Kubo Makoto
Faculty of Policy Studies, Doshisha University, Kyoto, Japan.
Australas J Ageing. 2014 Sep;33(3):153-7. doi: 10.1111/ajag.12038. Epub 2013 Jun 30.
The purpose of this paper is to examine the status of care service providers by locality and organisational nature.
Questionnaires were sent to 9505 home-based care service providers registered in the databases of 17 prefectures. The prefectures were selected according to population size.
Numerous for-profit providers have newly entered the aged care service market and are operating selectively in Tokyo, a typical example of a metropolitan area. Furthermore, both for-profit and non-profit providers have suffered from a shortage of care workers and difficult management conditions, which tend to be more pronounced in Tokyo.
The market under long-term care insurance was successful in terms of the volume of services, but most providers were sceptical as to whether competition in the market could facilitate quality care services.
本文旨在按地区和组织性质考察护理服务提供者的状况。
向在17个县数据库中注册的9505家居家护理服务提供者发放问卷。这些县是根据人口规模挑选出来的。
许多营利性提供者新近进入老年护理服务市场，并在作为大都市典型代表的东京进行选择性经营。此外，营利性和非营利性提供者都面临护理人员短缺和管理条件困难的问题，在东京这些问题往往更为突出。
长期护理保险下的市场在服务量方面是成功的，但大多数提供者对市场竞争能否促进优质护理服务持怀疑态度。
