Chapter

Market Concentration, Efficiency, and Quality in the Japanese Home Help Industry

Yanfei Zhou and Wataru Suzuki

in Health Care Issues in the United States and Japan

Published by University of Chicago Press

Published in print November 2006 | ISBN: 9780226902920
Published online February 2013 | e-ISBN: 9780226903248 | DOI: http://dx.doi.org/10.7208/chicago/9780226903248.003.0007
Market Concentration, Efficiency, and Quality in the Japanese Home Help Industry

Show Summary Details

Preview

This chapter addresses the influence of market concentration on the quality and cost of home help services in Japan. It employs cross-sectional data to examine the effect of market concentration on the quality and cost of home help services. Care providers in highly competitive markets are providing better services. The impact of market concentration on service quality, if one exists, was quite limited in 2000. The statistically significant negative coefficient on the market concentration index indicates that the number of care providers per thousand elderly is negatively associated with cost. Market competition induces cost savings in the home help care market. It is generally suggested that there are no foundations for the concern that market-oriented reforms will sacrifice quality in the name of cost savings.

Keywords: market concentration; service quality; cost savings; home help services; Japan; care providers; elderly; market-oriented reforms

Chapter.  6447 words.  Illustrated.

Subjects: Public Economics

Full text: subscription required

How to subscribe Recommend to my Librarian

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content.