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TitleSocial Welfare Administration in Japan : Focusing on the Elderly in the
Municipal Level
Author(s) Yoshihara, Masaaki
Editor(s)
Citation 社會問題研究. 1994, 43(2), p.409-427
Issue Date 1994-03-31
URL http://hdl.handle.net/10466/6680
Rights
《研究 ノー ト》
Social Welfare Administration in Japan
—Focusing on the Elderly in the Municipal Level
Masaaki Yoshihara
Introduction
This paper intend to offer basic information about the Socia
Welfare Administration in Japan to the Swedish Researchers and
Social Workers. I will focus on the Elderly Situation in the Munici.
pal Level.
First, I will describe the Structure of the Local Governmenl
and the Health and Welfare System in Japan briefly. And then
will point out their Problems from the critical points of view.
Next to that I will add a few words about my own experiences
concerning to the some kinds of Social Welfare Planning at the
Municipal Level. Finally, I will add a short Concluding Remark.
Before describing the Main Contents I will point out some basic
features of Japan and Sweden. See the Table 1 .
Japan and Sweden are comparatively rich industrialized coun-
tries with similar Size. But you can easily find the big differences
in the Population. The Population in Japan is more than 14 times
Table 1 Basic Statistics about Japan and Sweden
Surface Population in 1990 Population per 1 k4
Japan 372,769k 123,612,000 332/a
Sweden 449,731a 8,591,000 19/kii
— 409 —
社 会 問 題 研 究 ・第43巻 第2号('94.3.31)
as Sweden. In fact the Population in Sweden is about the same to
the Osaka Prefecture where I live.
Propotion of the Population over 65 years old are 12.6% in
Japan (in 1991) and 18.1% in Sweden (in 1990).
1 . Brief Sketch about the Local Government in Japan
(1) History
Until the middle of the 19th Century, Samurai Clan had ruled
Japan. In 1868 the Meiji Restoration started and then the industri-
alization growed rapidly. This was lead by the state in a very
centralized and authoritarian way. Central Government did not
want Democracy and Local Autonomy. So Japan was a "Economy
and Military" State before the end of the World War Two.
After the war, we made the New Constitution in 1946. Chapter
8 of the Constitution and Local Government Act in 1947 had created
the new local government system. In this system, all the residents
age over 20 can vote in local elections and the Local Government
has autonomy.
(2) Size, Structure and Inter-Governmental Relationship
In general, we have two tier local government system. We have
47 Prefectures. And according to the laws, we have 5 different
kinds of Municipalities as follows. See the Table 2.
We can say that C), 0, ® are urban and ® , C are rural. Now
78% of Japanese live in 0, ® or ®. I will call 0, C), 0 "Urban
Municipality" and compare with Swedish Kommune. See the Table 3.
And I will point out some other notable facts. In Sweden,
about 88% of the Kommunes have a population less than 50,000.
— 410 —
Social Welfare Administration in Japan(Yoshihara)
Table 2 Numbers of the Municipalities in Japan (5 types)
Name (translated in English) Numbers
lO Shi (City) 650
C) Tokubetsushiteitoshi (Delegeted City) 12
C) Tokubetsuku (Delegeted Wards in Tokyo) 23
® Cho (Town) 1993
0 Mura (Village) 581
Total 3259
Table 3 Size and Population of the Municipality in Average
Surface Population
Japan (Urban Municipality only) 1531d 140,000
Sweden 1,572ki 30,000
But in Japan, we have 100 urban municipalities with 200,000 people
or more. These big urban municipalities are located next to the
Megalopolis like Tokyo, Osaka, Yokohama. For example in Osaka
Prefecture, there are 32 cities and 8 of them have residents over
200,000. All of them located very near to Osaka City which has
2,500,000 residents.
Here I will add some words about Inter-Governmental Relation-
ship. State (Central Government) can control the Prefectures and
Municipalities by laws, rules, regulations, subsidies, policy guide
lines, policy statements and so on. State utilize those control func-
tions very much. And also the state controls the local governments
by authoritarian and un-democratic ways like personnel control etc.
