Factors affecting the entry of for-profit providers into a price regulated market for formal long-term care services: A case study from Japan

Tokunaga, Mutsumi; Hashimoto, Hideki

doi:10.1016/j.socscimed.2012.10.018

Cited by 5 publications

(5 citation statements)

References 10 publications

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“…However, no uniform way of measuring and disclosing the quality of care is currently available. Previous studies also emphasized the importance of quality of care for the benefit of the users, government monitoring and control, and promotion of the efforts of providers [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Measuring the quality of life of long-term care service users in Japan: a cross-sectional questionnaire study

et al. 2022

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Background In Japan’s super-aging society, the number of long-term care service providers is increasing, and the quality of care is a matter of concern. One aspect of the quality of care is the user’s quality of life. The questionnaires EQ-5D and WHO-5 are representative indicators of quality of life. Herein, we aimed to measure the quality of life in long-term care service users in Japan and to clarify the relationship between quality of life and the level of care required. Methods A questionnaire study was conducted in 106 facilities of 22 corporations. In addition to the EQ-5D and WHO-5, sex, age, and the level of care required were assessed by descriptive statistics. Bonferroni’s multiple comparison test was used to analyze each quality of life score, and the differences by sex and age were analyzed multiple regression analyses, with each quality of life score as the objective variable. Results Of 4647 cases collected, 2830 were analyzed, with no missing data. Both indicators tended to be lower than the general older population. Those scores tended to be higher in females than males (EQ-5D: males, 0.58 ± 0.26; females, 0.60 ± 0.24; P = 0.06 and WHO-5: males, 13.8 ± 5.92; females 14.9 ± 5.70; P < 0.001). In terms of age, those under 65 years old with specific diseases had lower EQ-5D scores than those in other age groups (P < 0.001); however, WHO-5 scores did not differ by age. Multiple regression analysis showed a significant association between the EQ-5D score and level of care required, except for support-required level 1, which tended to worsen as the level of care required increased. Conversely, the WHO-5 score was significantly lower for care need levels 2, 4, and 5. Conclusions The quality of life of long-term care service users was worse than that of the general older population, it tended to be low among males and those under 65 years old with specific diseases. Furthermore, it gradually decreased as the level of care required increased. It is important to monitor users’ quality of life as a quality indicator of care, to improve and manage it.

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Section: Introductionmentioning

confidence: 99%

Measuring the quality of life of long-term care service users in Japan: a cross-sectional questionnaire study

et al. 2022

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“…In addition, some scholars have explored other issues in the field of elderly care services. Tokunaga and Hashimoto use the Tobit regression method and find that the demand quantity and cost factors will significantly affect the market access options provided by for-profit elderly care services [16]. Through research, Kuhn and Nuscheler found that under the condition of information asymmetry, the nursing model of elderly care institutions is more popular than that of home care [17].…”

Section: Provision Of Elderly Care Servicesmentioning

confidence: 99%

Evolutionary Game Analysis of Behavior Strategies of Multiple Stakeholders in an Elderly Care Service System

Zhang

Song

Shi

2023

IJERPH

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As the aging of Chinese society continues to deepen, it is particularly important for the development of the national elderly care service industry to further strengthen the government’s supervision of private pension institutions and improve their management awareness of standardized operations. The strategic behaviors among the participants of senior care service regulation have not been well studied yet. In the process of senior care service regulation, there is a certain game association among three stakeholders, namely, government departments, private pension institutions, and the elderly. This paper firstly constructs an evolutionary game model including the above three subjects and analyzes the evolutionary path of strategic behaviors of each subject and the evolutionary stabilization strategy of the system. On this basis, the feasibility of the evolutionary stabilization strategy of the system is further verified through simulation experiments, and the effects of different initial conditions and key parameters on the evolutionary process and results are discussed. The research results show that (1) There are four ESSs in the pension service supervision system, and revenue is the decisive factor that affects the evolution of the stakeholders’ strategy. (2) The final evolution result of the system is not necessarily related to the initial strategy value of each agent, but the size of the initial strategy value will affect the rate of each agent’s evolution to a stable state. (3) The increase in the success rate of government regulation, subsidy coefficient and punishment coefficient, or the reduction in the cost of regulation and the fixed subsidy for the elderly can effectively promote the standardized operation of private pension institutions, but the large additional benefits will lead to their tendency to operate in violation of regulations. The research results can provide reference and a basis for government departments to formulate the regulation policy for elderly care institutions.

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“…For example, Stolt et al [24] analyzed the privatization of elderly care services in Sweden based on statistical analysis to compare service quality between private and public elderly care services. In addition, the factors affecting for-profit supplier entry into the long-term care market under price regulation were studied by Mutsumi et al [25]. The above qualitative or empirical analysis studied the provision of elderly care services from different perspectives such as policy analysis, privatization of elderly care services and the problems faced by the provision of elderly care services.…”

Section: Elderly Care Services and Its Provisionmentioning

confidence: 99%

Strategic Analysis of Participants in the Provision of Elderly Care Services—An Evolutionary Game Perspective

Luo

Zhang

et al. 2021

IJERPH

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Population aging poses challenges to the immature elderly care service system in many countries. The strategic behaviors of different participants in the provision of elderly care services in a long-term and dynamic situation have not been well studied. In this paper, an evolutionary game model is developed to analyze the strategic behaviors of two types of participants—the government sectors and the private sectors in provision of elderly care services. Firstly, eight scenarios are analyzed, and the evolutionary process and stable strategies are identified. Then, the behavioral strategies of the two types of participants under demand disturbance and dynamic subsidy strategy are analyzed. Simulation experiments are conducted to explore the influence of different initial conditions and parameter changes on the evolutionary process and results. The obtained observations are not only conducive to a systematic understanding of the long-term dynamic provision of elderly care services but also to the policymaking of the government.

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Factors affecting the entry of for-profit providers into a price regulated market for formal long-term care services: A case study from Japan

Cited by 5 publications

References 10 publications

Measuring the quality of life of long-term care service users in Japan: a cross-sectional questionnaire study

Measuring the quality of life of long-term care service users in Japan: a cross-sectional questionnaire study

Evolutionary Game Analysis of Behavior Strategies of Multiple Stakeholders in an Elderly Care Service System

Strategic Analysis of Participants in the Provision of Elderly Care Services—An Evolutionary Game Perspective

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