Mr. Masahiro Yama , Director of the Department of Civil Engineering,
○Chairman (Urahideo) attendees have reached the fixed number. Open today's meeting. --- --- ---
△Date 1 General question
○President (Urahideo-kun) The first general question will be given. Allows you to ask questions. No. 23 Akira Ishiguro
◆No.23 (Makishi Ko-kun) I am very nervous, but I want to do my best. It is the Akashi of the Civilization Party. Thank you. In with the notification, we will ask you a question. First of all, the title of “Return to Sasebo and Ash” in the June issue of Public Relations in the first 65th year of the Sasebo Air Raid, depicting Sasebo City at the time of 20. On April 8, 20, B29, a large-scale bomber of the U.S. army came to Sasebo sky, throwing a bomb, and surviving more than 100 deaths. On June 28, Sasebo was raining. In such a rainy night, some sort of oil was at the bottom of the heart of the citizen. After midnight, the roaring sound of the 音endous thing was heard. The B29 of 141 units had a total of over 1,000 tons of burns, and the time of fear and confusion was over two hours. About 12,000 units of the central part of the city were completely ashed andになった burned. More than 60,000 refugees, and 1,28 refugees were deprived. It was depicted in this way. There is no cruelty as the war. There is no miserable thing as a war. I lost my parents and lost my child. The age of 65 years has decreased. There are many people who are not able to participate. I think that it is not only me to remember the crisis in the current situation where people who can tell the war experience in their own words will decrease. It is important that the people who have been sacrificed by the war will not repeat the tragic horror of such war twice, and to talk about the congratulations of life and the importance of peace to the next generation. Now that the number of generations who do not know the war occupies an overwhelming number, we need more efforts to prevent the memory of the war. It is not only the family of the warrior, but the feeling of commemorative to the 戦prit of the 戦prit, such as the grandson and the grandson, will be disappointed. It will be taken over to the next Sasebo Air Raid 70。, 80100 and 100100 through the tradition and history of the war experience. In the future, we will ask you how to inherit from the next generation of people involved in the warriors in the past 10 and 20 years. It is the second largest. About the expansion of the hydrangea network. The current situation of medical care is changing significantly, including changes in the disease structure due to de、ing birthrate, increased cancer and chronic disease, insurance due to increased health awareness, 。ification of medical needs, rapid changes in population structure, exhaustion of social security system, lack of doctors, medical system reform, and expansion of regional disparities. There are many complex issues that cannot be solved by medical institutions alone. It is necessary to establish a system that efficiently provides medical care by linking the limited resources in the region. In the past, the service supply and management optimization of local governments and medical institutions have been done, but it is said that it is necessary to cooperate throughout the region to effectively utilize limited medical resources. The number of doctors for the population of 100,000 per area is 245.68, 126.2, and 98.8 in Nishikai City. In the north area of the prefecture, there are few specialized medical institutions such as cerebral surgery, and in last year 55 transports are carried to Sasebo city. In order to support the cooperation system of medical institutions in Sasebo city, it is necessary to have a strong cooperation system with medical institutions in Sasebo city to share information. In addition, elderly measures are also urgent. It is said that the need for home medical care is high as the elderly's counter . As a form of regional medical cooperation, there is a form of cooperation between hospitals and hospitals, cooperation between hospitals and所s, cooperation with所s and所s, but there are few information links to support home care, so it is said that there is a high risk of insufficient information transmission and information sharing when hospitalization of home care patients. In order to reduce such risks, I think that it is necessary to share information between medical checkups and disease in order to effectively utilize very valuable医療 medical resources. Our specialists and core hospitals have a large number of ified specialists and have a wide variety of modern medical devices, and if the所 uses the information and test results, the所 is said to be able to know more detailed medical information and improve the quality of continuous treatment. In addition, if you use past inspection data, image view, and ECG, etc. that are not owned by the所, even if it is a first visit, it is possible to compare with the previous medical information, so it seems that it will contribute to more appropriate diagnosis and treatment in a short time. With the above advantages, we share information in the area using IT in Japan. On October 15, 2004, the Nagasaki Regional Medical Network System Council, which代表者 of representatives of the Nagasaki Medical Center, Omura Municipal Hospital, Omura City Medical Association, Hayashi Medical Association, and Itoshima Medical Association, was launched. Ajisai Network is a service that閲覧 you to view medical information stored in electronic medical records such as Nagasaki University Hospital. With the use of hydrangea net, it is possible to continue treatment from the doctor of the hospital to the doctor, and the patient can visit the doctor with peace of mind. Ajisai Net is currently expanding its area to Isahaya and Nagasaki area. Major hospitals such as Nagasaki University Hospital, Nagasaki Medical Center, Nagasaki Citizen Hospital, and Nisaka Nagasaki爆ic Bomb Hospital are participating. Although the Southern Medical Area of Nagasaki is very advanced, I think that it is necessary to expand the IT network to the Kita Medical Area such as Sasebo Municipal General Hospital and Kitamatsu Chuo Hospital, but I will ask you what kind of system it is. We will ask about measures to reduce medical expenses in the third largest. We will ask you about the promotion of generic drugs. According to the statistics of the Ministry of Health, Labour and Welfare, the medical expenses of the Japanese people are about 33 trillion yen in FY2006, and the growth of the national medical expenses for the 11 years from FY2007 to FY2006 was reported to 22.9%. The Ministry of Health, Labour and Welfare estimates that the medical expenses will continue to rise to the current 2.156969 trillion yen in 2025 after 15 years. The ratio of the const tion for the National Medical Cost is 37% of hospitalized medical expenses, 38.6% of hospitalized medical expenses, 7.6% of dental medical expenses, and 14.2% of pharmacy preparation medical expenses. The characteristic is that the growth of pharmacy preparation medical expenses is very high in the composition ratio. In18 2017, only 3% of the national medical expenses were swelled by 14.2% in18 2006. The total medical expenses for 15 years are 1.4 times, but the pharmacy preparation costs are 6.6 times. In this situation, it is a generic drug. A new drug developed by major pharmaceutical manufacturers is called a predecessor drug. In contrast, generic drugs are newly applied and manufactured as the same drug after the expiration of the patent of this new drug. It is said that the same effect as a new drug is recognized and has equivalent efficacy. On average, the drug cost of generic drugs is about half of the predecessor drug. If the patient’s cinal costs are reduced, and all drugs that have passed the patent period are placed in generic drugs, Japanese medical expenses can be reduced by about 1 trillion yen per year. In general, there is a possibility of improving the quality of medical administration by reducing the national burden of medical expenses. In , about 80% of the drug has been applied to generic drugs after one month after the patent has expired, and generic drugs are common. In the United States, alternative preparations are accepted, and insurance companies also plan to promote the preparation of generic drugs. In the United Kingdom, the ratio of general name prescription is about 74%. The number of generic drugs in the United States, England and Germany is 16.9%. The Ministry of Health, Labour and Welfare announces the share of generic drugs by FY2012 to 30% or more, as a basic policy for economic and financial reform. The environment surrounding generic drugs has changed significantly. What is the role of each country, prefecture, and city to achieve this 30% goal? As a result, we will ask you what percentage of the use of generic drugs is currently in use. In addition, we will ask you how to use generic drugs to reduce the burden of the patient’s medical expenses in general hospitals aiming for patient-centered medical care. We will ask you about the parking permit system. When we come to the town, we will see a parking lot with a disability mark on public facilities and supermarkets. The parking lot for people with disabilities is located near the entrance of the facility so that people with disabilities can easily use the facility. This is because people who use wheelchairs need space to open the door when they ride a car. However, it is often parked by a driver that seems to be impaired. I think that this situation is not a human-friendly city for people with disabilities or those who need it. In addition, people with internal disabilities do not know from the appearance, unlike those who use wheelchairs or えs. Because it is invisible disability, it seems that when you put a car in a parking space for people with disabilities such as a supermarket, you can be careful and feel cold eyes. In order to solve such a situation, the parking permit system was introduced first in Saga Prefecture. Nagasaki Prefecture started parking permit system after about one year. By the way, the parking permit system is not enough, but it is a system to issue a common use certificate for people who need a parking lot for people with disabilities and post a use certificate when using a parking lot with the cooperation of the administrator of the parking lot. In addition, this system can be used for people who are difficult to walk, people with disabilities, seniors, and fertility. In particular, because it is visible from the person with internal disabilities to the appearance of external disabilities, I felt cold eyes until now, because I posted a use certificate, the voice and the facility side said that it became easy to guide non-targeted parking. It seems that it has earned a high reputation from multiple directions when it is easy to use by having issued a user ID rather than a car. The local governments currently implementing this system spread to three cities in 13 prefectures nationwide. In this flow, many people in the prefecture said that it became convenient and easy to understand the car. This is the use of the parking lot for people with disabilities. However, due to the use of the parking permit system, there was a problem that the person who is using a wheelchair could not park for a person with a 3.5 meter width. In addition, at the general meeting of people with disabilities in Sasebo City, the first slogan of this year is to secure a wheelchair-only parking lot. I was also attending the festival. Wheelchairs are not allowed to park in a 3.5-meter-wide parking space. The parking permitted system has been used for people who are difficult to walk, people with disabilities, seniors and fertility. In Saga Prefecture, which was dealt with such a problem quickly, we developed a parking permit plus one exercise, and at the same time, we decided to make a parking space for the other parking permit users at least 1,000 cooperative facilities in the prefecture. Wheelchair users need to have a 3.5-metre space that can open the door and safely ride when they are on the car. However, some users of the parking permit may not need space to be there. Therefore, we provide a general parking lot that is easy to provide for the cooperation facility for another parking lot permit, and it is a parking lot permit plus one to try to secure the parking lot for people who need a large space such as a wheelchair user. We will ask you if you can not work on Plus One exercise even if it is Sasebo city. Or, if you take the train, priority seats are installed for people with disabilities, elderly people, and pregnant women. I think that there is such a parking lot. We will secure a priority parking lot of 2.5 meters in width and ask whether we can not engage in initiatives for persons with disabilities other than wheelchairs. End the first question.
◎Civil Life Manager (Na継 Urakawa) We will answer your questions about the 65th anniversary of the Sasebo Air Raid. In this city, we pray for the peace of mind of the people who were sacrificed by the air raid as the day of the Sasebo air raid on June 29th. Here, I would like to introduce the activities of this city according to the Sasebo Air Raid day. As we mentioned earlier, we will introduce a special article about Sasebo Air Raid in this month's public relations, but we are doing public relations through various media and media such as public relations paper, newspaper, and town magazine. It is one of the efforts of the Sasebo Air Raid Photo Exhibition held in the lobby on the first floor of the main building. Peace education is conducted at all schools around June 29. On the day of June 29th, we held a memorial ceremony for the victims of Sasebo Air Raid every year in Hanazono-cho, and it is the start time of the memorial ceremony at 10 am. In particular, in the memorial ceremony, we have announced the thoughts of air raids, wars, and peace by junior high school representatives two years ago to be interested in young generations. These initiatives are evaluated by the participants of the family. In this way, the citizens reaffirmed the history of Sasebo Air Raid in some way, and are keen to be interested and sacrificed. It is an effort to prevent the memory of the war noted by the member, but this city is to inherit the history of air raids to the next generation, and the memorial ceremony of Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo Sasebo As for the memorial ceremony, there is a concern that participants will be decreasing due to the aging of the bereaved family, but it is recognized that it is necessary to continue in the future as the government, as the members of the council are also working on the power of the citizens. In addition, it is the inheritance of H、ic H、ic H、ic H、ic H、ic H、ic H、ic H、ic H、ic H、ic H、ic H、ic H、ic H、ic H、ic H、ic H、ic H、ic H、ic H、ic H。ic H。ic H。ic H。ic H。ic H。ic H。ic H。ic H。ic H。ic H。ic H。ic H。ic H。ic H。ic H。ic I would like to study with the victims of the Sasho Air Raid and the victims of the Sasho Air Raid.
◎ General Hospital Director (Katsumi Eguchi) We will respond to the expansion of the second hydrangea network. As noted by a member, the Ajisai Network, which was established in Omura and Isahaya district, is now spread to Nagasaki City, and Nagasaki Prefectural Medical Association is headquartered, and we are expanding our business. As of June 2010, we have utilized the local medical cooperation system with 126 medical institutions in cooperation with 10 hospitals. Patients, such as所s, first of all, use hydrangea nets to see the patient’s test results, diagnosis, or treatment details at any time, while being in their所s. This病院 you to continue providing safe and secure medical care, including avoiding duplication of testing and drug duplication, to patients who have been hospitalized and returned to your doctor. Sharing of real-time medical information through hydrangea nets is possible to promote introductions and reverse introductions by local cooperation and achieve improvement of the quality of healthcare throughout the region. Sorry, this entry is only available in Japanese. In the future, a system construction project for medical information has been established in the Nagasaki Prefecture regional medical regeneration plan. Ajisai Net is a policy that expands to Sasebo and the north region. In order to build a network, it is necessary to develop a network environment in the Sasebo/Kita area. The hospital provides information is still having problems in terms of software and hard. In the future, as a hospital that supports local medical care, we would like to make a positive progress while fully asking for the intention of the Sasebo Medical Association and the medical staff. Next, we have made various initiatives to promote the use of generic drugs in Japan. This time, we have evaluated the system to actively use postoperative pharmaceuticals in medical institutions in the revision of medical compensation in 2010. This is a comprehensive payment system for DCP hospital and so-called hospitalization medical expenses. In with this, we first examine the inpatient to the generic drug and try to cut it from the possible drug to the subsequent drug. In the revision of medical compensation for FY2010, the system for proactively using post-department drugs in medical institutions has been newly added to medical institutions with a total of 20% or more of the products employed by post-department drugs. As a general hospital, we are determined by the pharmacy committee of the hospital to actively engage in the cutting of generic drugs, and we are cutting from possible to generic drugs. If you look at the status of adoption of generic drugs in local hospitals nationwide, the rate of adoption of generic drugs is 8.25% at hospitals of 500 or more of the same size as the hospital. In April 2006, it was 5.3%, but today we are up to 9.9%. It is higher than the average of municipal hospitals in Japan, and it is stead promoting the use of generic drugs. In addition, the total number of 医薬品 drugs at this hospital is 1,637. There are 633 products in the latter medicine. We use 162 products with 25% of them. The spread of generic drugs is thought to contribute to the reduction of patient burden and improvement of medical insurance finance as indicated by the member of Akashi. However, the current situation is unfortunately not spreading compared to 、 countries. One of the reasons is that there is no worry about the quality, provision, and stable supply of later medicines. In addition, it is said that there are few postoperative drugs that can be used in hospitals that carry acute stage medicine as a core hospital in the prefecture north area, such as the main hospital. In the future, we will make efforts to increase the adoption rate of generic drugs, but there is also a difficult aspect. In addition, I think that generic drugs are considered to be the same drug as the first-generation drug. However, even if the main component is the same, it contains the base or additive, and it is not the same. Therefore, when using generic drugs, it is necessary to carefully look at the conformity and efficacy of the patient's pathology and cut it into later medicine. We will continue to work as a hospital to promote the spread of generic drugs in the future, taking into account the unique situation of the dental as such acute stage hospital.