In my view Japanese cenral government is patriachal and emphasize
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社会 問題研究 ・第43巻 第2号('94.3.31)
the uniformity of the system so much. We can say that Japanese
local governments function mainly as the "Agent" of the central
government. And the prefectures also tend to control the munici-
parities like the central government do. In general for the most of
the civil servant, "top-down thinking" is more common and confort-
able than democracy and "bottom-up thinking".
(3) Political and Administrative Structure of Municipality
Residents in the municipality elect the mayor and the members
of the municipal board. The Mayor employs various kinds of civil
servants. Civil Servants (Staff) are organized in line with the de-
partmental structures. Many cities have social welfare department,
health department, education department, planning department,
environmental department and so on. Mayor works to accomplish
the legal responsibilities of the municipality. Municipal board will
discuss various kinds of issues and consult with the Mayor. Munic-
ipal board can create the "municipal rule" about some kinds of
issues. Ideally, municipal boards functions to control the strong
power of the mayor and make the whole administrative process
responsive to the needs of the residents. I think that it can function
as the board of grass roots democracy which can construct the local
consensus by bottom-up process. But it is obvious that it func-
tions another way now.
In 1960's residents in the urban cities suffered the pollution
from many factories. But the central government, mayors and
municipal boards had done nothing about it. So some residents
formed "residents organization" and initiated the protecting activi-
ties. They negotiated with the mayor, politicians and owners of
the factories and so on. After these movements they elected some
— 412 —
Social Welfare Administration in Japan(Yoshihara)
new "socialist" mayors and politicians. So after 1960's residents
organization or "Citizen Group" became important for the munici-
pal politics. And after 1970's we can say that "Labour Union of
the Employees of the Municipality" become also important for the
decision making process in the municipality. So now we have
somewhat democratized municipal system compared with before.
(4) Financing System
Financing system of Japanese government is centralized one.
About two thirds of the tax revenues are collected by the central
government and the rest by local governments. And almost half
of the central government's tax revenue are distributed to local
governments as the general and specific grants. Please look at the
Table 4.
An expert of public finance Professor Junichi Fujioka mentioned
that Japan has a smaller public sector compared with Europian
courtries. He also pointed out that Japanese government likes "Investment" spendings eg. roads, harbours, drains.
Table 4 Financing of local welfare expenditures Prefecture
1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 national specific grants 36.0 36.1 35.8 34.9 34.6 29.8 25.4 25.2 24.7 25.1 general resources of revenue 53.8 53.4 53.3 54.4 54.9 59.4 64.7 65.1 65.9 65.2
local debts 1.6 1.5 1.8 1.6 1.1 1.4 0.8 0.6 0.6 0.6 others 8.6 9.0 9.1 9.1 9.4 9.4 9.1 9.1 8.8 9.1
Municipality
national specific grants 43.8 43.1 43.1 39.2 39.2 34.5 30.5 29.4 28.3 27.9 prefecture grant 8.5 8.4 8.2 6.6 6.5 6.9 7.6 7.6 7.9 7.9
general resources of revenue 37.2 38.0 38.3 43.1 43.6 48.3 51.3 52.2 53.1 53.7 local debts 2.4 2.3 2.0 1.8 1.4 1.3 1.3 1.2 1.2 1.1 others 8.1 8.2 8.4 9.3 9.3 9.0 9.3 9.6 9.5 9.4
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社会問題研究 ・第43巻 第2号('94.3.31)
2 . Health and Welfare System in Local Government
(1) Functions and Responsibilities
In general, division of the functions about social policy in Japan
is as follows. Please look at the Table 5 .
