済生会の成立と展開 : 大阪の場合(日本社会福祉学会第40回大会記念特集号)
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概要
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The Saisei-Kai is a medical-relief-work organization established in 191 1 pursuant to an imperial rescript concerning medical aid for the poor, promulgated by the Meiji Emperor. This paper will offer a histrical analysis of the progress of the Saisei-Kai from its inception, through the decision-making processes involved in determining policy and planning for its operations, to its operational implemantation stage. The area from which we obtained the information discussed here on the actual content of Saisei-Kai operations and related problems was Osaka. Our research results may be summarized as follows. (1) Although a private foundation, the Saisei-Kai, formed as it was in response to highly political motives, was under the de facto control of the Ministry of Home Affairs and the local governments. (2) The Saisei-Kai encountered difficulties in its attempts to establish dispensaries; the indirect approach which was adopted was for the Saisei-Kai to have most of its patients reffered to them by more conventional medical agencies. (3) Responsibility for implementing Saisei-Kai operar was vested, except the City of Tokyo, with each local governor. Thus in Osaka a distinct set of regulations was created, and the SaiseiKai's operations there implemented. Later, the managed to establish clinics and a hospital which they themselves directly administrated. (4) Osaka's example illustrates a number of problems. One problem was the way in which indigent patients were inculcated with dogmatic reminders of the Emperor's graciousness, while the actual medical services offered to them were meager. Yet another problem illustrated the attitude of denial shown by the medical establishment toward the problems of the poor.
- 一般社団法人日本社会福祉学会の論文
- 1992-10-15