◎ General Manager of Health and Welfare (Tetsuo Chichiba) (lecture) First, I will respond mainly to the part related to Kitamatsu Central Hospital as a way of thinking about the second hydrangea network. As you know, Kitamatsu Central Hospital is the second hospital in the northernmost part of Shinsasebo City, and it is a base hospital in the northern part of the prefecture with many patients from Hirado City and Matsuura City. Kitamatsu Chuo Hospital has a system to share medical information electronically, such as hydrangea networks, as a tool for regional medical cooperation, and we recognize that if it can be used effectively as a recipient of information and as a sender, it will be desirable for local patients. As for the hydrangea network, there was a talk from the hospital manager earlier, but the policy is shown to advance its maintenance in the regional medical regeneration plan of the prefecture. On the other hand, it is necessary to investigate technical problems related to communication and the cost and effect of introduction. I would like to discuss with medical professionals in the prefecture and the region. We will continue to answer the situation of initiatives to promote the spread of generic drugs. In order to improve the quality of medical services and to improve efficiency, we have set our goal to share generic drugs by FY2012 by 30% or more. In order to achieve this goal, if the doctor has not been able to change from predecessor to generic medicine, the signature or name of the prescription generic drug can be set up in the column that the doctor can change from the predecessor to the generic drug. In the case of a prescription without the signature of the doctor, the drug can be prepared according to the patient's choice. In addition, the four points have been added to the addition of the体制ric Drug Preparation System in the pharmacy, when the prescription based preparation rate is 30% or more. In the fourth year, the formula is changed from the prescription base to the quantity base, and the preparation rate is 20%, 25% or 30% or more. In October 2008, we established the Nagasakiリックric Drug Use Promotion Council, consisting of experts, doctors, pharmacist associations, medical insurers, hospitals, and citizens, to formulate manuals for posters, distribution, and adoption of generic drugs. Next, there are two main initiatives for Sasebo National Health Insurance and Medical Insurers. The first item is the creation and distribution ofリックric Drug Hope Card. If you wish to use generic drugs, you will need to tell your doctor or pharmacist about it, but by using the desired card, you will clearly tell you the will, and will be used for a smooth formulation of generic drugs. In March 2010, we have distributed it to all households who are registered in the city. The second point is to spread the use of generic drugs by notification of medical expenses. From the viewpoint of health management, we have notified that the amount of medical expenses is 6 times a year, but in this case, it is the difference of self-payment when cutting from predecessor medicine to generic medicine. In addition, we have posted on public relations paper, set up a counter for popular leaflets, and distribute them, and take measures against generic drugs. The usage of generic drugs is 19.0% nationwide and 20.3% Nagasaki prefecture. As for the usage ratio of this city, we conducted a sample survey for December 2009, and the usage ratio of generics is 21.1%. The parking lot for people with disabilities, but the parking lot permit system is operated by the prefecture, and it is said to be a user certificate issued by the prefecture in the parking lot for people with disabilities, etc. of specified living facilities specified in the town development ordinance of Nagasaki welfare. In this year, we have issued a user certificate from January 1, 2010. First of all, the status of the receipt of the user ID in Sasebo City, but Sasebo City was entrusted by the office from January to April, 2010. In the aggregate, the user ID for more than 1 year has been issued for persons with disabilities and aging, etc., and the user ID for less than 1 year is issued for 46. The parking lot for people with disabilities is maintained at the facilities owned by Sasebo City. However, the results of this survey are based on the 138 facilities of the city in21 2009. The parking lot for 7,357 cars is 138 cars. Less than 2% Although it is an approach to the system similar to the plus one exercise of your pointing out, it is believed that it should be centralized throughout the prefecture, including the need for cooperation with other prefectures. As a result, we contacted Nagasaki Prefecture, where the parking lot for people with disabilities is installed by the facility administrator, i.e., the cooperation of private business operators, and the installation of guide boards, parking guidance, etc. It is heard that the implementation of plus one exercise is not considered. As a result, we would like to work in the prefecture in the direction of implementation because it will increase the convenience of wheelchair users. However, as one of the challenges of promoting the spread of this system, it is thought that there is a moral problem of the user, so I would like to support the city by means of spreading towards moral improvement. {{ item.start datetime }}
Thank you for your support. We will give you a second question about generic drugs. According to the answer of the manager earlier,リックric Drugs is more than 21.1% of use and the prefecture average, but Nagasaki is the fourth from the bottom. Okinawa prefecture is the lowest income, but it is more than 31.1% and 30%. In the sense of the world, I think that the desire to cheapen drugs of people suffering from illness has appeared there, but there is a city that raises a certain outcome by notifying the individual of the individual’s use of the drug, which is not satisfied with 21.1%. We believe that this kind of medicine will be a great way to promote the spread of generic drugs, so I would like to ask you how to go to Sasebo City. There is a little time, so I want to make a request, but it is a parking permit system, but I also know the system of the parking permit system, but I can only get a 3.5-meter width for people with disabilities. I would like to say that I made a special parking lot, but I think it is impossible for people with disabilities, but I think that it is important for people with disabilities and people who do not have wheelchairs for people with disabilities. Then, I am a generic drug, but I have been in general hospital for about 5 years, but at first, I have been told to the general hospital, "I can also be a generic drug?" In the case of a doctor, I thought, “Oh, is it?” I was lightly accepted, but before asking for this question, I looked at how I drink my medicine. Then I’m drinking three tablets of pretar and adalat drugs and Ormetec drugs, but the Ormetec is only a predecessor drug, and both pretar and adalat are generic drugs. As the teacher said earlier, the efficacy is different. I didn’t know if I didn’t hear it. That’s why Adarato is generic drugs, but it’s only half priced this time, but I think it’s important to recommend it if you have generic drugs, even though it’s one of the three things that you don’t really say. Thank you for your understanding. End the question. Thank you very much.
◎ General Manager of Health and Welfare (Tetsuo Chichiba) (Lecture) As we mentioned earlier, the usage rate of generic drugs for this city’s National Health Insurance is 21.1%, and there are still more than 30% of the targets to be achieved until 2008. We believe that it is necessary to improve the utilization rate of generic drugs in the future. As of May 20th, there are 42 insurers nationwide. In this prefecture, it is in Nagasaki city, 2 towns - Kawabata-cho, Hasami-cho, from March 2010. In order to reduce the cost of medical care, it may be expected to be effective in suppressing medical expenses. However, it is necessary to cooperate with related organizations such as medical associations and pharmacist associations in order to promote the business.
○Chairman Hiroichi Morioka, No. 21
◆No.21 (Koichi Morioka) It is Morioka, a private party citizen meeting.。ing this parliament, one of our associates aimed at participating in national governments, and we sailed from the Sasebo City Council on a ship that should be said to be a hand-held boat. It is unfortunate that the power of the association becomes less than one person, but I am thinking that I would like to send a compliment and。 to the figure that the adolescents throw away a stable environment and challenge difficulties from the worm. In with the notification, we will ask questions by one question answer method. The theme of my question is to create a local medical system. I will ask about this medical problem for the first time this time, but I am a member of the Board of Education, so I think that it was a theme that should be taken up earlier. Nowadays, medical crisis and disintegration are occurring nationwide. I want to clarify the question whether there is no such concern in the Sasebo area where we live. In addition, the question items used in the notification form are based on the sixth Sasebo City General Plan, the basic goals indicated in the 3rd implementation plan, the policy of welfare city that can live healthy and safe, and the expression used in measures. First, we will take up the problem of improving the medical supply system. In the case of any enhancement, you must know how the current situation is. Therefore, I would like to ask some basics about the medical environment in Sasebo City. According to the Nagasaki Prefectural Health Care Plan, issued in March 2006, the second and third health care zones are established based on the daily life zone of residents, and Sasebo City is a secondary health care zone. I think that you already know, but here is the primary medical treatment for patients who do not require hospitalization. Secondary medicine requires hospitalization treatment, and third-generation medicine refers to more advanced medical activities as a unit of the entire area. The first question is whether doctors, nurses and other healthcare workers in this Sasebo Medical Area are sufficiently counted in the patient’s demand. I would like to ask you if there is a possibility that there is no hospital closure due to lack of doctors seen in other cities, or if there is a statistical value, we will reply.
◎ General Manager of Health and Welfare (Tetsuo Chichiba) First of all, the number of medical workers in the Sasebo Medical Area is 663, the nurse is 4,348, and the pharmacist is 414. In the case of a doctor, the number of nurses is 1,627, and the number of pharmacists is 163.2. Although the number of doctors and nurses exceeds the national average, the pharmacist has lower national average. However, the number of doctors and nurses is higher than the national average, but we hear the opinion that it is not necessarily suitable depending on the medical practice as the voice of the medical field at conferences such as the Regional Health Care Council. In addition, there are cases in which hospital closure due to lack of medical workers is not caused by the closure of medical institutions in this city, but some hospitals have forced to reduce medical conditions due to the re。ement of doctors.
○President (Ura-Hideo) Senchiwa General Manager, the number of answers, so please do it.
◆No.21 (Koichi Morioka) (Lecture) When I asked the question last time, I could not walk with something gout or something, but I was sitting in front, but I would like to thank you again. Even though it is similar, Sasebo does not have a disease that is particularly specific to other cities, even if it is not a climate or climate disease. In addition, we will ask you whether you can not see a hospital shortage or dev。 such as a hospital of a specific medical department or a small所.
◎ General Manager of Health and Welfare (Tetsuo Chichiba) (Lecture) There is no statistical data in the area, and there is no recognition that there are many diseases患者iar to this area even if it is impressive. There is a document from the viewpoint of the cause of death in this city. Based on this document, malignant neo、sms and so-called cancer are the first cause of death, followed by heart disease, cerebro。 disease and pneumonia. It is the same as the whole country. The number of medical institutions in this city is 26 hospitals and 240 general所s. However, there are many hospitals and所s in the main office duct, and there are areas where there are no medical institutions such as the cerebral neurosurgery and gynecology.
◆No.21 (Koichi Morioka) (Lecture) What kind of medical system is good for citizens. Depending on the book, it is safe and reliable medical care, it is a medical system that can be used at any time when necessary, and it is better to be cheaper if necessary treatment costs are possible. In a word, it is said that high-quality treatment is always at a cheap cost. So, I think Sasebo citizens are the same recognition, but I will ask if the citizens have sufficient knowledge and understanding of medical care received from Mizuno.
◎ General Manager of Health and Welfare (Tetsuo Chichiba) (lecture) We introduce the importance of the医, how to contact the相談diatric emergency telephone consultation, and how to find theインターネット of children by the Internet. In addition, we are striving to hold workshops for children and lectures for medical safety. Sorry, this entry is only available in Japanese.
◆No.21 (Koichi Morioka) (Lecture) My question may be bad, but I have heard that citizens are well aware of medical care in the Sasebo area, and I do not hear what kind of publicity is. By the way, as the viewpoint of residents, the opinion of the Social Security Council Medical Group is on December 8, 2005, and the citizens have an interest in what kind of medical institutions in the area where they live, what treatments are received when they become sick, and how they can return to their daily lives. In addition, I asked if you understand how the current state of the local health care provision system is, or how it is going to change in the future, so I think that it will not be returned immediately even if it is still a little answer, so I will transfer it to the next question.病院aking of the conditions of regional medical care, it is said that it will be three things that we have mentioned earlier, but on the other hand, there is a proverbs that the management is sufficient and "the doctor is injured", but I think that it is a mandatory condition that the labor conditions prescribed in the labor standard law are essential. So whether these two essential conditions are sufficiently satisfied. In particular, the state of management of hospitals and所s in the city is not a matter of cal ating, and this is one of the causes of hospitals,所s, etc. that have been caught up by the closing hospital.
◎ General Manager of Health and Welfare (Tetsuo Chichiba) (Lecture) The main reason for the closure of the medical institution is that it is a lack of successor due to the death of the doctor and physical condition.
◆No.21 (Koichi Morioka) (Lecture) I don’t know if the contents of the question were a bit unsuitable, but I don’t have any data at all, so I think it’s very honest, but I’m very sure that the administrative responsibility is fulfilled. It is a similar question, but the presence of the salary gap in each medical institution is a major problem in maintaining the regional medical system. Depending on the book, the salary of nurses and staff of public hospitals nationwide is high, and doctors tend to be lower than private hospitals. In the Sasebo area, there is a salary gap between public hospitals and private hospitals and所s.
◎ General Manager of Health and Welfare (Tetsuo Chichiba) (Lecture) The salary survey of medical workers in the city is not important, but it does not carry data. The analysis is not possible. Although there are many regular nurses in major hospitals, there are many 所ified nurses in general所s, and there are differences in staff composition, so I think that it is difficult to compare.
◆No.21 (Koichi Morioka) I don't have data, but I think that there are many ways to do it if you want to check it out. For example, a salary should be written in the application guidelines when hiring new healthcare professionals in Hello Work. If you want to make the most of your products statistically, you should be able to see how many engineers will be in Sasebo city. It is a big problem, but it is one of the病院 that the general hospital has. In such a case, I think that the employee's salary is correct or not, but I can not evaluate it because I do not have data. I would like to take responsibility as a government for the things that I think about whether there is no such disparity or whether the hospital is going to be defeated now. I asked the characteristic of the medical provision system in the Sasebo Secondary Health Care Area, but there is a part that can not be sufficiently investigated and analyzed, but I think that the Sasebo region is not able to see the features that will be a problem compared to other cities. As I asked this question, I searched the word "regional medicine and general hospital" from the minutes of general questions for the last five years. The most frequently asked questions were about general hospitals. 6 people In order to subdivide each question, there are many projects that have been implemented, but there are many things to consider in the future. Therefore, I would like to ask you to confirm how the authorities are doing after 9 questions. In the medical law, the basic policy for health care is determined by the Minister of Health, Labour and Welfare, and the local medical plan is determined by the governor. Although Nagasaki Health Care Plan and Health Care Plan are created, this is the year of creating a regional health care plan for the following five years. I think that the deliberation on regional medicine has been held at the Sasebo Regional Health Care Counter s Council, which is based on this plan, but what is the discussion with this council? Also, I will ask you what the result is reflected in.
◎ General Manager of Health and Welfare (Tetsuo Chichiba) (Lecture) Sasebo Regional Health and Health Care Council is a council composed by a committee commissioned by the Nagasaki Prefectural Governor to promote the development of medical plans in Sasebo region and to improve the supply system for health care in Sasebo region. In the last year, we mainly discussed the regional medical regeneration plan and the secondary medical wheel number system, and we received various opinions to provide better medical care in this city. As a result of this council, we decided to set up a study meeting of Sasebo and Kita-Regional Health Care in order to realize a more effective plan by sending proposals to Nagasaki Prefecture. In addition, in regard to the medical system, we have received opinions on various issues surrounding this city, including reviewing the current system, and taking measures.
