| Budget Amount *help |
¥3,300,000 (Direct Cost: ¥3,300,000)
Fiscal Year 1997: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1996: ¥2,600,000 (Direct Cost: ¥2,600,000)
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| Research Abstract |
In this study, we report that many nonprofit organizations (NPOs) play an important role in the US health care system. They are major providers of health care services in USA,safety guards in community, and are advocates to solve the problems such as poors, wellness, some confricts existing in health care system, and so on. Furthermore there are a few economically large organizations and a lot of grass-roots small organizations in the US health care system as well as the US nonprofit sector. This sector has ecomonical duplicity and this also reflects the difference in functions which large and small organizations play in the US health care system. Specifically, the scale of organizations has an important effect on the role which professions play in the orgarlization. That is, in the large organizations, the professions are filling only the limited role in the division or promoting the specialization as a specialist. While, in the grass-root small ones, they are playing the main role not only in coordinating in the entire of activity but developing and meeting needs of the communities.
Another result is that they can not accomplish their mission without govemment supports. Today, as a managed care is pervading around the nation, a keen competition between nonprofit and for-profit is increasing in the US health care industry. On the other hand, federal government undertakes to cut the support for NPOs. Under this condition some of the NPOs, especially the large NPOs, are converting from nonprofit to for-profit. Also, the grass-roots small NPOs are confronted with a critical situation though they are making efforts to acomplish their mission under this condition. Here, also, their action reflects that duplicity.
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