"}],"displaytype":"detail","filename":"KJ00005590479.pdf","filesize":[{"value":"360.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00005590479.pdf","url":"https://nodai.repo.nii.ac.jp/record/370/files/KJ00005590479.pdf"},"version_id":"3644320e-280c-4ec9-bc52-d9eb6cdf645b"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"地方自治体 ","subitem_subject_scheme":"Other"},{"subitem_subject":" 医療費 ","subitem_subject_scheme":"Other"},{"subitem_subject":" 介護費 ","subitem_subject_scheme":"Other"},{"subitem_subject":" 過疎 ","subitem_subject_scheme":"Other"},{"subitem_subject":" 高齢化","subitem_subject_scheme":"Other"},{"subitem_subject":"local government ","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":" medical expense ","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":" care expense ","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":" depopulation ","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":" aging","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"過疎・高齢化の進む農山町村における地域診断と医療費関連指標の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"過疎・高齢化の進む農山町村における地域診断と医療費関連指標の検討"},{"subitem_title":"Study of Medical Expenses Among Local and Rural Governments Suffering from Depopulation and Aging","subitem_title_language":"en"}]},"item_type_id":"1","owner":"3","path":["91"],"pubdate":{"attribute_name":"公開日","attribute_value":"2009-08-15"},"publish_date":"2009-08-15","publish_status":"0","recid":"370","relation_version_is_last":true,"title":["過疎・高齢化の進む農山町村における地域診断と医療費関連指標の検討"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-06-19T07:54:00.376306+00:00"}