Abstract：
:Community organizing with government support, termed local self-governance (LSG), is a form of policy decentralization for community wellbeing through solutions tailored to local issues. One form of LSG is multifunctional autonomy, in which citizens can comprehensively manage their communities with government support. This study clarified the effect of multifunctional autonomy on healthy life expectancy by assessing related advantages and challenges in rural Japanese communities, using a mixed-methods approach. Disability-free life expectancy from 65 years (DFLE-65) was assessed to compare healthy life expectancies between two rural Japanese cities (with/without multifunctional autonomy). Comparisons revealed better DFLE-65 only among older men in a city with multifunctional autonomy. A cost-effectiveness analysis investigated the relationship between the budget and DFLE-65 change using questionnaire data. Cost-effectiveness analysis of multifunctional autonomy indicated 61,147 yen/DFLE-65. Thematic analysis revealed that multifunctional autonomy created new roles for older men, improving community relationships. However, sustainable multifunctional autonomy in LSG communities may be hindered by a generally aging society, generation gap, and lack of mutual understanding between rural communities and local governments. To ensure the sustainability of multifunctional autonomy, collaborations between local communities and governments and among various generations are critical.
journal_name
Int J Environ Res Public Healthauthors
Ohta R,Ryu Y,Kataoka D,Sano Cdoi
10.3390/ijerph18020574subject
Has Abstractpub_date
2021-01-12 00:00:00issue
2eissn
1661-7827issn
1660-4601pii
ijerph18020574journal_volume
18pub_type
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章
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journal_title：International journal of environmental research and public health
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pub_type： 杂志文章,评审
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pub_type： 杂志文章
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pub_type： 杂志文章,随机对照试验
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更新日期：2020-09-27 00:00:00
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pub_type： 杂志文章
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更新日期：2017-10-24 00:00:00
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pub_type： 杂志文章
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更新日期：2020-07-31 00:00:00
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pub_type： 杂志文章
doi：10.3390/ijerph10126611
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pub_type： 杂志文章
doi：10.3390/ijerph17218040
更新日期：2020-10-31 00:00:00
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章
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更新日期：2019-01-24 00:00:00
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章
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pub_type： 杂志文章,评审
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pub_type： 杂志文章,meta分析,评审
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更新日期：2020-12-03 00:00:00