◆No.21 (Koichi Morioka) (Lecture) In the present answer, it was the agenda of the regional medical regeneration plan and the secondary cyclone system, and as a result, it was established as a study meeting of Sasebo and Kita Regional Medical. However, in this medical system, we have received opinions about various issues and take measures, but what are the challenges of various issues? I have taken the opinions and measures. What measures do you take? Thank you for your understanding. The answer is exactly the same as the answer. I think that I want to hear concrete points, is there a response?
In addition, we have talked about the second 医療 ring number as a regeneration plan for regional medical care in the last year. {{ item.start datetime }}
◆No.21 (Koichi Morioka) (Lecture) I asked questions about what is the problem, and I wanted to show it to the citizens. However, I am very imp。ed if I would like to see it. In the current medical plan, the core thinking is to cooperate with the function division of medical institutions in the region. The current plan is already in the final year of five years. What is the integration and clarification of roles of medical institutions, and how far is it going?
◎ General Manager of Health and Welfare (Tetsuo Chichiba) (Lecture) We recognize that cooperation of medical institutions and clarification of roles is a key issue that is indispensable for providing stable regional medicine in the future. In order to cooperate with medical care, patients with mildew need to treat practitioners and severe patients with advanced medical care. Patients with rehabilitation need to clarify roles such as rehabilitation at rehabilitation hospitals. In addition, we will provide support for patients who have been診d, such as hospitalization, relocation of hospitals to hospitals, adjustment to facilities, adjustment of home support, training for local healthcare workers, planning and operation of study meetings, and sending to 321 related institutions of community cooperation magazine "Kanokoyuri" issued monthly. In the general hospital, the referral rate of 50% was 60% in FY2008 and 74% in FY21, and the reverse referral rate of the local medical institution was increased to 32% in FY2007, 42% in FY20 and 59% in FY21.
◆No.21 (Koichi Morioka) (Lecture) I received a response to the question of what is the cooperation and clarification of roles of medical institutions, but I can not understand it well. I think that it is difficult for each hospital to work together, but how do you work together and what roles do you play? It is easy to use for medical checkup cooperation or medical cooperation, but I do not know the contents well. In addition, it is said that it is doing this in the community cooperation room in the general hospital, but it is done in the general hospital as an example of how it is in the Sasebo area. I think that I could not ask about how to do it, and how far is it going. I think that it is a local medical support hospital that has been born as part of the function separation of medical institutions. The central hospital and general hospital have been changed to a system that requires an introduction letter of the doctor. I think that if this is the network of local medical support hospitals and your doctor, you can cover the entire Sasebo area of medical care, the medical service that citizens want is finally completed. Therefore, we will ask you where the transition to the local medical system is going to be the core of the local medical support hospital.
◎ Head of Health and Welfare (Tetsuo Chichiba) (Lecture) Regional Medical Support Hospital is founded to promote cooperation with the role division of medical institutions by collaborating with local hospitals and所s. In February 2008, the Sasebo Central Hospital was approved by Nagasaki Prefecture in February 2010. As we mentioned earlier, the introductory rate and introductory referral rate have been stead。 increasing in general hospitals. As of May this year, there are 47 medical institutions participating in regional medical network, and 7,093 registered patients.
◆No.21 (Koichi Morioka) (Lecture) It is a measure of how far you are going, but if you are talking about the whole story, there is a number, and the current situation is such a number, you can see that it is about 50%. However, if you do not have any explanation, you can not know what it is. I would like to hear from you. It is a study meeting of Sasebo and Kita-regional medical care that has been out of your response. However, this study meeting is based on the Sasebo Kita-regional medical regeneration plan, and the Sasebo medical area which is relatively substantial in the medical area, and the prefecture Kita-圏 area which is lacking many medical facilities, the city has been merged. We are also planning to review the secondary medical zone for this purpose. I think that it is time to create a medical cooperation system in Sasebo City and the Northern Second Medical Area. In this way, we will ask you what kind of medical system will be affected.
◎ Health and Welfare Manager (Tetsuo Chichiba) (Lecture) In consideration of the medical cooperation between Sasebo City and the Kita Second Medical Area, it is a major element that the area of Sasebo City has expanded due to the merger between Es町 Town and Kamachi Town in March this year, and multiple medical institutions beginning Kitamatsu Central Hospital were knitted to Sasebo City. In addition, this merger has become familiar with the nearby Matsuura and Hirado. In the northern part of the prefecture, Matsuura citizen hospital has recognized that the bias and lack of medical institutions are more serious than the city. Therefore, in consideration of the medical cooperation system in Sasebo City and the second medical area of the prefecture, it is assumed that patients receiving medical institutions in Sasebo City from the problem of medical resources in the prefecture North area can further fulfill in the future.
◆No.21 (Koichi Morioka) (Lecture) It is also similar, but the question is, what do you think about the local medical system? In response, we need to work on the problem solving that there is no excessive burden. If excessive burden occurs. What do you think about this? If you don't say that side by step, I think that it is not possible to convince each counter。. Government has created a reform plan for public hospitals. In response to the public hospital reform plan, the public hospital reform plan review meeting is led by the prefecture. In this question, the necessary reform items in the Sasebo and Kita Medical Area are se。tial. There are also reasons why we need that. I think that the citizens do not understand the things around them if I answer them from the perspective. I am a member of the newly established Sasebo and Kita Regional Medical Association. However, when I come to Tokyo, I wrote a document written by a member of each member of the Sasebo and Kita Regional Medical Association. The members are only medical professionals and government officials in the prefecture, city or town. There is no medical representative. If there is no understanding of local residents, the way of local medical care is one hand fall. Therefore, I think that it is necessary to create an organization that considers how medical care is in Sasebo and Kita Medical Area, which address the predetermined impact from the position of local residents.
◎ General Manager of Health and Welfare (Tetsuo Chichiba) (Lecture) The organization that considers the way healthcare is in Sasebo and Kita Medical Area, has felt the necessity in this city as noted by a member. This meeting was jointly established by Nagasaki Prefecture and Sasebo City to establish a study meeting of Sasebo and Kita-regional medical care. We are expected to discuss discussions to solve various problems such as rehabilitation system in close cooperation with Nagasaki Prefecture, related city and related medical institutions. In addition to the doctors’ associations, the four doctors of the prefecture, Sasebo, Hirado, Kitamatsuura, and the hospital officials, the representatives of the general, labor accident, cooperative, central, and Kitamatsu Chuo hospitals and other medical secondary ring number hospitals, as well as administrative officials, the meeting is scheduled to be held on the 23rd of March. Through this council, we will work together with local governments and local governments to resolve issues early. It is not included in this. Then, after a few meetings have been completed, I think that it is necessary to discuss with other parties.
◆21 (Koichi Morioka) (Lecture) The current Nagasaki Prefectural Health Care Plan describes the current situation, challenges, direction of measures, and goals in each section, but there are no main words in the text that exists there. We will promote, strive, perform, and figure out the expression, but who will do these actions? This plan is made by the prefecture, so I think that the prefecture is the main word, but it is not clear. I understand that medical measures are not going to be one-stop, because medical measures are responsible for the governor of the prefecture, are the chief of the region, or are not clear. Therefore, if you support the medical system across the two medical zones, we think that the prefecture should be led including budget requirements, but how about it?
◎ Health and Welfare Manager (Tetsuo Chichiba) (Lecture) Before the planning, a consultation is made by the Regional Health Care Counter s Council and the relevant organization, Nagasaki Health Care Counter s Council, etc. of each region. Although there are some parts of the city involved in the execution of the plan, there are cases where the medical area is intervened with other areas as you point out. I would like to ask for the active involvement of the prefecture even if I was in Moto City.
◆No.21 (Koichi Morioka) (Lecture) Next, I will ask about the 6th Sasebo City General Planning and the 3rd implementation plan. What is the concept of transforming into a locally-contained healthcare, which is the first topic of policy issues? I would like to give you an explanation of the recent case.
◎ General Manager of Health and Welfare (Tetsuo Chichiba) (Lecture) A system that enables the effective use of poor medical resources in the area by considering regional medicine as a unit of secondary medical zone. In the case of patients with strokes, for example, in the early stages of development, we mainly carry out specialized diagnosis and treatment at the core hospital, and then transfer to medical institutions specialized in recovery period rehabilitation. In the21 year 2009, 1,405 people who have received the cerebral neurosurgery of the five hospitals of the secondary carnaval hospital are hospitalized. Although we do not know the number of hospitalists to the rehabilitation institution, we recognize that a certain number of patients are hospitalized. These medical institutions are expected to provide efficient and high-quality medical care for patients by collaborating with each implant treatment.
◆No.21 (Koichi Morioka) (Lecture) I think that it was a complete medical treatment in one hospital in the past. I think that the name of the general hospital remains the same as that of the name of the hospital, but in the case that it is completed only by one hospital, a huge hospital is formed, and a small hospital is no longer formed, so I think that it is a way to work with various hospitals so that they can be completed in the medical area. I think it would be a good idea if you say such a conceptual way of thinking, but I think that it was a good idea in the explanation of the manager. One of the ways to think about locally-contained medical care, there is a medical system called regional collaboration critical path. I think that it is one of the concepts of consistent treatment from development to curing, but in this plan, we are promoting this treatment system. We will ask you how many patients have experience in this area.
◎ General Manager of Health and Welfare (Tetsuo Chichiba) (Lecture) Regional Cooperative Critical Pass is held mainly in the local medical support hospital. In this situation, 139 people at 58 circulatory facilities, 141 people at 28 strokes, 92 people at 20 thigh cervical fractures, interferon, and hepatitis C are treated, but 5 people at 6 facilities are heard.
◆No.21 (Koichi Morioka) (Lecture) How many patients are in Sasebo city and how many patients are treated using this critical path? It’s not the story of the母s and the denominator. I’ll hear it at the end, but can you say that this is a treatment method and a system that goes well across the city?
◎The data is not currently available to the general public health and welfare manager (Tetsuo Chichiba). We don’t have any materials about whether we are going to the whole. No.
◆No.21 (Koichi Morioka) (Lecture) I would like to ask questions about how much time I would like to ask for. First of all, we will ask you about the actual condition of the municipal emergency medical所. I think that this emergency所 is a facility that provides primary medical care over time, but I think that there is a potential problem in maintaining the system, such as fatigue of doctors, time的s, etc. I think that this problem is necessary to share consciousness with citizens, but I would like to ask whether the citizen understands that well. By the way, we ask that you understand the total cost of maintenance and breakdown, which is one of the problems.
◎ General Manager of Health and Welfare (Tetsuo Chichiba) With the cooperation of doctors, pharmacists, and other related organizations, the City Acute Clinic strives for peace of mind and safety of citizens by establishing a relatively light patient's medical system at night and on holidays. Currently, we operate three courses of diatrics, endocrinology, and surgery, from 20:00 to 23:00 on weekdays. In order to support the citizens, we have distributed pamphlets that include the importance of the patient, telephone consultation for children, and the method of medical checkup for children by the Internet. In addition, the total amount of maintenance expenses is 1,900 million yen in the21 year 2009, and the annual income is about 1,700 million yen. The main breakdown of the elderly is about 30,000 yen per year, pharmacist, radiation 師ian, clinical laboratory 師ian, etc.
◆No.21 (Koichi Morioka) (Lecture) I need a huge amount of money, but I think it should be useful if I concluded that it is necessary for such a reason, even though it takes several expenses. What can I say because of the results of this medical examination?
◎ General Manager of Health and Welfare (Tetsuo Chichiba) The number of patients in FY2008 was increased by 5,627。diatric, 1,612外科diatric, and 8,130外科. The number of patients has increased, and there was no medical treatment that the number of patients has decreased. In particular, diatrics are 1.42 times higher than the previous year, but this is due to the significantly increased number of patients due to the trend of new breeding. We have analyzed that we have contributed to the reduction of the burden of general hospitals, which is a secondary dental hospital of市内diatrics that only one place in the city, by conducting medical treatments for certain diatric patients at a medical所. In addition, I think that the number of patients increased even if the medical system was disco、ed on Sundays, national holidays, and the year-end and New Year holidays in the地区 district on the last day of May.
◆No.21 (Koichi Morioka) In the same purpose as a medical所, the secondary rehabilitation system of 11 hospitals in the city has been maintained for many years. I think that maintaining the system for 24 hours without a break requires a lot of effort, but is there a problem for both the patient and the patient? Are you aware of the fact that the hospital’s medical staff are burdened by a large number of times, or the satisfaction of the allowance paid for work and work? In addition, we will ask you whether the public maintenance of the compensation system for medical accidents is carried out.
◎ Health and Welfare Manager (Tetsuo Chichiba) (Lecture) The secondary rehabilitation system has been requested by the medical institution to ensure the first medical staff in the day of the participation medical institution and to review the contract fee. We understand the number of employees and expenses required for the second time of each hospital unit. However, we do not know the number of people who pay by each staff individually or work days. However, in order to reduce the burden of medical staff, we recognize that it is necessary to secure a medical institution official at the beginning of a doctor, so we think that it is necessary to continue our efforts in cooperation with Nagasaki and related organizations, including this city. In addition, we are considering the situation of other local governments as well as adjusting it with relevant departments, and we think it is necessary for future research. The insurance system for medical accidents is covered by the National Hospital Council. If a medical accident occurs due to unfortunate treatment for patients who have been treated for overtime etc. at the secondary wheel number hospital, it will be covered by compensation.
◆No.21 (Koichi Morioka) (Lecture) My question is whether the problem is not born. For example, I asked you about this, but there are other problems. Is there any problem?
◎ General Manager of Health and Welfare (Tetsuo Chichiba) (Lecture) As I mentioned earlier, the securing and outsour。 fee of the staff at the beginning of the day of the participation medical institution is increased, and there is a request for total 9 items. It is said that the area around it is from the participating medical institution because of the problem.
◆No.21 (Koichi Morioka) (Lecture) I made requests from hospitals for nine items, but how do I judge whether the request is appropriate? I think that it was the attitude of the administrative side to compare the examples of other cities, but I think that I would like to deal with things after using the data of the area. I think that it is not possible even if there is no hospital that comes out of the wheel system when the 務endous service continues during night work. In order to prevent that, it is necessary to understand the actual condition of the work, not only to affect each hospital administrator. I have to set up measures to maintain the system based on the actual situation, but can I say that such measures were made appropriately as appropriate?
◎ General Manager of Health and Welfare (Tetsuo Chichiba) (Lecture) Secondary medical care in the Sasebo Medical Area is currently under control by cooperation of 11 hospitals. In order to reduce the burden on the work situation of the participating medical institution, we will strive to create a system by asking the opinions of healthcare professionals and academic experts through the Sasebo Regional Health Care Council which explained earlier.
◆No.21 (Koichi Morioka) (Lecture) I think that it is very important to have a system for accommodating pregnant patients, but whether the system or hotline displaying the report at all times is fully functional. We will ask you what is happening in the information exchange system that the ambu can quickly accommodate and deliver to the hospital.