Table 5 Division of the Functions about Social Policy in Japan
State ©Establish the Law and Standards, ©National Plannig, ©Economic Support (Pension, Allowance etc), C)Health Insurance System, ©Financial Support for the Local Gov-
ernments Prefecture ()Health and Medical Care Plannig, ©Social Welfare
Institutions and Organizations, ©Public Health Services (Health Check etc). ®Child Protection and Child Care,
)Social Welfare Services for the Handicapped (Mental Handicapped especially), ©Higher Education, ©Housing,
®Labour Market Municipality C)Economic Assistance for the Poor People, ©Day Care
for the Children, ®Social Welfare Services for the Elderly and Handicapped, ®Education (5-15 years old), ()Health
and Medical Services
(2) Service Delivery System
One important feature of the social welfare system in Japan is
its Service Provider. Beside the child nurseries about 76% of the
social welfare services are provided by "Shakaifukushihojin" the
nongovernmental non-profit organizations. Local government con-
tract with these organizations. For example 89% of the Old Peoples
Homes are run by these kinds of organizations. Some "Shakaifuku-
shihojin" has religious background (Christian, Buddist). But some
other organizations are dominated or "owned" by rich people and
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Social Welfare Administration in Japan(Yoshihara)
landlords. I should say that some of these organizations are man-
aged in undemocratic way. The social welfare personnel is low-
paid although their job is hard. Because only about 5 % of them
have trade unions. And the user participation in management is
also insufficient in many organizations.
So in Japan, the main function of the social welfare depart-
ment are "decision making about service delivery" and "financing".
About 14,500 social workers are working in the social welfare office
but they functions as the "gate-keeper" of social welfare system.
And most of them are not graduates from the department of so-
cial welfare in the university. They are not trained as a social
worker but as a general bureaucrats. They move around the de-
partments every three or four years. Some "social workers" are
coming from the drain department or the park-maintenance depart-
ment and then move away to the water-supply department for ex-
ample.
And most of the medical care services is also provided by "Iryohojin" not the government . "Iryohojin" is also nonprofit organ-
ization. Public health services like health examinations or surveil-
lance are done by local government. Prefectures and municipalities
have their public health centres and employ the public health
nurses.
(3) Financing System
Social welfare services are financed by tax and charges. State,
prefecture and municipality sharea sertain proportion of the "cost"
by specific grant, general grant and general revenue ( eg. Municipal
Tax). And the state and the municipality decide the charges of the
users. In my view charging system in Japan is unfair. In general
— Lt1R —
社 会 問題 研 究 ・第43巻 第2号('94.3.31)
charges are decided by the income of the user themselves. But gov-
ernment also levys the certain amounts of charges from the "respon-
sible family carer". For example if my father will enter the old
peoples home, the "responsible family carer" me(his son) have to
pay the charges according to my income. If we get the home help
services in my house, I must pay the charges for my father too.
And it is also unfair that charges are also linked to the quanti-
ties of the service directrly. People who need home help or day
care services everyday have to pay a huge amount of charges. It
is unfair that people who need much support have to pay much.
Another issue about charging system is called "full-cost" princi-
ple. The State and the municipalities increase the charges frequently.
They revise and make a new standards every two or three year.
In these years charges are increasing rapidly. Please look at the
Table 6 . Especially the charges of the child nursery, home help,
Table 6 Charges of a special nursing home*
1981 1984 1987 The aged themselves
persons who paid (persons) 22 25 44 sum of charges (yen per month) 128,100 274,200 958,100
average charge (yen per month) 5,823 10,968 21,775 maximum charge (yen per month) 30,000 43,600 120,000
minimum charge (yen per month) 100 1,000 1,000 persons who did not pay (persons) 28 25 6
persons responsible for dependent family members persons who paid — 21 27
sum of charges — 242,600 529,200 average charge — 11,552 19,600 maximum charge — 50,500 102,900
minimum charge — 4,200 4,500 persons who did not pay — 29 23
* An example of Keiaien in Iwate prefecture
— 416 —
Social Welfare Administration in Japan(Yoshihara)
day care services for the aged, respite services become rather "ex-
pensive" services for the users and their families. In my view gov-
ernment's policy on charging is levying the "full cost" from users
and their families. Government's idea is that family should take
care of their old parents and handicapped relatives. If someone
will use the social welfare services, they are regarded as "profitted
from the government". So charging for the family members are
similar to the "punishment" for them.
