Improvement of Conditions Required for Functioning and Continuity of Diversifying Nursing Care Suppliers : Through a Study on the COMSN Incident

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  • 介護サービス提供主体の多様化の機能および継続性に求められる条件整備 : コムスン事件の事例検討を通して
  • カイゴ サービス テイキョウ シュタイ ノ タヨウカ ノ キノウ オヨビ ケイゾクセイ ニ モトメラレル ジョウケン セイビ コムスン ジケン ノ ジレイ ケントウ オ トオシテ

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Following the COMSN incident in 2007, social security policy research and welfare policy research has not proposed any theories on the relaxation or tightening of regulations or on the concept of quasi-market with regard to future function and specific conditions for developing the diversification of nursing care service suppliers. Through the case example of the COMSN incident, where the issue was the succession of services to national users, this paper demonstrates that if it is possible to provide a continual and stable service sufficient for the diverse nursing requirements of users, it would present no objection to supplier profitability. Therefore, in addition to the conditions presented by the quasi-market, the conditions required for the appropriate functioning and development of supplier diversity comprise the key elements of a continual and stable supply of diverse services, which complement the public nature of the service. This also ensures growth and stability of supplier management foundations by establishing an appropriate remuneration for nursing care and improving laws to prevent corporate misconduct. In other words, improving conditions through public responsibility maximizes the efficiency of market functions. Furthermore, strategies to secure the quality and quantity of services are needed.

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