◎ General Manager of Health and Welfare (Tetsuo Chichiba) (Lecture) It is a system in which the country is led and installed in each prefecture to report the system to accommodate pregnant patients. In regard to this system, there is a problem that the information entered by each medical institution has not been reflected in the fire station's radar team, and each medical institution has not been able to input information in real time according to the patient's response. Although we discussed how to use Nagasaki Prefecture and Nagasaki Prefecture in the future, it is difficult to stop using in some regions because it is nationwide system. The 回線 Hotline uses a communication network to maintain a dedicated 回線 line for both medical institutions and fire stations. At present, we do not have maintenance for all secondary ring number hospitals.
◆No.21 (Koichi Morioka) (Lecture) I asked whether there is a problem with the ringing system of the secondary dinosaurs, but I think that there is a system that is not functioning such a thing is a very big problem. I will ask the Director of the Fire Department, but what is the reason why it is not used for the emergency situation system?
◎ Director of the Fire Department (Matsuo Kazutoshikun) (peaker) We will answer the situation of the use of the emergency situation system that the prefecture has installed. The 343 head office was used to introduce hospitals to citizens. It is not used because the information is low because it is difficult to input in real time by the hospital by the patient. However, it is a situation in which the番adron negotiates directly on the phone based on the fact that the番adron negotiates with each medical institution closely with the authorities. In addition, there is a fire-fighting telephone in the four hospitals of general, cooperative, central, and association, as well as a cerebral surgery doctor of labor accident hospitals, brain surgery of general hospitals and neuroendocology doctors. In order to reduce the time for hospital reception, we would like to consider the maintenance plan in the future while discussing the network of medical institutions, health and welfare departments and fire departments. {{ item.start datetime }}
◆No.21 (Koichi Morioka) (Lecture) Even if the ambu。 arrives at the site, the condition that the patient is staying in the place for 30 minutes and 40 minutes after carrying the patient is often seen, but I think that it will be a very important factor for the patient to shorten the time, so I would like to ask you to take a look at it as soon as possible. In public hospitals and private hospitals, there is a significant difference in the foundation of the hospital's existence due to the presence or absence of withdrawal from the city, or the difference in tax handling. In such cases, the maintenance of facilities and facilities is necessary in with advanced medical technology. We have received support from countries, prefectures, and cities. However, in order to continue the system, we will ask you whether financial support can be budgeted or not.
◎ General Manager of Health and Welfare (Tetsuo Chichiba) (lecture) Currently, we pay the commission fee according to the number of times etc. to the secondary rehabilitation hospital which is cooperated. In this city, we set the amount based on the labor costs of the medical staff who have participated in the contract amount, but I would like to continue researching by the trend study of similar cities in the future. In addition to the introduction of medical devices, we currently provide assistance based on the national subsidy guidelines. We are currently情報を収集 information about contract fees. Since internal examination or research in this city is necessary, we would like to ask for future consideration for the increase of commission fees. In addition, we are looking forward to considering the impact of taxation.
◆No.21 (Koichi Morioka) (lecture) Generally speaking, it is very common that there is no change from the current situation, but for example, financial support for the emergency hospital, the establishment of local financial measures related to grants to secondary emergency medical institutions.地方 of regional financial measures by special grants for grants from22 2010 to secondary medical institutions. By determining the amount of support based on the number of carrying and accepting injuries, we will ask you if there is no instruction about the investigation.
◎ General Manager of Health and Welfare (Tetsuo Chichiba)
◆No.21 (Koichi Morioka) Although it was also in Sasebo, we will ask the last question about the medical system maintenance business described in the regional medical regeneration plan indicated by the Sasebo and the Kita area medical examination meeting. The establishment of a life-saving rehabilitation center scheduled for general hospitals from FY2010 to FY2013 is not a simple addition to the current secondary rehabilitation medicine, but it is predicted that it will become more diverse and complex than now, such as the spread of the area and cooperation with other hospitals or medical division. Here, we will ask you how the current medical supply system can be influenced by the establishment of a lifesaving center.
◎ General Manager of Health and Welfare (Tetsuo Chichiba) (lecture) Currently, under Nagasaki Prefecture, there is a life-saving rehabilitation center in Omura City and Nagasaki City, but it is true that it is not installed in the prefecture north area. In response to such a situation, Nagasaki Prefecture has established the Sasebo Health Care Area, which is the Kita Health Care Area, the Sasebo Health Care Area, but it is one of the business in this area. In addition, we aim to establish a stable medical supply system that enables medical treatment to be completed in the area by strengthening the role of the core hospital and the peri。al medical institution. In the case of the establishment of a lifesaving rehabilitation center, there is a problem such as securing medical staff such as doctors and nurses, and how to proceed the role of the medical system with the present secondary rehabilitation hospital. I would like to discuss issues early and build solutions through consultation and adjustment with related organizations while discussing at the Sasebo and Kita Area Medical Association.
◆No.21 (Koichi Morioka) (Lecture) I think that it is important to create a system for regional medical care, including medical care systems, as well as those involved in healthcare professionals. In order to promote cooperation with local medical institutions and provide optimal medical care, it is important to understand that comprehensive hospitals will work in medical care while sharing roles and functions with local medical doctors as acute stage hospital for advanced specialized medicine. My question is finally here. In order to gain the understanding of citizens, I think that the local medical system is not complete unless the citizen's awareness of medical care is established in the life. Please do not hesitate to contact us. At the end of the session, Mr. Eguchi assumes that the day is still shallow and will be able to understand the situation every day after the appointment. However, we ask for the question of the past, and how we felt that the local medical system was fulfilled, and we ask you to see the decision about future hospital management.
◎ General Hospital Director (Katsumi Eguchi) (Lecture) Thank you for giving us the opportunity to answer this question. I have been a hospital director of Nagasaki University Hospital for three years. And I felt the difference between Nagasaki and Sasebo. It is a very short doctor. And it is that the overlapping labor of the doctor is very heavy. In this case, medical disintegration is also considered to be reality. I thought about how to prevent this. There are two things. One is a complete medical cooperation. As we have been talking about the topic, I feel that everyone will try to avoid this medical collapse and avoid it. I think that the feeling is very important. How will the local cooperation be strong as Mr. Morioka talked a lot earlier? In addition, we believe that it is important to prevent and support people from working together with medical institutions and local people. Next, I think this is a medium- to long-term problem solving, but one is a young doctor, a young trainee, and a resident, and a teacher like to come to Sasebo City General Hospital, and it is a wonderful hospital. and treatment. This is a hospital that attracts many young teachers, which is said to be a situation where you can learn medical care. I would like to make this magnet hospital. In order to promote regional cooperation, we will do our best as a hospital business manager, but we will say many times, but this is not only a single hospital. We believe that it is a challenge to work with local medical institutions or citizens. We will continue to work with local medical institutions as a local medical support hospital, as well as to become a hospital that can provide safe, secure, and advanced medical care as a core hospital in the prefecture. We are working hard every day. Thank you.
○Chairman(Urahideo) We will take a break for a while. 0:03 PM Break 1:30 PM Reopen
○Chairman (Urahideo) will continue to open the meeting before resting. We will continue the general question. Mr. Hiroo Yama。
◆No.1 (Mr. Hiroo Yama。) Thank you. I’m looking forward to seeing my family. The general question was over, and I was a little up on the 4th floor. However, it is different from the female who seemed to be a locomotive, but at that time, it is said that "I am not, I am a pregnant staff," I think that it is very lack of recognition, so I would like to do my best for today, so thank you for your kind support. In February 2004, the シンポジウムposium was held in Tokyo. The basic theme is "sport and medical economy - exercise habits can reduce medical expenses -" which explains how the impact on the medical economy is by looking at sports from the perspective of medical expenses. The population of sports is based on the public opinion survey of the Cabinet Office, and the healthier who has been playing sports more than 3 times a week has risen to 26.8%, 70% of the age of 20 and about 70 million people have reported lack of exercise. We have been aware that there is a preventive effect of the disease of exercise such as ischemic heart disease, hypertension, diabetes, colorectal cancer, and fracture due to exercise habits. The purpose of this シンポジウムposium was to reduce medical expenses by continuing the appropriate exercise. You will be asked to enter this title. Since 2008, it has become a very healthy boom. Everyone is familiar with sports and encourages health. If you become healthy, there is no medical expenses, and as a result, it will help you financially in Sasebo City. There are people who say that things are not such simple, but it is important that you need at least sports to improve your health. Is it possible for citizens to enjoy sports casually? I have been involved in sports as an active player before becoming a member and after winning. We are actively participating in the practice when there is time, so we have the strength to keep running for 90 minutes even if you are 35 years old. There are no other places for sports. There are a lot of public practice places in Sasebo City, but today I will ask about the Sports and Culture Center that I am very happy with. The Sports and Culture Center was held in September 2007 as a parliament and September 2008 parliament. First of all, I’ve heard that I can’t practice at Sports and Culture Center recently. Sports and Culture Center is very popular and there are few free days. I also participate in the monthly application drawing using the Internet, but there are two recent entries for 10 applications. Is it possible to win about 15%? This system explains that the machine is selected randomly. Since I am also enrolled in the real name of Hirohiro Yama。, I think that it is not a very fair system that I can not get there. My winning rate is very concerned because the machine is random. Is it the only thing that I have left? Because it is a computer drawing, I think that there are many other users. Or, because it is a real name, is it removed? So, how many monthly applications are available throughout the Sports and Culture Center? Please let us know about the so-called night koma from 19:30 to 21:30. What are the trends of users and applicants? Please let us know the most recent number. In addition, we ask you to fill out regular surveys with users, but please let us know the questionnaire. How many competitions and types that use the Sports Cultural Center? Is there any dissatisfaction such as the use time and the security of the gymnasium? And I asked 2 years ago. There is no facility dedicated to the Chubu district. There is no dedicated facility, and it is also the current situation that the citizens of the former merger town are using the Sports Cultural Center, and there are more and more places to sports in the Chubu district residents. Is it possible to consider new sports facilities in the Chubu area? Please let us know.、, I would like to touch the parking lot problem of Sports Cultural Center. First of all, is the fee of the Sports Cultural Center and parking lot appropriate? Even if the new discount rate is applied, there is also a voice that is expected to be free yet. Do you have any questions? The new discount rate system was applied, and how did the parking lot income at the Sports Cultural Center? Then, this is pointed out in September 2007. It is a problem that administrators need to park. The attitude of managers is very problematic, and I have been protested by the Sports Cultural Center and Sports Promotion Division before last year. If you know how to protest, the Sports and Culture Center will be ready to close after21. After the practice, we will talk in front of the Sports and Culture Center for the day's counter s and meetings. If the game is not on weekends, the meeting will be longer. However, I had a meeting before 22:30 when the parking lot was closed. I will check the clock as I thought it was. Since theシャッター is closed from the inside, we will take a parking lot from the side of the road. Then all the electricity in the parking lot disappears and it is dark. “What’s closed, isn’t it just 15 minutes before?” I was surprised, "I'm saying, "I'm saying that the closing time is 22:30," I asked. I was surprised that I was dissatisfied with the answer, and I was protested to the next day Sports and Culture Center. This is my real experience, and once every year. There was also a story that teammates and other organizations should be closed over time. These managers have managed and paid. Sorry. Of course, there are some managers who can take great action. However, as I say in the committee and this meeting for 3 years, I think that this 所ator should be an automatic payer. Please tell us about that. End the first question.
◎ I would like to answer your questions. First of all, I asked about the use of the Sports Cultural Center, but how many applications are there. The gymnasium is located in the center of the city as you know, and the arena is wide, and it is possible to accommodate various kinds of sports, so many people want to use it. For this reason, we have introduced a reservation management system and extracted the use of the following month mechanically so that it can not be unfair. We would like to thank you for your understanding. As soon as possible, there are 117 applications on the average monthly basis for FY2009, and 68 of them are connected to the reservation. However, depending on the competition type, you can use only two pairs like basketball, and you can use 10 pairs like badminton if you can't use it, so you can't compare it in general. In addition, we have introduced a reservation system in May 2008, so we will respond based on that. In FY2008, 1,514 items per 11 months from May to March, 137 monthly averages, 1,405 cases per 12 months, 117 monthly averages, and 174 monthly averages. In April and May, the number of applications for this year is increasing. Next, I asked about problems and complaints in questionnaire survey. In the opinion of the questionnaire survey, we will point out a number of good responses to the staff. Of course, there are many opinions that "good", but there are opinions that "bad" is also, and we will instruct and improve this immediately. In addition, there was a complaint about the manners of the user, such as 満 down to the next time period, and the line is not drawn depending on the competition type. There are only three types of manners: basketball, volleyball, and badminton. After that, there were many opinions about parking fees, etc. in the questionnaire, but this question was the last question, so I will answer it together. In addition, I asked whether there is no dissatisfaction in securing use time and gym. It seems that there is no particular opinion that we have set a single arm for 2 hours for use other than the tournament. However, as we know earlier, we know that there are a lot of applicants, and it is difficult to ensure the time of use. However, it is not necessary to ask for cooperation of users such as adjusting the practice date. Next, I asked the number of seeds. We have 16 kinds of sports that are currently used, such as futsal, volleyball and badminton. Next, I asked about the lack of gymnasiums and public gyms in the Chubu area. I think we are doing something. We have responded to your opinion that we cannot guarantee the time to use. However, due to this, there is a possibility that public gym facilities are only in the Chunan area. In the northern part of the city, there is a general ground gymnasium as well as a city-town merger, such as Kosasan Town, Es町 Town, and Kamachi Town. Therefore, it seems that it is a facility that is difficult for everyone in the Chubu district. It is not the central district of Nagasaki, but it is planned to build a gymnasium in the East Sports Square, and it is aiming for completion in FY2012. It takes a while, but it seems that the congestion of the facility will be relieved even if it is completed. I would like to ask you for a while. In addition to the gymnasium in each district public hall, there are situations where people in the area can use it widely. It is a problem of parking. The price is reasonable, and there is a question that there is no voice that wants to be free, but the price itself is a facility that can be used by the general public other than the facility user, so it is set to be 110 yen per 30 minutes, so I think that there is no problem. However, this is a story for those who use the general parking lot, so if it is a charge for the user of the gym, it will be another story. Therefore, I understand that there is no voice that wants to be free. In questionnaires, there are opinions that "high rates for physical education and culture facility users" or "free". Although there are various opinions about this matter, it is determined that it is difficult to make free because it costs maintenance and other maintenance costs. In addition, there was a question about the change of income due to the reduction from FY2009. Until then, the first one hour is not deducted, and the first one is deducted by 50 yen for general use every 30 minutes. However, the first one hour is 220 yen for facility users and gymnasium users. Therefore, the parking lot usage of the facility user was reduced by 120 yen per car. As a result, it is about 50,000 yen reduction in FY2009. In addition, there is a problem with the attitude of the staff of the payment receipt, and it is also pointed out that there is a problem with regard to the closing etc., and it is guidance overlapping. If you have any questions, please contact us. Sorry, this entry is only available in Japanese. There was also a question whether the automatic receiver was not considered. As a result of consultation with related organizations from the perspective of cost-effectiveness, we are preparing to cut it into an automatic receiving machine for the first time in July 2010. Restaurant
◆No.1 (Hirohiro Yama。) I have received a response from the Director of Education. It is an automatic parking lot. I think that the benefits will be returned to the user in very many parts. For example, we think that it should be a 24-hour parking lot, and the labor costs are reduced, and the measures such as measures that can be reduced to the users of the facility can be raised to the consideration after reviewing various contents. I think that this parking lot or facility is not true that there is a ambience that I am lending public facilities to the staff. Instead, we can add it as a suggestion that it is not necessary to have a private idea such as "I borrow it" so that you can speak. On the other hand, there are lots of staff who are happy and happy, so it is really unfortunate to have a negative impact on the overall impression by the response of some uncomfortable staff. Also, I think that it is not a problem in the future, so I would like to thank you again for your guidance. I’ve been talking about this questionnaire all the time, but I’ve heard that about 200,000 people in total were used in conjunction with the Community Center and the Sports and Culture Center last year. However, this questionnaire is a part of the questionnaire, but there are only 59 people who answered the questionnaire. In addition, I think that 59 people are all opinions, so I think that this is a questionnaire, a survey method, and an important thing I think there is a problem in the fundamental part, so please make a system that can hear a lot of people. And, there were many competitions, groups, etc., and the use situation of the Sports and Culture Center is increasing. Actually, there are 68 winners for 117 applications, and 49 winners have leaked. The part of the night use is calculated that teams or groups of more than one team can not be used every day. Therefore, I have a proposal for securing use time. It is used for two hours from 5:30 p.m. to 9:30 p.m., but this end time is extended for 30 minutes, and it is said that it is 3 divided by 1 hour and 30 minutes from 5:30 p.m. to 10:00 p.m. I think that it is not possible to give a better environment to the team and organization that leaked the drawings by the time of one day at night. Because it is a little ingenuity or an idea, I think that you can get the same effect similar to that of the other gymnasium, but if you have any opinion or answer about this proposal, please contact us. End re-question
◎Taro Nagamoto (Lecture) To change one of the proposals of a member to one hour and a half minutes, and to make the number of people. I had a question about it. One hour and a half-minute plan of the Board of Trustees is considered to be one proposal. It is a situation where it is difficult to secure the practice time while various sports appear, so I think that the idea of how to spread the number of people is new. On the other hand, it was thought that the two-hour form is determined by the user, and the practice time was reduced due to the shortening of time, and it was understood earlier, but it seems that there are many opinions that there are more than ever before, so I would like to carefully review the form based on the results.