Most of the cost of the medical services are financed by health
insurance. But users have to pay some charges. Health insurance
system are financed by contributions from employers (companies )
and employees and the tax. Mainly central government support
the financing on health insurance system but prefectures and munic-
ipalities are also funding certain proportions of it.
Public health services are free in general.
(4) Current Changes in Laws
June 1990 eight major social welfare laws were revised. Main
points of this reform are as follows.
0 Some responsibilities about care of the elderly and handica-
pped were shifted from the prefectures to the rural municipal-
ities.
0 Every municipality and prefecture have to establish their own "fi ve year plan of the health and welfare services (from 1994
to 1999)" in line with the national guideline.
(5) Planning Mechanism
In 1989 government established the "Gold Plan", 10 years plan
of the health and welfare services. Please look at the Table 7 .
— 417 —
社 会 問 題 研 究 。第43巻 第2号('94.3.31)
Table 7 Main Goal of the Gold Plan (National Plan)
1989 1992 2000 For Community Care
Home Helper (persons) 31,405 46,405 100,000 Short Stay (beds) 4,274 15,674 50,000 Day service Center 1,080 3,480 10,000 Center for supporting
the family caring0 1,200 10,000 For Institutional Care
Special Nursing Home (beds) 162,000 * 171,267 240,000 Half Way House of 27
,811 * 42,061 280,000 Health Care (beds)
Care (or Service) House (persons) 200 * 715 100,000 Welfare Center in Sparsely 0 400
Populated Area * 1991
As I mentioned above every municipaly and prefecture have to
establish their own five year plans in accordance with this national
plan. Now in 1993 many personnel are working hard to create this
five year plan in every municipality and prefecture.
In 1985 government revised the laws in order to stop the rapid
increase of the numbers of the bed in the hospitals. In my view it
was the first national planning about medical care services. But it
only aimed to limit the numbers of the beds in the hospitals.
Main ideas behind this policy is retaining the medical care spend-
ing at certain levels. These kinds of reform and planning initia-
tives came from financial aspects.
From the rate 1970's municipalities, prefectures and government
had started to spend certain amounts of money for public health
services. Various kinds of health examinations, preventive health
activities, rehabilitation programs, health promotion activities, health
education activities and so on. Prefectures and municipalities have
— 418 —
Social Welfare Administration in Japan(Yoshihara)
employed public health nurses in their public health centres. Prefec-
tures and municipalities had started to establish their own "health
planning (often five year plan)" in 1980's.
3. Some Problems in the Social Welfare Administrations
today
(1) Heavy burden on Family Carers
Most of the care for the frail elderly are provided by family.
According to the survey in Suita City(1989), 75% of the family carers
are women (wives, "daughters in law", daughters). Some 70% of
them are age over 50. Some 20% of them had a paid job, but some
of them quit their job to take care of their old relatives. Family
carers have economic ploblems, housing problems, care-giving prob-
lems. They are exausted both physically and mentally. Many of
them are ill themselves.
(2) Inadequate Medical Care Systems
As I already mentioned above, Japanese medical care system
does not have adequate planning systems. In some ares especially
in some big urban cities, there are too much hospitals and doctors.
On the other hand some rural municipalities do not have any doctors,
clinics and hospitals. In such village there are lots of old people
who need medical care.
Another problems in medical care system are as follows.
C) Shortage of the nurses in the hospitals
(because of the very bad working conditions)
C A little spending on medical care in the community
(too much spending on high-tech in-hospital care)
— 419 —
社 会 問 題 研 究 。第43巻 第2号('94。3.31)
0 Lack of rehabilitation and discharge planning
(shortage of PT, OT, ST, social workers in hospital)
C) Some long stay hospitals and mental hospitals are bad
(non-skilled staffs, elderly abuse, drug abuse, locked out)
And the shortage of the social welfare services and heavy bur-
den among family carers forced the frail elderly staying in the hos-
pital longer. There are limited choice for them and their families.
