{"created":"2021-03-01T06:34:24.449370+00:00","id":17108,"links":{},"metadata":{"_buckets":{"deposit":"c0863030-1b1c-4660-bc75-5a9197f1012a"},"_deposit":{"id":"17108","owners":[],"pid":{"revision_id":0,"type":"depid","value":"17108"},"status":"published"},"_oai":{"id":"oai:repository.dl.itc.u-tokyo.ac.jp:00017108","sets":["55:864:932:933","9:504:867:934:935"]},"item_4_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Medical Assistance Reforms and Private Health Insurance in America(<Featured Theme>American model of Welfare State)"}]},"item_4_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2008-03-21","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"5-6","bibliographicPageEnd":"42","bibliographicPageStart":"7","bibliographicVolumeNumber":"59","bibliographic_titles":[{"bibliographic_title":"社會科學研究"}]}]},"item_4_description_13":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_4_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"アメリカでは,国民一般を対象とする公的医療保険〔社会保険〕は存在しない.非高齢者の多くは就労を通じて民間医療保険〔雇用主提供医療保険〕に加入し,貧困者は医療扶助を受けている.しかし,低所得であっても貧困ではないために医療扶助の受給資格が得られず,他方で保険料の負担が大きいために民間医療保険にも加入できない無保険者が多数存在している.連邦政府は,無保険者問題に対処するために1980年代と90年代に医療扶助の改革〔とくに1997年における州児童医療保険プログラムの創設〕を行った.それは,たんに公的扶助を拡充するだけではない.民間保険を活用して無保険者に医療保険を提供し,雇用主提供医療保険に対する保険料助成を行って民間医療保険の加入を促進しているのである.このことは,アメリカ型医療保険制度の特徴をもっともよくあらわしており,民間メカニズムをできるだけ活用するというアメリカ型福祉国家の特徴を端的に示すものである.","subitem_description_type":"Abstract"},{"subitem_description":"This article examines the expansion of Medicaid eligibility in the 1980s and the establishment of the State Children's Health Insurance Program (SCHIP) in the 1990s. These public programs are designed to provide health coverage to low-income families and children who do not have access to private health insurance. Under SCHIP, state governments provide health coverage to targeted low-income children by purchasing insurance products from private insurers. In addition, if lowincome working families are eligible for but can not enroll in employer-sponsored health insurance due to the employee contribution, state governments help such families to enroll in family coverage by paying their share of premium contribution, which is referred to as \"\"premium assistance.\"\" These private insurance approaches to expand health coverage under public insurance programs are characteristic to American health insurance system and American model of welfare state.","subitem_description_type":"Abstract"}]},"item_4_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"107575","nameIdentifierScheme":"WEKO"}],"names":[{"name":"NAKAHAMA, Takashi"}]}]},"item_4_publisher_20":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"東京大学社会科学研究所"}]},"item_4_source_id_10":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00108966","subitem_source_identifier_type":"NCID"}]},"item_4_source_id_8":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03873307","subitem_source_identifier_type":"ISSN"}]},"item_4_text_21":{"attribute_name":"出版者別名","attribute_value_mlt":[{"subitem_text_value":"Institute of Social Science, The University of Tokyo"}]},"item_4_text_4":{"attribute_name":"著者所属","attribute_value_mlt":[{"subitem_text_value":"小樽商科大学商学部"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中浜, 隆"}],"nameIdentifiers":[{"nameIdentifier":"107574","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-06-26"}],"displaytype":"detail","filename":"KJ00005386622.pdf","filesize":[{"value":"2.8 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00005386622.pdf","url":"https://repository.dl.itc.u-tokyo.ac.jp/record/17108/files/KJ00005386622.pdf"},"version_id":"8901600f-4654-4939-bf78-871c38bd2f02"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"医療扶助","subitem_subject_scheme":"Other"},{"subitem_subject":"無保険者","subitem_subject_scheme":"Other"},{"subitem_subject":"民間医療保険","subitem_subject_scheme":"Other"},{"subitem_subject":"雇用主提供医療保険","subitem_subject_scheme":"Other"},{"subitem_subject":"アメリカ型福祉国家","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":"アメリカの医療扶助改革と民間医療保険(<特集>アメリカ・モデルの福祉国家)","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"アメリカの医療扶助改革と民間医療保険(<特集>アメリカ・モデルの福祉国家)"}]},"item_type_id":"4","owner":"1","path":["933","935"],"pubdate":{"attribute_name":"公開日","attribute_value":"2009-11-06"},"publish_date":"2009-11-06","publish_status":"0","recid":"17108","relation_version_is_last":true,"title":["アメリカの医療扶助改革と民間医療保険(<特集>アメリカ・モデルの福祉国家)"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-19T03:55:15.636065+00:00"}