◆No.1 (Mr. Hiroo Yama。) Yes, I'm sorry. In the morning, I talked about Mr. Morioka. “I’m considering” was told to say that there is no thing, but I think that it is not the case that seniors say so, so I think that I want to show the above-mentioned thinking not only in the future. In fact, in the answers of the educator, there was a story that the two-hours is settled by the current user, but I think that it is not true that the story itself can not be heard from the user first, so I want to proceed with things while listening to the necessary parts. So, I have a question again, but I'm talking to the user, but I'm sure you have one question here. As we are starting from the beginning, it is a very important theme for citizens to be able to do sports casually, but if you want to make a team or start a new sport, what should you do? For example, I would like to join the company’s recreation, my friends who were home to Obon and Golden Week, and my old colleagues. The previous answer was a response for teams and organizations that were originally sports, so how do you respond to potential sports enthusiasts, such as those who want to enjoy sports suddenly or because the facility is not available? Is there any way or idea to add such people to new users? At this stage, I can't do sports suddenly. In short, I think that it is not the current situation where you can enjoy sports casually. It is a facility that is located in the center of the city, and is popular from a wide range of sports. We are very interested in future use. In addition, it may be a problem that can not be done immediately because it is necessary to change the usage time of the Sports and Culture Center, but afterアンケート a valid questionnaire, I ask the user's intention, and then I want to make various proposals. It is a situation of the use of the current Sports and Culture Center in this trend, but considering that there is no gym in the Chubu district, it is really awkward story to wait for the construction of the体育館 district gym three years later. By the way, I think that it is about 39 years old after 3 years, and I think that it is not the actual service. When you create a new facility, you will be sure to use it. In the same way, if you create a new framework, you should use it firmly. If you have a frame, you can ask people who want to do sports unexpectedly. I understand that this is the environment where citizens can easily sports. I talked at the beginning to suppress medical expenses in sports. By extending the use time of the Sports and Culture Center, you will be able to get a chance for many people to do sports. There are three "between" for sports. It is a "between" written in kanji. Time, space, and fellowship. It is the current situation of Sasebo City that the space is prepared for the administrative only though it is quite a lot of time and colleagues with personal efforts. Sasebo City, where everyone can be familiar with sports, learn the rites, become healthy, suppress metabolic, and reduce medical expenses. There are a lot of great benefits by doing sports. We are looking forward to your continued support and support. It is the last thing, but I would like to end with the request. The gymnasium in the体育館 area where we have been talking about for the completion of FY2012. This is originally a big arena, but we have heard that it was a gym to secure about 1,000 seats, which was scaled down from the economic situation. It is not to say that the sports officials in each world disappointed. Currently, there are no other sports and cultural facilities. This small gym is filled with handball courts. Isn’t it a problem that you can’t secure the practice place even if you make this? In order to do so, it is important to make only one large gymnasium, but if you want to make it, please have a sub arena, badminton, table tennis, gymnastics next to it. In the current plan, there should be no frustration in the future. After that, it will take time and money, and it will be annoying to a lot of users, so it is not said that it is a arena that can be watched by 3,000 people, but thank you for your support. In addition to answering to me, I would like to ask you about the passion for your sports. Thank you. Thank you very much.
◎Taro Nagamoto (lecture) Instead of pre-booking, I think that it was a question that I wanted to start sports suddenly, or want to do with friends, and responding to such people. We have a reservation system for sports in the city. However, if there is a space at the time you want to use it, you can use it immediately. However, it is true that the physical education and culture center in the center of the city is almost filled with reservations, especially depending on the time zone such as nighttime, and it can not respond to sudden use. It is said that there is no one comparable to the Sports and Culture Center in the south and the middle of the story, so it is thought that you can stretch a little further, but there are two facilities in the general ground gymnasium as an indoor sports facility, and there are two facilities in Kosasan Town. We would like to appeal to citizens in the future about such existing facilities.
◎スポーツ (Mr. Noriko Asaga) (Lecture) Hirohiro Yama、, I also thought, but I am also a sportsman, and I am deeply aware of the importance of sports as a member speaks. I would like to be such a facility that citizens can always use easily. However, I think that it is not quite possible in the current situation, so it is also one that waits for the completion of a new gym in the体育館 district, especially when the merger Kosamachi will be open to the Sasaki Expressway in March next year, I think that it will be the closest distance such as going from the center for 20 minutes, and this is also free. If you say to everyone in Kosasan-cho, you may see such a thing as it is difficult to use this time, but I think that this is not necessary to use such a thing as a citizen. Then, I think that this is not necessary to make a variety of ingenuity with regard to the problem of ま . I think that the extension of the time is one, and it may be 2 hours or 1 and a half hours. I think that there is such a way to make the band for 1 and a half hours depending on the day of the week. I think that it is necessary to think about such things as using as many citizens as possible while doing such various ideas. I would like to ask for the recommendations of the members. Thank you very much.
President Masayuki Nagayama 31.
◆No.31 (Mr. Masayuki Nagayama) It is such a situation that I am str。ling to run. I'm a Booby for this meeting, but I'm looking forward to seeing you. First of all, we will ask you about the progress of measures to secure routes in the restricted waters, but in 2003, it is located in the center of Sasebo Port, about 2.4 km to 2.5 km from the north and southeastern part of East and West. In 2006, the C-restricted water basin of Yokozeura was treated as A-restricted water basin in the D-restricted water basin, or if there is a construction monitoring vessel in Yokozeura, the general ship was treated as A-restricted water basin. We will ask you about the progress after that.
◎ Director of Base Policy Bureau (Shinya Nishimoto) (Lecture) It is a D facility water area, so-called D-restricted water area, and we will respond to the securing of the route in Yokozeura. Since there is a D-restricted water area, it is necessary to think about the contact route and the method of rehabilitation when using the water machine, and to ensure the route of Moutakizaki. In addition, in regard to the operation and navigation of the U.S. army in the C-restricted waters in Yokozeura, Nishikai City, it is most important to note that it is necessary to establish the rules of individual operation at the office level. In this case, we would like to discuss how the base policy office and the port department cooperate closely with Sasebo Port to secure the route. {{ item.start datetime }}
◎In the question of the progress of the route security measures in the water restriction area, Yokozeura has just been discussed with the port administrator and Nishikai City, in the council of Saki, but it is not very important to be in situations where it is not progressing as actual situation. In the future, we would like to share the problem recognition with local government Nishikai City and work with the Base Policy Bureau to take measures. {{ item.start datetime }}
◆No.31 (Mr. Masayuki Nagayama) (Lecture) There was a story that there was nothing to consider before, but I did not say "I do". However, I noted that there was no arrangement of answers to parliament between 2002 and 2007. I think that these situations are not responsible for the present city government. However, I would like to ask you to skip this all over the office again, so I will ask you to enter the following question, but I will ask you about the idea of the expansion request of base grant and adjustment grant. In this city, half of the fixed assets tax equivalent to the US Navy is 。 as a grant, but in Okinawa, most of the base is the residential area. Therefore, the local government has 100% fixed asset tax. In addition, there is also a citizen tax 、 for borrowing income. Therefore, we think that there is a double or more opening per unit area. However, a member municipality that es Okinawa to the National Base Council, or the National Council for Defense Facilities, is a real number of 200 municipalities. There are 48 municipalities in the U.S. military base, so it is not good that only Sasebo city takes a unique movement. However, there are eight local governments in Japan. There are five municipalities registered as port facilities, and two municipalities are Okinawa. The remaining three ports are Sasebo, Yokosuka, and Kure. However, the occupancy rate of restriction water in this harbor area is 14.8%, Kure 0.4%, compared to Sasebo City. In addition, we look at the mooring shore wall of more than 10 meters as a mooring facility for large ships in Sasebo Port, and it is managed by Sasebo City 640 meters, the Maritime Self-Def。 Force 407 meters, the US Navy 2,618 meters, and the US Navy 71%. This is the reality that it is in the situation where we have done so. In addition, the country has been designated as trade ports, food import ports, refueling ports from 22 to 24, and in 26, it is still alive. If it is said, the country's cooperation business as a trade port, food import port, and refueling port designated by the country should be solved that it is interrupted after the reconven by the Union army in 1950. At that time, I have the idea that if I think that the port facility that was reaffected is a U.S. navy, I think that it is important to consider the age of rental based on the port facility usage regulations. However, the first thing is a long-term engagement fee, but this is a total of 93,782 tons of Essex and seven ships. The long-term mooring wall usage fee of the offshore ship is 1,3,35,000 yen per year depending on the regulations. Accordingly, the usage fee of the 8-ship will be JPY1,500,000 per year. However, we do not arithmetic because the U.S. military does not submit materials for tugboats. In the second time, it is a mooring fee due to a temporary mooring, but I assume that this temporary mooring period is 4 days. The basis is 4.2 days per ship, as the total number of 319 U.S. carriers since 39 and 1,342 days of total stay. In the same way, we have set the average of 4 days for 3.8 days per ship, when we divide the 5 years from 2005. Based on the materials of the U.S. Navy Sasebo Base, the21s of FY2009 were 125 shores and 1,839 tons. Shipping fee is JPY 328 per ton. Likewise, 45地 and 113,051 tonnes of land mooring. In addition, 33隻 and 448,172 tons are used for both shore and泊. The total amount of temporary mooring ship fee, the average of 3 years is 4,928 million yen. Third It is about the land of the port facility management, but there are 8 facilities and total 361 hectares in the ten facilities that are provided, except for the Sakibe Shogun Shogun Shogun Shogun Shogun Shogun Shogun district, and joint use, but the target rate is not 20% per facility, and the average 48.9% is 176.9 hectares, and the annual usage fee is 216,949 yen per day. It is the fourth, but the usage fee of the facility harbor. The amount calculated in the same way as the land, ¥4,569 million per year. Lastly, special tax. The forecast for the市の year 2009 was JPY 569 million for 284,500 tons. However, the港 year 2009 was JPY 3515,000,092 tons. The expected surcharge for the 5 items enumerated will be JPY 289,983 million. I have the idea of whether it should be required as an dev、 that can clarify the basis of the根拠umulation caused by the specificity of the city which has cooperated with this national defense measures. The Port of Sasebo, which has been designated as the five most important ports in the 103 important ports of Japan for many years. We believe that if we are out of the selection of important ports, we would like to express our gra。 for immediate payment. However, we will ask you to see your visit.
◎It is about the base policy of Nagayama member and port business. The U.S. Naval was the highest port occupancy in the U.S. governments in Japan, and the main part of Sasebo port was reaffected to the U.S. army by the erection of the Korean War, and the erection of the Sasebo port was interrupted. In the case of a public facility such as a shore wall provided by the U.S. army, the members of the Board of Councillors had a detailed trial based on the usage fee and special tax, etc., and it was shown as an dev。, so I would like to review it even if I was in the city. In addition, the board members have also touched the selection of priority ports. We recognize that this matter is very important. In addition to the city’s sole requests, the meeting of Yokosuka City, Kure City, Maizuru City and the former Gunko City Promotion Council was held in May of this year, so we decided to ask the country as the general intention of the former Gunko 4 cities. In the future, we are working on multipurpose international terminal construction business, aiming to expand as a sub-gateway in East Asia, a base port for distribution and disaster prevention in the north of Nagasaki prefecture, which has a lot of remote islands. Although it has been recognized as a government report, the facilities of the U.S. Army and Self-Def Force are located in the main part of Sasebo Port through the pre-war and post-war, and it is strongly requested to understand the historical situation that has been inの発展ted as a commercial port by specifying it as an important port. We are looking forward to seeing you soon. Restaurant
◆No.31 (Masayuki Nagayama) (Lecture) I received a response about the direction, but this restriction water area has been written earlier, but it has been expressed as 83% in the past. I have to manage it as a port manager of Sasebo Port. I would like to thank you for your understanding. Now, we will ask you about the relocation of the U.S. naval base and the way of relocation and consolidation of the self-def、 base. Sasebo Port long-term comprehensive plan, which is one of the six return items in 1995, noted that it is not true to reality, and in 2008, the necessity of the port concept has been raised, but the return of the five shores in the six new return items has been noticed. As a port manager at Sasebo Port, I think that I should think that I should incorporate the five shores of Tachijin 3, 4 and 5 shores as a port concept for returning Indianンs.