(3) Lack of Services for the Elderly living in the Community
In 1990 some 26,800 elderly peoples ( +65) lived in Suita City
(about 7.8%). At that time only 85 households had got the home
help services(about 0.3%). Because of the shortage of the home
helps, users get only two hours support each week. Participants
on the day care programs and rehabilitation programs are also
limited.
(4) Lack of the Dignity in Institutional Care
We have national standards for the social welfare institutions.
According to that, four people have to share one room(40nnin the
old peoples home. In this room they do not have a toilet neither
the telephone. Because of the limited space they can not bring
their own tables, chairs and dishes to the old peoples home.
Because of the shortage of the institution elderly people can not
choose their old peoples home. And in one old peoples home 50 or
100 elderly are living together. Some institutions have 300 "beds".
It is awful.
(5) Lack of the "Community Concept"
As I mentioned above we have so many big urban municipalities.
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Social Welfare Administration in Japan(Yoshihara)
But in such municipalities they have only one or two social welfare
office, day care centre for the elderly, public health centre, old peo-
ples home if they have 300,000 residents. And in some small rural
municipalities there are several big old peoples home. So many
urban municipalities "export" the frail elderly to the rucal munici-
palities.
(6) Lack of Cooperations and Coordinations
I had already pointed out the lack of discharge planning. In
the municipal level cooperation between medical, health and social
welfare personnel is not so good. And Cooperation between state,
prefectures and municipalities are also problematic.
In the historical views we had failed to create nice "partnership"
between government and the voluntary initiatives. In these 15 years
government has tried to utilize and colonize the voluntary activities.
And at the same time government emphasize the "privatization of
welfare". As I discribed above we have very fragmented social
welfare system. And since the government emphasized "privatization
of welfare", care system became more fragmented than before.
We need more cooperations and coordination if we want integrated,
high quality care services.
(7) Inadequate Financial Mechanism
As I already mentioned Japanese government is spending much
money on "Investment", for example construction of roads, bridges,
drains and so on. And in the municipal level financial support for
the medical services are rather much compared with social welfare
finance. And also social welfare finance in the municipality is not
used in a efficient way. Lack of funding is a fundamental problem
— Li91 —
社 会 問題 研 究 ・第43巻 第2号('94.3.31)
in Japanese welfare system.
(8) Centralized Systems and 'Ideas'
Social welfare adminstration in Japan is centralized one as l
described above. Main reasons are as follows.
0 We do not have a long tradition of "local autonomy" and
grass-roots democracy
0 Centralized financing system and detailed control by laws and
regulations
C)Local governments also enjoy the centralized culture them-
selves. (they also ignored democratic decision making process,'
I would add some words about centralized culture. In 1985 Cen-
tral Government decided to decrease the number of the personnel
working in the Local Government. And the almost all the prefec-
tures and the municipalities have followed this stupid idea. This
was started in 1986.
(9) Lack of Citizen Participation in Planning Process
As I written above every municipality in Japan is creating their
health and social welfare plan now. But citizen group and users of
the services are not involved in these planning process. Some mu-
nicipalities have contracted out the planning to the private companies.
In general, political participation in the municipal decision waking
process is very low in Japan. I am so sorry to say that local
politics in Japan is as collapsed as our cabinet and parliaments.
— 422 —
Social Welfare Administration in Japan(Yoshihara)
4. Some Initiatives I am Involved with
Social Welfare Planning for Stimulating the Welfare Activities
of the Residents
(1) Social Welfare Planning and Social Welfare Council
In each prefectures and municipalities we have "Shakaifukushi-
kyogikai". This is also a non-governmental non-profit organization.
