Nonprofit and for-profit providers in Japan fs at-home care industry: Evidence on quality of service and household choice

Haruko Noguchi, Satoshi Shimizutani

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

In 2000, government deregulation along with the introduction of the long-term insurance scheme allowed for-profit providers of at-home care for the elderly to compete directly with nonprofit operators. According to the contract failure hypothesis, we would expect consumers to prefer nonprofit providers over their for-profit counterparts as a result of information asymmetry and non-distributional constraints. We take advantage of household level data to examine whether households f choice of care provider is biased toward nonprofits. We find that nonprofit providers f larger market share is at least partly explained by having operated in the market longer and by continuing restrictions in medical and institutional care that confer various advantages on nonprofit providers. However, we do find that user with better knowledge of providers tend to favor for-profit providers, suggesting that measures to reduce information asymmetries may help to provide a more level playing field.

Original languageEnglish
JournalEconomics Bulletin
Volume9
Issue number1
Publication statusPublished - 2005 Dec 1
Externally publishedYes

ASJC Scopus subject areas

  • Economics, Econometrics and Finance(all)

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