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"attribute_value_mlt": [{"subitem_description": "市町村に対する専門的支援は、県型保健所に求められる重要な課題のひとつである。飯田保健所では、平成16年から地域の健康課題を分析して15市町村への提言を行っている。今後提言を行う上での課題を明らかにするために、この専門的支援の評価を標準化死亡比(SMR)、及び提言後の市町村の取組を用いて試みた。その結果、市町村保健師などと十分協議を行い、共通認識を持つ努力が重要であると考えた。", "subitem_description_type": "Abstract"}]}, "item_6_description_30": {"attribute_name": "資源タイプ（コンテンツの種類）", "attribute_value_mlt": [{"subitem_description": "Article", "subitem_description_type": "Other"}]}, "item_6_description_31": {"attribute_name": "フォーマット：mimeタイプ", "attribute_value_mlt": [{"subitem_description": "application/pdf", "subitem_description_type": "Other"}]}, "item_6_description_5": {"attribute_name": "引用", "attribute_value_mlt": [{"subitem_description": "信州公衆衛生雑誌 4(1): 38-39(2009)", "subitem_description_type": "Other"}]}, "item_6_publisher_4": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "信州公衆衛生学会"}]}, "item_6_select_64": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_select_item": 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