{"created":"2023-06-19T10:04:04.838400+00:00","id":12752,"links":{},"metadata":{"_buckets":{"deposit":"a1ecf0df-66b7-48a3-b222-364ae4afd7fd"},"_deposit":{"created_by":17,"id":"12752","owners":[17],"pid":{"revision_id":0,"type":"depid","value":"12752"},"status":"published"},"_oai":{"id":"oai:kwmw.repo.nii.ac.jp:00012752","sets":["7:23:49"]},"author_link":["57594","57595"],"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":"Current State and Problem of Finance for Medical Services in Japan"}]},"item_1_alternative_title_5":{"attribute_name":"論文名よみ","attribute_value_mlt":[{"subitem_alternative_title":"ニホン ノ イリョウ ザイセイ ノ ゲンジョウ ト カダイ"}]},"item_1_biblio_info_14":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2005","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"259","bibliographicPageStart":"249","bibliographicVolumeNumber":"14","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":"坂本, 圭"}],"nameIdentifiers":[{"nameIdentifier":"57594","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_description_17":{"attribute_name":"URL","attribute_value_mlt":[{"subitem_description":"http://www.kawasaki-m.ac.jp/soc/mw/journal/jp/2005-j14-2/05_sakamoto.pdf","subitem_description_type":"Other"}]},"item_1_description_2":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"原著","subitem_description_type":"Other"}]},"item_1_description_3":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Original Paper","subitem_description_type":"Other"}]},"item_1_full_name_7":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"57595","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Sakamoto, Kei"}]}]},"item_1_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.15112/00012741","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":"Social Welfare Corporation SEIOUKAI,ASAHIENN"}]},"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":"社会福祉法人清桜会あさひ園通所部生活相談員"}]},"item_1_textarea_11":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_value":"わが国では1961年,「国民皆保険」を実施して以来,すべての国民が容易に医療サービスを受けることが可能となった.また,同時に医療技術の進歩や公衆衛生の知識が浸透した結果,感染症等の様々な疾病が激減し,平均寿命が大きく伸長した.しかし,一方では,国民医療費は増加の一途をたどり,医療サービス制度を財政的に圧迫し続け,財政崩壊寸前の状態となっている.本稿では,こうした医療費増加の背景や諸要因を実証的に分析している.分析の結果,以下の内容が明らかになった.(1)国民医療費の増加の背景には,人口の高齢化等の社会的要因の他に,医療サービス制度自体が内包する制度的要因もあること.(2)しかも,過剰な医療サービスの提供は,この医療サービスの制度的要因によって引き起こされるということ."}]},"item_1_textarea_12":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"All Japanese were able to receive medical service through the implementation of the \"Universal Coverage of Public Health Insurance to All Japanese\" in 1961. In addition, various types of infectious diseases decreased sharply through medical technology and the improvement of public health measures; and the average life span was greatly extended. On the other hand, national medical health expenditures keep increasing. It has caused a financial crisis for medical health services in Japan. In this paper, the factors causing such an increase in medical service expenditures are empirically analyzed. The conclusions drawn are that not only the increasing average age of the population alone is to blame, but also the medical treatment service system must be a factor in the increase in national medical expenditure. Also, the excessive demand for medical treatment service is caused due to the system of medical care itself."}]},"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":"05_sakamoto.pdf","filesize":[{"value":"387.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","url":"https://kwmw.repo.nii.ac.jp/record/12752/files/05_sakamoto.pdf"},"version_id":"1c7f423d-71c6-4097-b3cc-31e384042f70"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"finance for medical services","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"national medical expenditure","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"medical insurance system","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":"日本の医療財政の現状と課題","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"日本の医療財政の現状と課題"}]},"item_type_id":"1","owner":"17","path":["49"],"pubdate":{"attribute_name":"公開日","attribute_value":"2005-01-01"},"publish_date":"2005-01-01","publish_status":"0","recid":"12752","relation_version_is_last":true,"title":["日本の医療財政の現状と課題"],"weko_creator_id":"17","weko_shared_id":17},"updated":"2023-06-19T10:52:00.234488+00:00"}