Departmental Bulletin Paper 外国籍住民の医療アクセス実態が示唆する文化障壁の諸要因―滞日フィリピン語コミュニティに対するパイロット調査から―

横田(有田), 恵子(恵子)

The Japanese government and the financial world began deliberating policies regarding the treatment of unskilled foreign laborers starting around the year 2005. However, their view of and stance towards the so-called "newcomers" or foreign residents who immigrated to Japan during the 1980s to supplement Japan's labor shortage and population decline, have virtually remained unchanged. Even today, foreign residents in Japan tend to be viewed as "temporary" residents with the government displaying very little intention for incorporating any kind of inclusive notion within its policies. This study investigated the current state of accessibility towards Japanese medical and health services by residents of the Filipino community in Japan via a face-to-face survey study. A back translation method taking into account cultural equivalency was used for the process of translating the survey from Japanese into Tagalog. Analysis of the survey date from 42 respondents revealed two major findings: (1) the language barrier accounts for most of the Filipino residents' lack of understanding of the medical information provided; and (2) that it is the private organizations that have gained recognition by the community as providing the support for language and for maneuvering the system.The results are discussed in terms of a strong recommendation that the government and municipal sectors provide support for foreign residents through policies that reflect long-term and inclusive measures. In other words, the authors suggest that instead of relying on the existing networks and the experiences of semi-formal support systems, the municipalities must implement policies that provide stable and long-term support policies and services.

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