◎The port manager (Keiri Kashio) (lecture) We will respond to the relocation of the U.S. naval base and the approach of the relocation of the self-def。 base. It is said that the port long-term comprehensive plan attached to the 6 items returned in 46 is not real at present. As a result, we have been working on basic research to formulate ports since last year, as we believe that we need a long-term plan for Port Sasebo, which is based on the future plan of ports from 20 to 30 years. As for the relocation of U.S. military facilities in the formulation of long-term concepts and the relocation and ag ation of self-def facilities, the importance of this is sufficiently recognized from the viewpoint of the use of port facilities to be divided and returned. In such a case, it is a response when the three shores of Rikushin and the five shores were returned, but in the procedure by the former Mieko City Transformation Act, it is assumed that public use is planned by the U.S. Army. In the future, we think that most of the return facility is the former military facility, and we think that it is necessary to clarify how to use it as a port manager for the utilization of the return facility while considering the future maintenance and management costs and facilities, as well as the historical heritage value. {{ item.start datetime }}
◆No.31 (Naigayama Masayuki-kun) I will ask for another one, but I would like to ask for the purpose of setting up the Special Committee of Base Counter、s to return, transfer, and consolidate the U.S. military base facility, and relocation and consolidation of the self-def。 base. 2 items were completed in the new 6 items. The two items have been returned to the basic agreement. A situation where one item is already working towards the basic agreement of return. In such a situation, it is only limited to the area based on the Sasebo Port Long-Term Integrated Plan. Minutes Park is not included in its area. I have a feeling that I would like to meet citizens as a central park in the city center of Sasebo City. In addition, as information from Nomura member who is also the residents of the Egami area, it is assumed that it is not the object of the existence of the Self-Def、 Force from the Egami District Community House Autonomous Association. Under such circumstances, we believe that it is necessary to re-evaluate the U.S. military base outside the harbor-long-term comprehensive plan, or to re-evaluate the efficiency of the self-def、 facility, the need for immediate response and adjustment with the environment of citizens.
◎登壇 (Mr. Noriko Associates) As a member of the Board of Directors, we have confirmed the completion of two items related to the Akasaki Reservoir. In addition, in relation to the return of five shores from the 1st shore of Tachijinko Ward, it is thought that the return of part of the five shores from the 3 shores with the basic agreement of return in 2004, and the basic agreement of return is also included in the former Josco Line of Sasebo Heavy Industries. In addition, we are looking forward to the basic agreement of the Japan-U.S. Joint Committee on the transfer and return of the Maehata Yakukoro, which is the most important issue of base problems. The U.S.-Japan Joint Committee is based on discussions between the governments of Japan and the U.S. joint committees, and therefore, we are committed to pursuing the early U.S. joint committee agreement with the government. On the other hand, we would like to focus on the items that have the basic agreement of return. In addition, it is a problem that a member pointed out, such as a self-def、 facility, but when the whole area of the land is shifted to not only the port facility, but also the councilor pointed out, there is a new proposal from the viewpoint of the location and operation of the defense facility such as the Hayama Shogunate and the Kinzan bulletin board. Based on the necessity of the national defense that the U.S. naval base and self-def facility are fulfilled and the relationship with citizens' lives, I would like to think about the direction of the coexistence town development that is beneficial for both parties. {{ item.start datetime }}
◆No.31 (Masayuki Nagayama) (Lecture) When it comes to the movement of this new return six items, I think that it would be necessary to say that it is a big time shift after all, so I ask for your support. 2In terms of the concept of consignment work order, we ask about the consistency of this current situation and related guidelines. In the past, commissioned work orders to the Silver Human Resources Center are required from the viewpoint of 業 and independent support of the elderly, but in the industry, the need for improvement has been pointed out because there is a reason for the appropriate requirements for contracted work orders. I think that the center was converged because it is not an original contract, but it is, I feel that there is a thing that is a consignment contract with the silver human resources center and the city. We have pointed out this thing from the previous time, so first we will ask you to improve what should be improved as soon as possible. On March 19th, the tender of the water facility maintenance and management business was designated by the former Shikamachi town from 10 a.m., but the union based on the cooperative law of the first time, and the other company name was used. I feel doubt that both companies are identified. In other words, we believe that we have eliminated other companies. In Sasebo City, we believe that this outsour business has the need to take thousands of meters a year, and we need to work with the cooperatives that the city has launched.
◎ Director of the Water Bureau (Akiyoshi Kawada) (presentation) In March 2011, the contract has been concluded as a period until March 31, 2011. When signing a contract, we decided to make use of private vitality for a merger with Sasebo City for its properization and efficiency. However, because there were no companies in the town that could carry out such business, we selected two experienced organizations in Sasebo City and decided that two companies. The main outline of the business is the maintenance and inspection of water facilities such as water purification plant, pump station and water , and emergency telephone support for water quality inspection, and maintenance and management of water leakage, facility failure investigation and emergency treatment. Since this business is a contract in March this year, both towns before the merger are contractors, but since the actual business start is merged, the city is discussed with Ryomachi while respecting the usefulness of Ryomachi. In addition, since the contents of the consignment are maintenance and management operations, there was a fact that the organization of both companies is different from the selection of the corresponding companies in consideration of the business contents. We will review and analyze contract methods and specifications for contracts from the next。 year. It is important that the maintenance and management of each water facility in the future of the merger area is necessary to improve efficiency, and it is thought that it should be adjusted to centralize the business content with former Sasebo City and Merger Town. In order to do so, as noted by a member, we will support you so that even if it is a water station, it is highly effective organization by gathering specialists. In addition, we will continue to comply with contracts related to construction work of contracts and construction consultants of contracts, as well as other related laws and regulations related to contracts such as cleaning of property management sections, security services, etc., and carry out proper contracts.
◆No.31 (Masayuki Nagayama) (Lecture) The answer is to carry out the merger area and the centralization of business with Motoichi. I would like to point out that there is a group that Sasebo city led and made such a form on the other hand, but if I had a consistent ス, I would like to point out that the axis will hit here. Next, we ask you about the designated administrator system and system development, but we have asked you about the past 2 times, and we recognize that the city authority has formulated a monitoring guideline in November last year to promote the business. However, there is only this guideline for the implementation of this system. In the contents, we consider that it is important to note that it is important to check various reports, conduct user surveys, conduct periodical surveys, comprehensive evaluation of management operations, and all of them are conducted by the facility administration department, and it is important to note that the uniformity of monitoring standards or evaluation criteria is determined. As it is already operating system, I think that the basic policy of the system is urgently necessary to formulate rules that collateral the monitoring implementation, formulation of evaluation criteria, or formulation of user satisfaction survey guidebook etc., but I will ask for your opinion.
◎ Head of the Department for Promotion of Financial Reform (Matsumoto Kazuhiko) (Lecture) Currently, in this city, we formulated a monitoring guideline for the Sasebo City designated administrator system introduction facility in November 2009, and all governments have set up basic mechanisms. This monitoring guideline defines a comprehensive evaluation of various reports, user surveys, real-world surveys, and management operations, as well as the publication of the results, and sets forth the necessary items to determine whether services at a certain level are provided by the designated administrator. However, as noted by lawmakers, the monitoring guidelines are not unified procedures, procedures, etc., but also do not have a system or rules that ensure the implementation of monitoring. In order to create a series of cycles of services, service evaluation, and service improvement, we recognize that there is a need for consideration in the future, such as mechanisms and rules for ensuring effectiveness such as system to evaluate and the way to achieve results. In the future, we would like to consider it as soon as possible from a comprehensive perspective such as fairness and fairness based on such points. More
◆No.31 (Naigayama Masayuki-kun) (Lecture) It is a contract that you must update 39 facilities in April 2011, including the city of merger. When I think of that, I think that there is no time to spare. I think it will be quite tight. I have been pointed out until now and it has been quite a long time, but I think that I would like you to see the same world. Next, I asked about the idea of illegality research, administrative responsibility and taxation, but in December 2009, the budget was calculated to investigate the illegality of industrial waste in Yoshinaga Industry in Yuzugi District. However, this is more than 3,000 square meters of permission area in March 2006. I also pointed out that the landfill capacity exceeded 30,000 ic meters of 40,000 ic meters. At the same time, I have been pointed out that there was a chance to renew my license three times since I was authorized by a disposal company in 1988, and I am also responsible for the government that has continued to update even though there was an opportunity to check in other places. We want to clarify the boundary of the landfill, make an indicator there, and make improvements that can easily understand the landfill by visualization. However, when permission is granted in 1988, Sasebo City has decided to create a retaining wall, and a retaining wall was installed. However, at the time of Heisei 18, the retaining wall had already been around 10 meters underground. Because I did not check the site, it was such a state. The administrative responsibility is heavy. However, there is a very hard part of what this is to say to the members of the department that is in charge now, but the administrative is still flowing, so the responsibility of the government that flows is very heavy, and it is a problem that it is not possible to say it. I would like to express my gra to you about the responsibility and administrative responsibility of the company and why citizens should use tax.
◎。 (Mr. Norio Asamu) (Lecture) I have asked questions about the policy of illegality research, administrative responsibility and taxation. Since the answer of the regular meeting of March 2006, I have been teaching with a strict posture, but I conducted guidance and status confirmation based on the improvement recommendation issued in January 2006, and the part of the recommendation was corrected. Since there is no履 to perform improvement recommendations issued in January 2006, we have been teaching such as reissue of improvement recommendations in March 2009. However, in order to provide guidance that could interfere with the maintenance and management standards set forth in specific laws and the surrounding environment, the report from the business operator was insufficient, and this time, the government conducts an investigation on illegality. As noted by lawmakers, the background of the government conducts actual surveys is largely caused by updating permissions without fully understanding the status of the disposal site. If you are a business operator, you need to understand the actual situation in order to comply with the maintenance and management standards based on the law, but if you think about the response of the business to the administrative guidance so far, we will try to understand the actual situation first, and the government has a responsibility to protect the environment to ensure the safety and security of local residents.
◆No.31 (Mr. Masayuki Nagayama) (Lecture) If you are a taxpayer, you will be convinced. What is the responsibility of the government? I think it will remain the question that we use tax to take responsibility. If you don’t want to do that firmly, you’ll feel that you’re thinking. In this case, I do not say that there is no more time from where I am planning, but in any case, in 2006, I answered that "I want to give guidance in a manner that is more strict, and ultimately does not 告 the confession according to the purpose of law". However, it is important that people who have been working at that time, who have filled this in、ious waste and bullets, are testimony. It is a confirmation work about this authenticity. I can't confirm the setting of this survey point. I’m still insufficient. I will point out that the safety and security of the residents are still unsec at this time. So, if you are doing business related to the Yoshinaga Industry, it is also the Morita Industry of Shimo-Uto, and the report from the company, and the license has been updated without having to meet locally. I'm looking forward to the situation that I'm very diverged from the locals who know the land of the disposal site at the time of permission, but what is this? I think that the same address as the Yoshinaga Industry is administrative responsibility, but I will ask for the opinion of the authorities.
◎。 (Mr. Norio Asamu) (Lecture) In addition to the Morita Industry, the survey was not essential. The Company recognizes that it is necessary to understand the actual situation as noted by the Board of Directors, but if it is not possible, the Company should understand the actual situation and instructed to report about five items including landfill area and capacity based on the law. In addition, even if a report is made about the actual situation from the business operator, it is necessary to fully verify the contents of the report based on the course of the administrative guidance so far. In order to get不安 of the anxiety of local residents to the Morita industry, we would like to conduct a survey on industrial waste disposal site and boring to investigate the contents. {{ item.start datetime }}
◆No.31 (Mr. Masayuki Nagayama) (Lecture) We continue to say that we will respond strictly according to the occasion of the past question, so I would like to express my hope that we will be able to work according to the word. I asked about the policy of centralization of personal information protection law and administrative information, but this will be taken as an actual example of the contents of the administrative registration to Funabashi City in May. In order to raise the outline, the administrative system was constructed by transferring the storage work to the receivable collection counter室s organized in the tax payment section of the tax department. In other words, the information can be centralized by the revision of administrative reform and administrative regulations, and the improvement of administrative efficiency or administrative costs can be reduced. In this city, I would like to ask you how to review and verify the information across all governments while complying with the Personal Information Protection Act or regulations. We will visit you.
◎ General Manager (Mr. Masami Nakajima) (Lecture) I will respond to the reform of the organization and the improvement of administrative centralization and the efficiency of the administration. In with the provisions of Article 10 of the City's Personal Information Protection Ordinance, the Organization shall not provide the information beyond the scope of the purpose, and shall not provide it to the Organization or other organizations. Therefore, it is determined that it is not used for purposes other than purpose. From the viewpoint of smoothing the office and improving efficiency, we have proposed whether we can not create a system that enables us to acquire information as needed for the possible thing while keeping the basics of legal compliance. The purpose of the meeting is sufficient, but I would like to study from various angles about the possibility of thinking.
◆It is to go to No. 31 (Masako NAGAYAMA) (lecture), but is it a foothold to research? Basically, it is a department of each department. 。 there is something you want in the information you have in the department. I think that it is not necessary to cut out from the point where I think that there is information that I want to be useful, if there is something that can be useful, so I do not know how to "review" and "research" are different, but I want to express my hope in advance. It is 4 items, but this is a question that I am very unfishing, so I want to ask about the care measures of my heart. First of all, it is a mental care measure for your phone business and the suicide's will, etc. However, I have been consulted by the family lost by suicide in the past, but there are two common items. One is whether there is an incident or not, so the police can see it. It seems that there is no dist、 of the bereaved family, and it is very abdo。. And the other one is that the first discoverer, the bereaved, can not stand mentally. Since I received this consultation, I actually have only five issues, but one thing is that Nagasaki prefecture is a key issue of suicide prevention. In March 2008, we formulated the "5-year plan for Nagasaki suicide comprehensive measures" but one is more necessary to improve the care awareness in the field. Then, in this city, we have been able to respond to a certain extent in the disability welfare department, but it is said that the degree of awareness for citizens is low. In addition to the telephone number, 100 people have already been working on the phone call service. And the reality is that we can get 70 consultations per day. It is said that there is a low degree of s。ration to the fact that there is a considerable effect in it. And, because of being volunteered, I felt that the venue is securing that it is a lecture or a workshop, and then thinking about the lack of funds and lack of systems in the need for public relations for that orientation. There is no administrative system for it. The park is managed by Sasebo City. Every year, suicide is important. For one park, there are almost every year in the park, but I asked Sasebo to contact us. To the park section. Then, as Sasebo Station, it is said that it is impossible to identify parks in relation to personal information etc. So, in short, there is a reality that Sasebo City cannot take preventive measures against such parks. I’m going to do this as an issue, but I think that there are many different relationships that I solved in a single leap, but I think that it is difficult, but I think that there is a need to organize things that can be done by the government based on Nagasaki Prefecture, which includes the Prefectural Police, and then the social welfare corporation Nagasaki Inochi’s telephone, and then the relics. Would you like to have a communication council structure that can exchange information or discuss the necessary matters? I would like to express my recommendations. Thank you for your understanding.
