準市場における非営利・営利事業者のサービスの質と経営戦略的行動 : 介護保険グループホームの場合

URI http://harp.lib.hiroshima-u.ac.jp/hiroshima-cu/metadata/12409
File
Title
準市場における非営利・営利事業者のサービスの質と経営戦略的行動 : 介護保険グループホームの場合
Title Alternative
ジュンシジョウ ニオケル ヒエイリ・エイリ ジギョウシャ ノ サービス ノ シツ ト ケイエイ センリャクテキ コウドウ : カイゴ ホケン グループ ホーム ノ バアイ
Service Quality and Strategic Behaviors of Non-profits and For-profits in the Quasi-Market : The Case of Long-Term Care Group Home Services
Author
氏名 金谷 信子
ヨミ カナヤ ノブコ
別名 KANAYA Nobuko
Subject
介護保険制度
サービスの質
利用者の選別
規模の経済
範囲の経済
グループホーム
営利事業者
非営利事業者
Abstract

This paper examines the differences in behaviors between nonprofit providers and for-profit providers of Long-Term Care Services (LTCS) for the elderly in Japan by analyzing whether providers compromise on quality and engage in strategies to maximize profits. The quasi-market was introduced to improve the efficiency of the former public welfare service, which was limited to serving the public and nonprofit organizations. However, there is considerable doubt about LTCS’s ability to balance the market mechanism with the fairness or equality of public services.
Therefore, I examine the possibility of service quality compromises and the tendency toward strategic behaviors, e.g., the selection of users and service locations, economies of scale, and economies of scope. The results indicate the service quality of nonprofit providers may be better than that of for-profit providers. For-profit providers also seem to select profitable users and service locations and seek the scale and scope of economies more positively than nonprofit providers.

Description Peer Reviewed
Journal Title
広島国際研究 = Hiroshima Journal of International Studies
Volume
23
Spage
43
Epage
60
Published Date
2017-11-30
Publisher
広島市立大学国際学部
ISSN
1341-3546
NCID
AN10485683
Language
jpn
NIIType
Journal Article
Text Version
出版社版
Set
hiroshima-cu