Abstract

Community organizing with government support, termed local self-governance (LSG), is a form of policy decentralization for community wellbeing through solutions tailored to local issues. One form of LSG is multifunctional autonomy, in which citizens can comprehensively manage their communities with government support. This study clarified the effect of multifunctional autonomy on healthy life expectancy by assessing related advantages and challenges in rural Japanese communities, using a mixed-methods approach. Disability-free life expectancy from 65 years (DFLE-65) was assessed to compare healthy life expectancies between two rural Japanese cities (with/without multifunctional autonomy). Comparisons revealed better DFLE-65 only among older men in a city with multifunctional autonomy. A cost-effectiveness analysis investigated the relationship between the budget and DFLE-65 change using questionnaire data. Cost-effectiveness analysis of multifunctional autonomy indicated 61,147 yen/DFLE-65. Thematic analysis revealed that multifunctional autonomy created new roles for older men, improving community relationships. However, sustainable multifunctional autonomy in LSG communities may be hindered by a generally aging society, generation gap, and lack of mutual understanding between rural communities and local governments. To ensure the sustainability of multifunctional autonomy, collaborations between local communities and governments and among various generations are critical.

Highlights

  • As communities worldwide become more diverse, decentralized governance becomes increasingly essential to ensure effective solutions to community problems [1]

  • A serial cross-sectional investigation into the provisions of multifunctional autonomy generally revealed that most components of the category regarding the effectiveness of related activities remained at a high rate

  • In the category of community organizing, the components of interest and participation were greater than 70% through the duration of the study

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Summary

Introduction

As communities worldwide become more diverse, decentralized governance becomes increasingly essential to ensure effective solutions to community problems [1]. Governmental administrative decisions can affect the specific contents of social work with respect to resource allocation and funding [2]. This is important because each community has unique social problems that require authentic organizational approaches [3]. Government-supported community organizing is referred to as local self-government (LSG), which is a form of decentralization [7]. LSG refers to the self-directed efforts of local people when dealing with community conditions. This arrangement may effectively improve community wellbeing through the establishment of solutions that are tailored to local problems and circumstances [8,9]

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