Social Policy for Health


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  • 健康のための社会政策 : ドイツの事例から(<特集>健康のための社会政策)


Research on the social determinants of health is proceeding in international organizations like WHO and in many countries. Though we have mostly ignored this issue in Japan, we are presently facing the problems of karoshi (death from overwork), and suicide and depression caused by overwork. Also, we face the risks of incurring illnesses resulting from increases in contingent work and unemployment. Japan has experienced the pressures of socioeconomic changes as have other countries, including increasing pressure of keeping up with the global economy and change in family-based health maintenance functions. Using Germany as a case study, this paper analyzes the social determinants of health based on work type. First, burnout syndrome or deepening depression among fulltime employees caused by stress is discussed; this is now regarded as the nation's greatest health risk. Second, the increase of contingent, insecure work and its influence on health conditions, is discussed. Third, the relationship between unemployment and health problems, particularly the negative effects of the long-term unemployment on health, is analyzed. Finally, social policies based on the analysis of these determinants are described in terms of the network-based comprehensive social policy. This approach provides hints for future social policy-making, and also holds significant meaning for Japan.



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