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Title: |
Dynamics between nonprofit and for-profit providers operating under the long-term care insurance system in Japan. |
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Reference: |
Nonprofit and Voluntary Sector Quarterly, 40(1), February 2011, pp.79-106. |
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ISSN paper: |
0899-7640 |
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ISSN online: |
1552-7395 |
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Abstract: |
This article investigates the degree to which non-profit and for-profit providers come to resemble each other or to maintain their distinct characteristics in response to government policies to privatise human services. The study focuses on whether the relationship between for-profit and nonprofit organisations providing long-term care has changed since the introduction of the Long-Term Care Insurance (LTCI) system in Japan. Data was gathered at 2 municipalities in Tokyo which have different environmental conditions in terms of resource allocations. LTCI allocates most resources based on process control, and thus access to resources is easier by conforming to regulations and standards. The findings in the municipality that primarily provides core LTCI services indicate that for-profit providers behave like nonprofit providers in such an environment. However, when commercialised services are provided besides legally defined LTCI services, outcome control comes into effect in addition to process control. This findings in the municipality with a more developed market for additional services found that the differences between for-profit and nonprofit providers are maintained in this type of environment. Theoretical as well as policy and management implications are discussed. |
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Format: |
article; |
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Topics: |
health insurance; long term care; organisational culture; private sector; privatisation; voluntary organisations; |
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Record ID: |
www.scie-socialcareonline.org.uk/profile.asp?guid=e315a674-86c1-423c-b6de-3549803ee469 |
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