ArticleInternational journal of environmental research and public health2021
Effectiveness and Challenges in Local Self-Governance: Multifunctional Autonomy in Japan.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
50 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.
- Older People's Help-Seeking Behaviors in Rural Contexts: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Article
- Urban parks as social infrastructure: behavioral pathways to social interaction in densifying cities.Frontiers in public health · 2026Article
- Implementing a Hybrid Digital-Physical Health Dialogue Model in a Rural Japanese Community: A Technical Report.Cureus · 2025Article
- Article
- Loneliness and the Associating Factors Among Regular Patients in Rural Community Hospitals: A Cross-Sectional Study.Cureus · 2025Article
- The development of an online-based rural community of practice framework for addressing health issues among rural citizens: a grounded theory approach.BMC public health · 2024Article
- Community Health Dialogue Implementation for the Solution of Loneliness in Rural Communities: Autoethnography.Cureus · 2024Article
- Article
- Factors affecting the duration of initial medical care seeking among older rural patients diagnosed with rheumatoid arthritis: a retrospective cohort study.BMC rheumatology · 2024Article
- Article
- Linking Agricultural Activity Frequency to Loneliness in Rural Hospital Patients: A Cross-Sectional Study.Cureus · 2024Article
- The Association Between Community Dialogue and Loneliness in Rural Japanese Communities: A Cross-Sectional Study.Cureus · 2024Article
- Article
- Frailty Syndrome in Rural Communities: A Narrative Review and Interviews With Rural Individuals.Cureus · 2024Article
- Addressing health challenges in rural Japan: a thematic analysis of social isolation and community solutions.BMC primary care · 2024Article
- Article
- Rural health dialogue for the sustainability of help-seeking behaviors among older patients: grounded theory approach.BMC geriatrics · 2023Article
- Spatial Distribution Characteristics and Influencing Factors of Rural Governance Demonstration Villages in China.International journal of environmental research and public health · 2023Article
- The Effectiveness of Family Medicine-Driven Interprofessional Collaboration on the Readmission Rate of Older Patients.Healthcare (Basel, Switzerland) · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
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.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.