◎ General Manager of Health and Welfare (Tetsuo Chichiba) (Lecture) In the future, we would like to cooperate with the secretariat of your phone as much as possible in cooperation with the public relations of the lectures held by the counselor as Sasebo City. As noted by lawmakers, the sadness and tsurasa of the suicide will be very important to the pen tongue. It is the current situation that you will be damaged by the dev and blame from the surroundings, and your mind will be closed. In the future, I would like to ask the police to cooperate with the police so that we can guide the consultation desk for children, women, disabled support center and support network for the suicide relics. In addition, it is important that the related organizations gather together, share information, and strengthen cooperation in regard to suicide counter s and care of the will, so we will consider the establishment of the council in the future.
◆No.31 (Mr. Masayuki Nagayama) (Lecture) This time, I entered one "forward". I feel like there is a rank. I would like to ask you to work without delay. Lastly, I asked about palliative medicine and palliative care measures, but I didn’t have cancer about 10 years ago, but I was a major hospital in the city, so I had a problem that I was told that it would be a mountain for a few days when I get to Fukuoka because I don’t have a hand at our hospital. In addition to physical pain, it is not possible to carry out economical problems and programs, but also the mental and p、 pain of life-threatening diseases, the mental and p。 pain of the treatment, and the spiritual and p。 pain of the treatment, and the spiritualペine of the progressive spiritualペine. 6 hospitals under the prefecture are designated as hospitals for cancer treatment. In this city, municipal hospitals are designated in August 2002. In addition, the Nagasaki Prefectural Cancer Association was established, and the Nagasaki Prefectural Cancer Prevention Promotion Plan has been formulated, and mitigation certified nurses have been increasing year by year, but the hospital that is actively working is guessing that the city general hospital is perhaps a few hospitals in the city. In addition, as well as special nursing homes and nursing homes, we have been recognized as a group home in the revision of medical compensation for FY2009. Therefore, it is necessary to determine that the opportunity for cancer patients to receive care outside the hospital has expanded. In addition, the Basic Cancer Control Act is a clause that corresponds to the country and the prefecture from Article 9 to Article 11 of Chapter 2 in条 with Article 1 to Article 8. Even if it was a city, we have been aware that we have been working together in the last year’s Hoピce Palliative Care Meeting, but we have solved the fact that it was not passive. This palliative medicine, palliative care, especially palliative care, is thought to be a medical association, medical institution, nursing association, and so on. We believe that there is a need to be deeper into the government. In order to do so, I would like to express my recommendation by starting with a system that can supervise the exchange of opinions between related organizations. Thank you for your support.
◎ Director of Health and Welfare (Tetsuo Chichiba) (Lecture) The importance of mitigation and mitigation care is noted from the position of cancer and from the position of home care. In this city, palliative medicine is carried out as a pillar of medical consultation, training, and after-sales service at the municipal hospital, a cancer base hospital. In addition, training and lectures are held at municipal general hospitals, such as workshops,、, and public lectures for local doctors and medical staff. These initiatives are essential for the enhancement of palliative medicine in the region, but as noted by a member, we believe that it is necessary to exchange opinions not only from the medical technical perspective of the doctor, but also from patients and citizens. In the regional medical regeneration plan of the prefecture, we are considering the system of information sharing and training of healthcare workers, and we will continue to develop the next medical plan. Therefore, I would like to deepen my thoughts on the place of consultation, including the use of existing meetings, while keeping in mind how far the government will do.
◆No.31 (Mr. Masayuki Nagayama) (Lecture) This time, there was no "preparation". I would like to expect a response that is about "to consider positively". I think about this care, how much information can be flowed is very important to citizens, and in short, it is necessary to provide information to citizens about the situation in the medical field, and then to respond to it. When it comes to peace of mind, I know that. I asked a variety of information this time, but I don’t know if I was a general manager of the City General Hospital. After all, sometimes the name comes out, it is hard to start. I would like to try it. However, I think that it is necessary to have a posture like a couple of governments and pushing the back. In this question, there are various information in various ways, but there is a cancer counter information center. In the statistics of this cancer prevention information center, the curing rate at stage 1 exceeds90%. Sorry, this entry is only available in 日本語. The curing rate of about 80% on stage 2, and the curing rate of about 50% on stage 3, but it is said that the disparity between regions is not possible. Then, at Saitama Prefectural Cancer Center, this is palliative medicine, but as a result of the treatment, it is 87% for those who say "completely painful". There is a report that “almost completely painful” is 9%, but it is not all of this cancer pain, and it is a real thing that citizens should be able to do many times. That’s why I would like you to try it. If you are a family with an end-of-life patient, you will probably feel that you don’t want to suffer or want to relieve pain. We are committed to this palliative medicine. I have to ask. We ask for your continued support in promoting palliative medicine and palliative care. More
○Chairman(Urahideo) We will take a break for a while. 3:13 pm Rest 3:30 pm Rest
○Chairman (Urahideo) will continue to open the meeting before resting. We will continue the general question. Mr. Hiromi Nagata, No. 3
◆No.3 (Komi Kubota) Thank you for your understanding. I would like to ask questions about the counter。s, and the effective use of the free space in the building. Firstly, we will ask about the current situation of the depopulation area. The depopulated area is a special 地域 law to promote self-reliance in the depopulation area, and the Minister of Internal Affairs and Communications is publicly indicated by figures such as financial index and population reduction. This time, in the former six towns, which are publicly expressed as a depopulation area, the provisions of the depopulation method are specified in the depopulation area according to the provisions of the depopulation area, regarded as the depopulation area of the depopulation area the day before the municipality merger was held. The six towns of Sechihara-cho, Yoshii-cho, Uku-cho, Kosasan-cho, Es町-cho, and Shika-cho in the former six towns were designated as a depopulated area by the emergency measures against the depopulation area in 45. In addition, the purpose of this law is to improve the welfare of residents and correct regional disparities from 45 to present, and the purpose of promoting the self-reliance of the depopulation area from 55 to present, and the formation of a beautiful and vivid country from 2000. Of course, we have developed a plan to achieve the purpose of the old 6 towns, and we have carried out each business accordingly, but it is not progressed as planned. After the merger, we have developed a town development plan developed at the time of merger, and we are planning to promote the merger area according to the new city construction plan, but it is not until the purpose is achieved. The five towns of former Sechihara, Yoshii, Kosasan, Es町, and Shikamachi are very prosperous as a city of coal. However, since around 30, all coal mines have been closed, and the population has continued to run. After that, it is the current industrial form that utilizes the characteristics of each region and the region where vitality is required for the agriculture, the region where the water industry is seeking vitality, and the region where the business industry is seeking vitality. Even in the former Uku-cho, there are water industry, livestock industry, and tourism industry, and wonderful industry and wonderful tourism support. This time, it is a national system that is necessary to support the country in order to promote self-reliance in the depopulation area, improve residents welfare, rehabilitation of , correct regional disparities, and create beautiful and windy country. However, since this law is a time-、 law that has been extended by FY2015, it is necessary to promote that the depopulation area can be de、ed from the depopulation area for this six years. I think that the government is responsible for recognizing the situation of the depopulation area, promoting the industry, improving the transportation and communication system, establishing a living environment facility, establishing educational cultural facilities, re編ing the settlement. In addition, asako-cho, Takashima-cho, Kuroshima-cho, and former Sasebo-city are also dotted with areas that do not differ from the old six towns. If it is not only a depopulated area, but the area of the same environment other than the depopulated area is not energetic, the integration of the new city can not be achieved. Currently, the rapid population decline has a tendency to slow down, but it is under the circumstances where natural reductions such as de。ing birthrate as a factor in population decline. The population is still decreasing in the depopulation area of the city. We will first ask you about the current situation, such as the population of the depopulation area of the city and the decrease of the place of 。. In addition, we will ask for the results of the previous counter、s according to the reference. In addition, the purpose of the promotion of self-reliance is to reduce the vitality of the local community due to a significant reduction in population, and to take special measures necessary for implementing comprehensive and planned measures for areas where production functions and living conditions are lower compared to other regions. The Saki Law, which was the time limit law of FY2009, has been revised, and the extension for 6 years. In this revision, we will ask you about the outline of the revised law. Next, we will ask you about measures to ensure traffic. Although there are a number of target businesses for depopulation counter s business bonds, we will ask each question about measures to secure traffic for major issues in the depopulation area and the development of the information communication base for the following items. In order to improve the convenience of residents in the depopulation area, "secure traffic" of Article 20 of the depopulation law, we make appropriate consideration for the stable securing of passenger transportation required by local residents. I asked the counter。s to those who cannot use the Keiro Special Boarding Card for reasons such as the distance to the bus stop is far from last December regular meeting and walking is not possible for a long time. The situation of local traffic is厳orous by decommissioning and reduction of bus routes while maintaining roads on hard surfaces, especially in areas where population decline and aging are progressing, maintenance and securing local traffic that supports residents' lives such as hospitals, shopping, and school is a major issue. Therefore, it is necessary to focus on securing traffic means according to the actual situation of each region. However, it is important to introduce a suitable way of life traffic through consultation with related companies and government agencies such as connecting taxis and demand traffic. Based on such situations, we may need to take counter。s between depopulated areas and other regions, so we will ask you about the initiatives as a whole city. Next, we will ask you about the maintenance of the information communication base. In Article 21 of the Act on Emissions, "Slimation of Information Distribution and Enhancing Communication System" is an appropriate consideration for the smoothing of information distribution and enhancement of communication system in order to improve the convenience of residents in the depopulation area, promotion of industry, and promotion of interregional exchange. The information communication infrastructure is not only a means to overcome geographical conditions and利s, but also to provide various administrative services in the depopulation area efficiently. In recent years, the spread of the Internet has made it possible to get any information instantly. When you open the city's homepage or the city council's homepage, you can get information instantly. However, how about PC popularity? How about internet users? I think that the user is still limited. Sasebo Cable TV is available for the majority of the city except the merger area. For this Sasebo Cable TV viewing, I asked Mr. Hayashi who asked Mr. Hayashi at the regular meeting of December last year, to start broadcasting the general questions of the city council, information close to the area such as event information will be streamed, and I heard that the city's public relations activities are supported from the side. In addition, there is a response that we want to find out whether we can provide it based on the viewpoint of the validity of administrative involvement. However, this is the right of citizens to share city information. I think that it is also the responsibility of the government to make a difference by the region. In addition, I think that it is a problem that the authorities can clear from the purpose of the depopulation law. I guess that I’m adjusting with wired television companies, but I think that there is a solution that can benefit each other. In particular, wired TV is a familiar information platform that enables you to view information that is closely related to the area such as the city government information, the city council information first, and the event information. As a means for citizens to share city information and obtain information, I would like to work on the maintenance of wired television to the depopulated area until the 27th27 year of the extension of the depopulation method. Please contact us. Next, we will ask you about the current situation and issues of the free space in the building. The former Yoshii-cho and Sechihara-cho have been merged for five years, the former Uku-cho and Kosasan-cho for four years. I think it is not the current situation that the space occupies about half of the old building, except for the part of the center office and meeting room etc. There are a number of voices that public groups in each region, groups, and local residents can easily use them. However, it is not going to take measures to prevent space in this city, whether it is administrative property or security. However, I think that it is necessary to take measures immediately to revitalize the region and take measures such as negative heritage by merger. What is the status of free space in each administrative center? In addition, we will ask you about maintenance and management costs before and after the merger. We will then ask you about future measures. As a counter for free space in the building, there seems to be the following cases nationwide. The first city to support citizens’ community activities, support lifelong learning, and promote citizen exchange. Next, pay for private companies. This attracts call centers. In addition, there is a request to the secretariat of various public organizations. In addition, as a successful case of effective use, it became easier to enter private sector by amendment of the local autonomy law. Next, it is the structure of the building that is easy to secure security. Next, the government support system is substantial. There is no need for large-scale renovations. For more than 4 years after the merger of the former four towns, the newly established スペース center counter s are very important issues and concerns in the merger area. We will ask you what reasons and challenges are there to use. In addition, we will ask you whether there is a problem for use as administrative property. End the first question.
◎ Planning manager (Kaoru Honyama) (presentation) It is about the current situation of the depopulation area first, but Yoshii-cho, Sechihara-cho, Uku-cho, Kosasaki-cho, Es町-cho and Kamachi-cho are designated as a depopulation area in Honichi. In order to promote the depopulation area, we have developed a comprehensive and planned business such as the promotion of the industry, the development of traffic communication systems, and the development of the living environment. However, due to geographical and terrain-free conditions and serene negligence, it is very difficult to secure work opportunities, and there is a situation in which youth-aged outflow etc. are not able to go afterward.本土 the depopulation area, the mainland area was prospered mainly as coal mines until around the 1940s. After that, the population decreased drastically because of the closed mountain of each coal mine. When we look at the population of the depopulated region, we have decreased 6.5% compared to the thrust value of 2005 and 2010. In comparison between 2001 and 2006, the depopulation area and the former city are the same as 6.9% reduction, but the number of employees decreases 10.4% in the depopulation area and 2.2% in the old city. As a result of major counter、s against depopulation, it was possible to reduce the travel time between the region by improving the city road, to ensure safety during vehicle traffic, and to reduce the wide area of the administrative area due to the merger. Next, the hot spring accommodation "Yamanoren"- This is the business of the old town period---The maintenance contributes to the local economic effect by increasing the population of exchange with facility users and expanding 雇用 opportunities. In addition, in order to enhance the education and culture of local residents, we have constructed a regional assembly facility to improve education and improve health. In addition, we have implemented various counter、s such as the development of a living base, the promotion of industry, the maintenance of communication facilities, and medical and welfare. In this way, various measures are carried out, and certain results are raised, but the outflow of the youth in the depopulation area has not ceased later, and the population of older people over 65 years has increased year by year, and is still exposed to severe situations. Road maintenance is still maintained, and there is a need to continue to support agriculture problems, corporate attractment, and industrial aspects. In particular, the city merged with the former Uku-cho, Ankai Ritsushima, where there is a problem of securing doctors, providing nursing care services, and a part of the island has problems such as the development of broadband service environment. As such, we believe that it is necessary to continue to implement counter s against depopulation in this city. , it is about the depopulated area self-reliance promotion special rehabilitation method and the so-called depopulation method, but based on the severe situation in the depopulation area, and the depopulation method will be extended for six years until FY2015 due to the strong desire to determine the legislative law from each region. In this city, the former six towns merged will continue to be designated as a depopulated region based on the special provisions of the case where the city village was dis。d. The main thing of the amendment is the expansion of the new special business model, and the contents are subject to the soft business that has not been covered before. For soft business, it is possible to use it widely in business to ensure the safety and security of residents, such as securing regional medical care, securing lifestyle traffic familiar to residents, maintaining and revitalizing settlements. In addition to the previous business, libraries, certified children's gardens, etc. have been added, and the construction of elementary and junior high school buildings, etc. has been included in the integration for the proper scale in the depopulation law before the amendment. Although it is about the security measures for the third item of traffic, the public traffic users in Sasebo City tend to decline due to the advancement of the car society, and the routes with less use are forced to shrink and abolish the diamond. There are a lot of traffic weak people who can not go to bus stops especially in the depopulation area, and there is a problem that it is not sufficiently convenient. Even if you stay in the city, people who feel unsuitable for such a move are strongly feeling the need to take measures that are going to be a shopping or a hospital. On the other hand, the current city’s approach has a certain distance from bus stops, and the population is relatively high, we are working to build a taxi with a self-reliant operation that has become the center of traffic blank districts. As such, we would like to conduct surveys on the geographical characteristics of Sasebo City and the realities of the local area, while reflecting the examples of other cities. In the subsequent system design, we need to create a sustainable system by reflecting the financial aspects of the city. In addition, it seems that the use of this system will not be promoted without the voluntary efforts of local residents. We believe that it is difficult to support transportation inconvenient districts only by government, so we want to promote system development based on the viewpoint of citizen collaboration that supports local residents, governments and business operators. Next, we will answer about the effective use of the second old building space. As you can see, the former 6-cho government offices are now used as administrative centers, including the合併-cho and Kamachi-cho merged in March this year. There are some rooms that are difficult to use other than the purpose of use such as the meeting place, the town office, etc. by re編ation and integration accompanying the merger, so if you express the un。 space and the parliament, there is a so-called space. Depending on how you use this space, we think that it will improve the vitality of the merger area, or that it will lead to a new town development unique to the merger area. For this reason, there is a certain study that we can not use this space in our department. Although it is the current situation of the free space of your question, I did not assume that the frequency of use is not un , so I decided not to use it. 6The total number of rooms in the administrative center is about 23% of the 94 rooms. In the町 year 2016, the町 year ended March 31, 2019, the町 year ended March 31, 2019, and the町 year ended March 31, 2019. The reason for this decline is that the number of employees decreased and the reduction of electricity and water usage due to the occurrence of unの部屋 rooms. We ask you what kind of problem is there when using free space, but it seems that there are some problems such as security because of the use of administrative assets. Although it is necessary to establish a usage procedure while solving them, we believe that it is necessary to consider all governments to respond to various purposes. In addition, when considering long-term use, the role and direction of the administrative center will be closely related. In any case, as the beginning of the course, I think that it will improve the vitality of the merger area by making use of it, and it will lead to the creation of new towns. I would like to consider this in the direction of proceeding.
