The Accountability Dilemma of Nonprofit Organizations Operating under the Long-Term Care Insurance System in Japan
| Project/Area Number |
14597011
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
非営利・共同組織
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| Research Institution | Toyo University |
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Principal Investigator |
SUDA Yuko Toyo University, Dept.of Sociology, Professor, 社会学部, 教授 (60339207)
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| Co-Investigator(Kenkyū-buntansha) |
NISHIDA Masumi Okayama University, Dept.of Medicine, Professor, 医学部, 教授 (70128065)
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| Project Period (FY) |
2002 – 2004
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| Project Status |
Completed (Fiscal Year 2004)
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| Budget Amount *help |
¥3,300,000 (Direct Cost: ¥3,300,000)
Fiscal Year 2004: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 2003: ¥1,700,000 (Direct Cost: ¥1,700,000)
Fiscal Year 2002: ¥1,000,000 (Direct Cost: ¥1,000,000)
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| Keywords | Long-term Care Insurance / Nonprofit Organizations / Social Welfare Corporations / Medical Corporations / Accountability Dilemma / NPO |
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| Research Abstract |
In 2002, a nationwide-mail survey was conducted to the 1254 NPO Corporations providing the Long-term Care Insurance(LTCI) services, and 688 organizations (54.9%) responded. Factor analysis was performed based on their response to the questions on organizational administration policy, and three factors were identified : "respecting the interest of clients", "focusing on the profitability", and "focusing on increasing the market share." The factor scores were compared between the organizations established before the LTCI system was installed and the ones established after LTCI. The outcome indicated that the latter organizations tended to emphasize the importance of profitability more than the former(p<0.00), which suggested the commercialization of NPO Corporations.
In 2003, an exploratory qualitative study was conduced based on the interviews to four chief executive officers(CEOs) of Social Welfare Corporations providing institutional care for the elderly. The result indicated that the
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impact of the LTCI system was recognized from five view points : feature of clients, functions of institutional care providers, norm, staff-client dynamics, and revenue and personnel employment. The response to the change brought about through LTCI were categorized into six groups : decreasing personnel costs, maintaining quality and morale of staff, fostering business mind, shrinking or expanding optional programs, conscious handling of the grievance/evaluation procedures, and protecting the norm of care from the increasing demand of cost-effectiveness.
In 2004, the source as well as the implication of the accountability dilemma experienced by nonprofit LTCI service providers (Social Welfare Corporations, Medical Corporations, NPO Corporations) were examined theoretically. It was suggested that the cost-effectiveness was more emphasized while regulations on private service organizations increased under the LTCI system. The unique feature of intra-governmental relationships as well as the dynamics of organizational isomorphism observed in Japan was also discussed. Less
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Report
(4 results)
Research Products
(11 results)
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[Book] アメリカ社会保障の光と陰2004
Author(s)
住居広士, 伊原和人, MMC総研, 須田木綿子
Total Pages
334
Publisher
大学教育出版会
Description
「研究成果報告書概要(和文)」より
Related Report
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