You can call it "Social Welfare Council" because its steerinig board
and managing committee consist of the governmental agencies and
social welfare institutions and vaious kinds of citizen groups. And
it is financed by both voluntary and governmental money. In gen-
eral these kinds of organization employ at least one or two commu-
nity workers. This organization would functions as "coordinating
body" and initiate various kinds of developmental work. And at
the same time this council would stimurlate the citizen participation
and grass roots democracy in social welfare administration. But
in reality there are lots of problems in these kinds of organization.
In general this body functions as a "council of local boss" and em-
phasized very conservative ideas. Grass roots residents organizations,
handicapped organizations and carers organization do not have
enough power.
But from the middle of the 1980's in some municipalities "Sha-
kaifukushikyogikai" initiate some kinds of social welfare planning
mainly focusing on the elderly. These plans are not governmental
ones. These kinds of planning mainly aimed to develop various
kinds of citizen activities in cooperation with governmental agencies
and social welfare institutions.
— 423 —
社 会 問題 研 究 ・第43巻 第2号('94.3.31)
(2) Social Welfare Planning in Neyagawa City, Suita City and
Kaizuka City
In these Years, I am involved with some kinds of Social Welfare
Planning Process in three cities. Although all of these three cities
located in the sub-urban area, they have different specific features.
But all of these Planning Initiatives I am involved was based on "Shakaifukushikyogikai" . And they have their own local boards or
committees which consist of various kinds of Citizen Groups. Plase
look at the Table 8 .
Table 8 Social Welfare Planning in Three Cities
Population Local Planning Implementation in 1992 Boards Process of the Plan
Neyagawa City 255,800 26 1988-90 1990-94 Suita City 333,300 30 1990-92 1992-96 Kaizuka City 79,300 9 1992-94 1994-98
It was notable that Social Welfare Planning Committee in
Neyagawa City included some important Citizen Groups. Association
of the Family Carers, Association of the Elderly living alone and
Chairman of the Local Welfare Committee were involved. Of cource
this Planning Committee also included Medical Doctors, Social
Workers, Nurses and Researchers and so on. But it was crucial
that Citizens with Social Needs organized themselves and discussed
various kinds of issues with Social Workers, Doctors and so on.
They discussed and defined the Social Needs and then created the
Goals and the Action Programs together. New way of cooperation
in activities had developed through this Planning Process.
It was also remarkable that all of these three Planning Initia-
- 424 —
Social Welfare Administration in Japan(Yoshihara)
tives had some aspects about "Locality". Social Welfare Planning
Committee had tried to analyse their City based on the small areas.
It happens that all of these three cities had their own Local Boards
or Committees, they utilized those areas. Most of those areas were
based on elementary school areas. Planning Committee had find
various kinds of Social Ploblems and Citizens or Voluntary Activi-
ties in each areas. They thought they need "Locality-Based Strate-
gies" for Social Welfare Planninig. So in Suita City 29 Local Com-
mittees had established their own "Action Plan from 1992 to 1996"
in 1992 in accordance with City Planning. But it was somewhat 'top-
down' way. So in Kaizuka City, they stimulate the "Residents
Meeting" when they create the 'Local' Welfare Plan. In each area,
residents will discuss about their plan several times. In Kaizuka
City the Planning Committee had aimed these kinds of grass-routs,
bottom-up Planning Process.
5. Concluding Remarks
As I already described, Urban Municipalities in Japan had many
people in a small area and Political Participation in decision
making process is low. Although we had the new Cabinet from this
August and huge Corruptions and Political Scandals in several Local
Governments were revealed this year, I can not find any evidence
about the real Democratization of Japanese Local Government. The
old system are functioning very well. Lots of Mayors and Govern-
ners enjoyed their elections without opposition long time. Voting
Rate of the Mayor election of Kobe City (1,460,000 residents) was
20% and of Kawasaki City (1,162,000 residents) was 30%. After the
big Political Scandal, a National Government Personnel became the
- A9C -
社 会 問 題 研究 ・第43巻 第2号('94.3.31)
Mayor of the Miyagi Prefecture. All of these three elections were
held in this Autumun.
