{"created":"2023-05-15T14:41:37.482775+00:00","id":1560,"links":{},"metadata":{"_buckets":{"deposit":"e3c7e5fa-e222-4a39-9515-55f742053294"},"_deposit":{"created_by":3,"id":"1560","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"1560"},"status":"published"},"_oai":{"id":"oai:ksu.repo.nii.ac.jp:00001560","sets":["14:2:56"]},"author_link":["8549"],"control_number":"1560","item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"100","bibliographicPageStart":"75","bibliographicVolumeNumber":"31","bibliographic_titles":[{"bibliographic_title":"京都産業大学論集. 社会科学系列"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"2013年8月にまとめられた社会保障制度改革国民会議報告書には、後期高齢者医療制度存続という医療保険制度に関して一つの大きな方針転換があった。現在示されている政府方針には、市町村国保の都道府県単位化による財政基盤強化、被用者保険の後期高齢者支援金について全面総報酬割の導入により節約される国庫負担を財源とする市町村国保支援などがある。本稿では、これらが今後の市町村国保財政に及ぼす影響を、長期推計モデルによって定量的に考察した。\n　また、後期高齢者医療制度廃止を前提とすれば、現行の保険者間財政調整に代わるさまざまな財政調整が可能となる。本稿では、長期推計モデルを用いた政策シミュレーションにより、それぞれの財政調整が将来における市町村国保の所要保険料に及ぼす影響を推計し、望ましい財政調整のあり方について検討した。\n　現行制度、とくに前期高齢者納付金（交付金）の下では、高齢化率の低い自治体の保険料を高める一方、地域の医療費の多寡は保険料には反映されない。一方、制度平均の1人当たり保険料と1人当たり給付費によるリスク構造調整を導入した場合には、地域の医療費の多寡は保険料に強く反映されるため、医療費適正化を自治体に促す場合には有効な選択肢であるといえる。","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"京都産業大学"}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00060189","subitem_source_identifier_type":"NCID"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0287-9719","subitem_source_identifier_type":"PISSN"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"福井, 唯嗣","creatorNameLang":"ja"},{"creatorName":"FUKUI, Tadashi","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-09-30"}],"displaytype":"detail","filename":"AHSUSK_SSS_31_75.pdf","filesize":[{"value":"801.4 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"AHSUSK_SSS_31_75.pdf","url":"https://ksu.repo.nii.ac.jp/record/1560/files/AHSUSK_SSS_31_75.pdf"},"version_id":"13e4d2c1-36ac-4dee-9830-7cba0dfb8f83"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"市町村国保","subitem_subject_scheme":"Other"},{"subitem_subject":"将来推計","subitem_subject_scheme":"Other"},{"subitem_subject":"医療給付費","subitem_subject_scheme":"Other"},{"subitem_subject":"財政調整","subitem_subject_scheme":"Other"},{"subitem_subject":"地域格差","subitem_subject_scheme":"Other"},{"subitem_subject":"Municipal National Health Insurance","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Future Projection","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Healthcare Benefits","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Financial Adjustment between Insurers","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Regional Difference","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":"高齢者医療制度と市町村国保財政","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"高齢者医療制度と市町村国保財政","subitem_title_language":"ja"},{"subitem_title":"Healthcare System for the Elderly and Municipal NHIs’ Finance","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"3","path":["56"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2017-09-30"},"publish_date":"2017-09-30","publish_status":"0","recid":"1560","relation_version_is_last":true,"title":["高齢者医療制度と市町村国保財政"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-08-08T00:58:08.240236+00:00"}