Implementing public policies and services in rural Japan: issues and problems.
While the sharply increased services for the elderly in the revised Gold Plan--announced in 1994--are noteworthy, implementation of the revised Plan is expected to present numerous issues and problems, particularly in the rural areas of Japan, because of unique circumstances such as depopulation and the presence of a disproportionately large number of elderly; geographical and physical isolation; a conservative and tradition-bound political climate; and conservative attitudes of the elderly. This article examines the current state of policy implementation, identifying issues and problems that are being encountered in the rural areas of Japan. Such issues as economic and family life, health care, and service delivery for the elderly are examined.
Hirayama
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College of Social Work, University of Tennessee, Knoxville, Memphis 38163, USA.
Miyazaki
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A
D000368:Aged; D003466:Cultural Characteristics; D006291:Health Policy; D006299:Health Services for the Aged; D006801:Humans; D007564:Japan; D019035:Rural Health Services