I think that low Level of Political Participation in the Munici-
palities keeps the old Centralized System alive and Welfare System
irresponsive and irresponsible. We need the Strategies of Decen-
tralization "to" the Municipalities and Decentralization "within" the
Municipalities. At the first hand we should stimulate the Citizen
Participation in Social Welfare Planning Process. And we need
Locality-Based Strategies in those Process. Community Work meth-
ord is vital in the Urban Setting in Japan. Although my own
experiences are limited ones, I believe that we can change the situ-
ations through the 'interacting' process of Planning.
REFERENCES
Koseitokeikyokai ; "Kokumin no Fukushi no Doko", 1992.
Jichisyo ( Ministry of Home Affairs ) ; "Zenkoku Shichoson Yoran",
Daiichihoki, 1992.
Koseisho ( Ministry of Health and Welfare ) , "Shakaihosyo Nyumon",
Chuohoki. 1993.
JunichiFujioka;"FinancingofWelfareSysteminJapan",
KochiUniversityReview,No.48,November1993.(表4、6、7は い ず れ
も 藤 岡 論 文 か ら引 用)
本稿 は、本年8月25日 スウ ェーデ ン、 エス キルス トゥナ市で行 なわれた 「日本 の社会福
祉に関す る講演会」の際に吉原が用 いたペーパ ーに加筆、修正 した もので ある。講演会は、
CentrumforValfardsforskninginEskilstuna(エ スキ ス トゥナ福祉 研究 所)の
主催 で行 なわれた。 この福祉研究所は、国 と2っ の地方 自治体の出資に より、1992年7月
に開設され ている。
-426一
Social Welfare Administration in Japan(Yoshihara)
筆者 は今夏、本学 が中心 となって1990年 よ り推進 して いる 「日米北欧の福祉制度とそれ
らを支え る価値 にっ いての国際比較研究 プロジェク ト(通 称:VAWEプ ロ ジ ェク ト)」
の第3回 国際会議 に参加す るため、 メキ シコ及びス ウェーデンを訪れた。 メキ シ コでは 、
8月 上 旬 にアメ リカの主催で今年度の国際会議(全 体会議)が 行 なわれ、そ の後、8月 下.
旬 にス ウェーデ ンにおいて 日本 と北欧3ヶ 国(ス ウェー デン、 フィンラン ド、ノルウェー)
の研究 者に よる作業会議 が持たれた。筆者は、これ ら一連の会議に参力[するとともにスウェー
デンの 自治体福祉 システムを研究す るため、エスキルス トゥナ布に約2週 間滞在 した。 こ
の間 、ホス ト役 をっ とめ ていただいた研究所のH邑kanKarp専 任 研究 員 が この講演会
を企 画 し、筆者 は現地で 手持 ちの資料を用いて約4日 間で本稿を作成 した ものである。本
稿 のね らいは、既 にIntroductionに 記 した とお りであ る。 なお、 引用 及 び参考 文献 は
最小限 の もの しか記 していない。
報告 の機 会 を与え ていただ いた研 究所 所長MatsForsberg及 び学 術 ア ドバ イザー
HaraldSwedner名 誉教授 、 講演 会 の参 加者 こと にMattsEkermo専 任 研 究 員 、
HakanKarp専 任 研究 員、執筆 の際 に支援 していた だいた橋本義郎先生(大 阪国際女子
短大)、 衣笠一茂(同 志社大学大学院)、 清水弥生(大 阪府立大学大学 院)の 諸氏に感謝
いた します 。最後に、帰国後、本稿を加筆修 正す る際に貴重 な御指 導をいただいた本学の
右田紀久恵 教授及び ス トックホルム大学SvenHessle教 授に感謝いた します 。
〈1993年11月24日 〉
吉原雅昭(同 志社大学大学院博士後期 課程、 日本学 術振興会特別 研究 員)
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