◎ General Manager (Mr. Masami Nakajima) We recognize that the development of the information and communication infrastructure is effective to eliminate geographical条件s and to improve citizen services by providing efficient administrative services. Sasebo Cable TV is one of the most important information and communication infrastructure for citizens, which combines television and internet communication. As a member of the Board of Trustees, there was a question from Mr. Hayashi in the last 12 month regular meeting, but it is a place where the company is taking a consultation and looking for the possibility of wired television in the merger area. The company asks that it is a situation where management resources are concentrated in counter s such as geodege counter s, etc., which are noted in July 2011, and the road of the area expansion at this point is not yet seen. However, based on the proposal of a member, I would like to make efforts to implement a new depopulation plan, such as information communication infrastructure development, as one of the measures to correct the gap between the region, considering the period of six years of Heisei 27。.
◎Financial Manager (Mr. Tomohisa Yamaguchi) (Venue) We will respond to the status of use and problems from the viewpoint of property management. In the past, administrative assets were used outside of the administrative purpose due to the permission of use, but with the amendment of the local autonomy law in 2006, it is possible to use the surplus part of the government building caused by merger etc. As the lending is a private contract, it is subject to the leasehold interest law. However, we believe that it is possible to use both methods in。 with the permission of non-purpose use by formulating a plan for future free space use. It is also possible to disco、e the use of the entire facility and the entire floor as a non-governmental use, and apply it as an ordinary property. On the other hand, regardless of administrative property or ordinary property, the following problems may be considered: First of all, we will accept the use of third parties, so we will take security measures. I think that there is a case where you need to take facility repairs and other security measures because it is necessary to separate administrative work space and permission range including bookstores and storages. When considering the operation of short-term use, etc., it is necessary to prepare a relevant rule for the usage fee for each facility, the method of collection of utility and utility costs, etc. In addition to establishing a usage plan as an administrative purpose of this website, we believe that it is possible to use it when it is judged that it is suitable for the use of public assets such as local communities and public organizations.
◆No.3 (Komi Kubota) We will ask for your questions. First of all, we will ask you about the current situation of the depopulation area. However, the level of living has reached a certain level, but the geography, scenic slightness, and the outflow of the youth layer has not ceased. In addition, there was a response that the population decreased by 6.5%, decreased by 6.9%, and decreased by 10.4% in the number of employees. In this way, it is expected to be lonely as part of the new city integration, but we will ask you how the decreasing factor is being analyzed as the authorities. In addition, we will ask you what measures will be taken to maintain or increase the population. Next, I will ask about the depopulation method. In the present answer, soft business can be used widely, such as regional medical care, life traffic, maintenance and revitalization. In addition, the hard business was added. We are looking forward to taking advantage of our various business and to be able to independently of the depopulated area quickly. I will ask you again. In the future, we will formulate a depopulation plan, but what is the consistency between the city planning and the construction plan that we have formulated during the merger? In addition, we will ask you how to proceed with the schedule. In addition, the depopulation counter business bonds can be used in the merger area, but it can not be used in other regions, so it is necessary to take the same measures as the depopulation area and the area that I mentioned earlier, but I will ask you. Then, we will re- the traffic security measures. We believe that the transportation administration that is not inconvenient will be established gradually after the next。 year. There was a response saying, "The financial side is also illuminated", but I think that the financial side is to solve some extent by using depopulation bonds. How do you like? In addition, it seems that the budget of conducting surveys to ensure the geographical characteristics of Sasebo city and the traffic means according to the actual situation of the region is also recorded. After the results of the survey, I think that it will be considered by the survey report and the plan, etc., but not on the desk, I think that it is necessary to experience the daily life of people who live in the inconvenient area - on地域 days and rainy days. Next, we will ask you to re-整備 the information communication infrastructure. In the previous answer, I was looking for a wired television company to be able to take a consultation, but at this point there was no way to expand the area yet, but there was a reply that I will strive for a depopulation plan during the extension of the depopulation method. We are very interested in the government of Sasebo City. In addition, it is true that there is a certain voice that nothing can be done even if the merger is merged, but this may not be sufficiently accountable for administrative information, etc., but I think that it is also a predisposition to the local government information etc. We are convinced that sharing city information with citizens will contribute to the elimination of regional gaps and the integration of the entire city. We have received a positive response. However, I think that it is possible to use the optical communication service by maintaining a wired TV, which leads to the elimination of the regional disparities, which is a problem. As the world becomes a society of optical communication, we need an effort to receive the same service throughout the city. Next, we will ask you about the current situation and issues of free space. There is a certain course of study for free space. Depending on the way of use, it is important to improve the vitality of the merger area, or to create new towns unique to the merger region. I thought there were about half of the free space, but it was about 11% in the previous answer. However, it is not possible to use a space if it is assumed to use something even if the usage frequency is low, so in my guess, I guess that the space space is about 30%. It is said that the maintenance and management costs are reduced by about 17% at the行政 administrative center. In the future, we will investigate and verify this space as a key issue in the future, and we will carefully examine the number of answers, etc., and ask for improvement. Next, I will ask you about the future measures of free space. It seems that the effective use of the free space seems to be tough in the previous answer, but how can I use it because there is a free space? Is it possible to keep this state? It is natural that you have to clear the condition and how you can do it, but I think that it is necessary a little more gentle interpretation and a positive attitude. I think that it will be very useful for the economic effect, maintenance of the base of the former municipality and support the activities of the citizen community by opening the free space to local residents. We will continue to ask you how to do it. Finally, I would like to ask you a question that can be done immediately by your judgment. I think that it should be utilized much if there is a possible space if partial transfer of administrative functions, new buildings, rooms, etc. Nishi-Kyushu Expressway was launched to Aiura-Nakasato。, and the time to stop was shortened. In April next year, it will be open to the Sasaki interchange, so this road network will greatly reduce the time required to the main building. However, it took 45 minutes from Kosasan Center. However, if you open up to the Sado interchange, it will be about 25 minutes. In addition, we have introduced a TV conference system in the administrative center. Currently, I concentrated quietly in the ten main building of Yawatamachi 1 in Sasebo City. However, administrative work is carried out within a distance of about 10 minutes. Although Sasebo City has never been financially rich, I felt that I had a good time, but even in my budget, I saw a case where I needed a lot of money if I used a space in the old town hall. If you think that there is something that can be administrative work even if you are not a company, it should be utilized much. In addition, the former 6 towns are different from the construction year of the old building. There are different industrial forms. There are different public facilities around the administrative center, but I think there are measures that suit each region. Since the former merger area was inconvenient, or it took time. However, if you need to transfer some of the administrative functions to the old town hall vacant space, or if you need a new building, a room, etc., it should be utilized much if there is a possible space. End the second question.
◎登壇 (Mr. Norio Asamu) (Lecture) This was the first question about the development of the information communication platform. The problem of information disparity is the common problem of the local government, so it is highly requested that the government and the prefecture make it easier for private operators to maintain. The government’s IT Strategy Headquarters is based on a new information and communication technology strategy published in May 2010. The goal is to realize a high-speed large-capacity network in all households. We hope that this will be the driving force of the development of information and communication infrastructure in the depopulated area, while focusing on future trends, we want to study how far we can do as a government, while also being involved in the depopulation plan, including the use of wired TV and high-speed communication using satellites. I had a response from the manager before, but there was a similar question from Mr. Hayashi at the regular meeting in December. After that, I will talk with the president of cable TV. In that case, I had a basic idea that this wired TV and cable TV is not necessary when I was really merged, so I talked with the direction that I could not realize it. In that story, I am doing it now because of the response of geodege as I mentioned earlier. Also, I feel that Fukuoka has a new business development. However, I think that the way of thinking is changing depending on where the government can respond to as administrative対応, so I have been talking about realizing a high-speed large-capacity communication network with a light path and a new information communication technology strategy, so I think that it is always good to be able to provide similar information to the merger area by using it. Then, it is about the effective use of the old building and free space. We ask for the transfer of some of the administrative functions of the former government office space, but it is assumed that we provide administrative services to citizens as necessary when thinking about the functions that must be the main office first, and it is assumed that the citizens visit the government immediately. It is believed that the current main building is located in the area of the population district of Yawata-cho, and the location of transportation is very convenient. You may not be able to relocate a thing that can be demonstrated even if it is not necessarily the main office of the question, but where is the department that does not require the condition that existed now? In addition, I think that the time reduction by extending the Nishi-Kyushu Expressway will be realized in March next year as the member pointed out. I think that it is possible to run in 20 minutes and 25 minutes until Kosasashi-cho, and I think that it is not possible to think such thing in the Yoshii district. We recognize that it is a problem that should be judged after comprehensive consideration of such a time-sh effect and what to think about including changes in the location of each old building. Based on the current situation of research and administrative center, I think that it is necessary to comprehensively judge the possibility of future facility restructuring, so I think that I will respond with future problem recognition. In particular, for five years, it is true that the idea that it is better not to change too much. However, there is a place that has passed 5 years. Since it has become such a time, there is also a merger with Shikamachi and Es町 Town, so it is a place that you think that it should show the direction of the new idea by taking this time. In one case, I may ask you about such ideas. I think that there is no training center for the staff, for example, where to do the training, I think that it is possible to train even if it is a little far away. Restaurant
◎ Planning Manager (Kaoru Honyama) (Venue) We will answer your question about counter s against depopulation. As a factor in population decline, de ing aging is progressing nationwide, and it is said that natural reduction is a major factor, but it is also believed that the young people are outflowing to the urban area due to the decline of the primary industry due to the lack of successors and the reduction of business sites due to economic deficiency. In addition, it is said that the measures to maintain and increase the population of resident, but the number of workers in the agriculture and forestry industry in the depopulation area has greatly reduced, but the agriculture and forestry industry plays an important role in the depopulation area. Therefore, even in the depopulation plan before the amendment, we are thinking that it is necessary to take measures to promote the depopulation area while taking over this. In addition, we asked questions about how the depopulation plan and the consistency between the merger town planning. For this reason, it is necessary to improve consistency because all the depopulated areas are merged. In addition, we believe that it is necessary to work with the comprehensive plan and financial plan, and we want to adjust the business plan from each department and show it as a proposal in the future. Although it is about the promotion measures for areas other than the depopulation area, Asako Town is subject to the peninsula promotion method, Kuroshima Town, and Takashima Town, and the remote island promotion method and the surrounding measures are taken based on each plan. In addition, we would like to proceed with the measures while considering the balance of traffic inconvenient area measures, as we mentioned earlier. Next, we asked two questions about how to secure traffic. First of all, it was possible to solve a certain degree by using depopulated bonds in the financial aspect of the answer to the answer while also illuminating the previous financial aspect. As we have received a response earlier, the execution period of the depopulation method is extended for six years from FY2010 and the expansion of the depopulation bond to the soft business is expected to be utilized for future traffic inconvenient district measures. However, if the transportation inconvenient area is not limited to the depopulation area, it is necessary to think about the securing of financial resources other than the depopulation area. We would like to consider the way the financial resources are based on the degree of involvement of governments, in response to future research results. In the next stage, the department in charge had to experience the daily life of the transportation inconvenient district and promote system design of highly practical transportation systems. In the case of traffic blank district measures already established, the department in charge with local residents is also conducting investigations in the Nakatsu area which operates full-scale and the Ono area currently under consideration. Based on the way to prevent traffic inconvenient districts, we want to work on system design of highly practical transportation systems, from the specific route examination stage, as well as the staff of the local residents.
◆No.3 (Komi Kubota) In addition, I received a response from the答. Thank you very much. We have a little time, so I would like to make a little request. For counter s against depopulation, we had to take measures to revitalize the local industry, such as the agriculture and forestry industry that we have done so far, as a way to promote the depopulation area. That’s why we plan to open an antenna shop in Nagasaki, Unzen, and Sasebo in October this year. I would like to thank you for developing brand products that can be exhibited there. In addition, for the depopulation plan, I would like to suggest the business plan to be submitted by each department in the future. If you propose to the 9 month parliament, the remaining 6 months. In December, it will be three months left. In addition, we propose a budget at the same time as the parliament proposal of the plan. In addition, there are proposals after the plan, but we have predicted that it will be a very strict schedule. However, I don’t think it’s funny because there are many changes as soon as I planned in a short time, so I would like to take care of it even if it takes some time to avoid leakage of the plan. In addition, I thought that the area other than the depopulated area was also considered to be counterbalanced by the viewpoint of all the city, so I think that it is the same as that of the new city. In order to achieve this system, there is no use promotion unless there is a voluntary initiative of the local residents. In addition, we would like to study the development of information infrastructure, from the viewpoint, to realizing the path of light to all households, using wired television, and high-speed communication using satellites. I understand that this is always true. This time, I was convinced that the depopulation method has been extended for 6 years, and the gap between the regions can be eliminated. I asked about the security measures and the maintenance of the information base. Thank you very much for your support. After that, I told me that I could have a lot of ideas for free space. That’s why we don’t want to keep it in the same way, so there are some nice buildings, so we ask that you make it possible if you can tell us what you said earlier. Thank you very much.
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