{"created":"2023-06-19T10:03:51.417058+00:00","id":12463,"links":{},"metadata":{"_buckets":{"deposit":"7dc5bdfb-7352-4343-8803-c2ec518eee16"},"_deposit":{"created_by":17,"id":"12463","owners":[17],"pid":{"revision_id":0,"type":"depid","value":"12463"},"status":"published"},"_oai":{"id":"oai:kwmw.repo.nii.ac.jp:00012463","sets":["7:16:61"]},"author_link":["55462","55463"],"item_1_alternative_title_20":{"attribute_name":"その他(別言語等)のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Changes in Social Welfare Philosophy and the Insurance System for the Care of the Elderly"}]},"item_1_alternative_title_5":{"attribute_name":"論文名よみ","attribute_value_mlt":[{"subitem_alternative_title":"シャカイ フクシ リネン ノ ヘンコウ ト カイゴ ホケン セイド"}]},"item_1_biblio_info_14":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1998","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"288","bibliographicPageStart":"279","bibliographicVolumeNumber":"8","bibliographic_titles":[{"bibliographic_title":"川崎医療福祉学会誌"}]}]},"item_1_creator_6":{"attribute_name":"著者名(日)","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"吉田, 明弘"}],"nameIdentifiers":[{"nameIdentifier":"55462","nameIdentifierScheme":"WEKO"}]}]},"item_1_description_1":{"attribute_name":"ページ属性","attribute_value_mlt":[{"subitem_description":"P(論文)","subitem_description_type":"Other"}]},"item_1_full_name_7":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"55463","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yoshida, Akihiro"}]}]},"item_1_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.15112/00012452","subitem_identifier_reg_type":"JaLC"}]},"item_1_publisher_23":{"attribute_name":"公開者","attribute_value_mlt":[{"subitem_publisher":"川崎医療福祉学会"}]},"item_1_source_id_13":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AN10375470","subitem_source_identifier_type":"NCID"}]},"item_1_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0917-4605","subitem_source_identifier_type":"ISSN"}]},"item_1_text_10":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of Care Work, Ube College"}]},"item_1_text_22":{"attribute_name":"その他(別言語)の雑誌名","attribute_value_mlt":[{"subitem_text_value":"Kawasaki medical welfare journal"}]},"item_1_text_9":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_value":"宇部短期大学家政学科生活福祉学専攻"}]},"item_1_textarea_11":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_value":"介護保険法は, 社会保障構造改革の先駆けとして位置づけられている.改革が目指しているのは, 医療および福祉分野における公費支出の抑制, サービス利用時の利用者負担の強化, そして民間活力の導入である.このような考え方は, 「福祉国家」の理念から見て問題がある.結局のところ介護保険法は, 「福祉国家」の否定である「日本型福祉社会」論の総仕上げであるといえる.介護保険制度創設の理由として, 現行の措置制度の問題点が挙げられている.措置制度が行政処分であるのに対して, 介護保険制度は保険料を拠出する見返りとして保険給付が行なわれるので, 利用者の権利性が確保されるというのである.しかしこれはたいへんな誤認である.措置制度においても, 権利性は成り立つ.逆に, 保険制度がいう権利性には問題があると思われる.なぜならば, 保険制度がいう権利性とは, 保険料を支払った人のみに付与されるものであるからである.保険料の負担が困難な低所得階層には権利性は発生せず, 結果的に保険制度から排除されてしまうのである.このことは「社会福祉」の理念に明らかに背反する.公的な介護保障制度として, 社会保険方式を選択しなければならない最大の理由は, 社会保障構造改革の目的とする公費支出の抑制にあるといえる.介護財源を, 保険料という形で国民に負担させることにより, 国庫支出を最小限に抑えることができるからである."}]},"item_1_textarea_12":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"The Elderly Care Insurance law is regarded as a benchmark in the structural reform of social security. The goal of the reform is to reduce public expenditure on health and welfare by transferring the financial responsibility to the individual. This current goal is questionable because of the \"welfare state\" philosophy, which is that government is responsible for providing adequate welfare protection for all members of the society. The Elderly Care Insurance law is antithetical to this concept. The elderly care insurance system is strongly supported on the grounds that the new system assures the rights of welfare recipients because they will have paid an insurance premium. However, this argument is false because the right to welfare assistance will be limited to those who have paid or are able to pay the insurance premium. The new concept is obviously contradictory to the philosophy of \"social welfare\" according to which the state should provide welfare assistance to all its members, regardless of their ability to pay. The main reason for choosing a system of social insurance for public care of the elderly is to reduce public expenditures with a goal of the structural reform of social security.The structural reform seems primarily intended to reduce public expenditures through the insurance premium charged to individuals."}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2014-01-31"}],"displaytype":"detail","filename":"KJ00000192768.pdf","filesize":[{"value":"788.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","url":"https://kwmw.repo.nii.ac.jp/record/12463/files/KJ00000192768.pdf"},"version_id":"af1bcdeb-2ebd-4a20-b2b3-5bed58a338f1"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"welfare philosophy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"welfare state","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"welfare society in Japan","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"the law on elderly care insurance","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":"社会福祉理念の変更と介護保険制度","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"社会福祉理念の変更と介護保険制度"}]},"item_type_id":"1","owner":"17","path":["61"],"pubdate":{"attribute_name":"公開日","attribute_value":"1998-01-01"},"publish_date":"1998-01-01","publish_status":"0","recid":"12463","relation_version_is_last":true,"title":["社会福祉理念の変更と介護保険制度"],"weko_creator_id":"17","weko_shared_id":17},"updated":"2023-06-19T10:58:49.711677+00:00"}