医療労働者の学習の組織化と協同の生成の展開

―1970年代の長野県厚生連佐久総合病院小諸分院の労働組合に着目して―

抄録

  The goal of this paper is to examine the labor union’s learning movement at the Komoro Branch of the Saku General Hospital of the Nagano Prefectural Federation of Health and Welfare during the 1970s. It is believed that this labor union’s learning movement encouraged healthcare workers to cooperate and collaborate.

  In the 1970s, labor problems, hospital management issues, and a schism between the community and the hospital were caused by healthcare rationalization policies. The labor union established theoretical studies on labor issues, circle activities to rebuild human relations, and opportunities for dialogue with local residents so that medical workers could feel active participation in hospital management and community health care as employees.

  As a result, health care workers learned about health care labor issues for individuals and society, health care labor, autonomy, and collaboration issues for hospitals and unions, and community health care issues for hospitals and local residents. Thus, learning was restructured to address the issues confronting health care workers, hospitals, and communities, with labor unions driving the development of cooperative hospital autonomy and community health care.