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Victor Pestoff

Co-production and Japanese Healthcare: Work Environment, Governance, Service Quality and Social Values

Co-production and Japanese Healthcare: Work Environment, Governance, Service Quality and Social Values

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  • More about Co-production and Japanese Healthcare: Work Environment, Governance, Service Quality and Social Values


Healthcare in developed countries faces financial, social, and political challenges. Co-production and Japanese Healthcare explores a new perspective that emphasizes greater collaboration between staff and patients to address these issues. Japan has a unique system of two user-owned healthcare providers with nearly 200 hospitals, 500 clinics, and 50,000 beds. This volume compares cooperative and public healthcare providers at ten hospitals across Japan with survey data from staff, patients, and volunteers.

Format: Paperback / softback
Length: 278 pages
Publication date: 09 January 2023
Publisher: Taylor & Francis Ltd


Healthcare in most developed countries faces a complex and multifaceted blend of financial, social, and political challenges. The combination of fiscal pressures and New Public Management (NPM) agendas has led to significant cutbacks and demands for greater efficiency in public healthcare, raising concerns about service quality.

Co-production and Japanese Healthcare offers a novel approach to address these challenges by emphasizing greater collaboration between healthcare staff and patients/clients. In this model, professionals and patients/clients work together as "partners to co-produce healthcare through their mutual contributions."

Japan's healthcare system is distinctive, with two user-owned healthcare providers, including nearly 200 hospitals, 500 clinics, and 50,000 beds. While these providers share some similarities with public hospitals, they differ in terms of their work environment, service quality, governance models, and social values. This volume compares cooperative and public healthcare providers at ten hospitals across Japan, using survey data from staff, patients, and volunteers at four hospitals.

The study will be of interest to researchers, academics, and students in the fields of healthcare management, public and non-profit management, and human resource management. It provides valuable insights into the comparative dynamics of cooperative and public healthcare providers in Japan and offers potential solutions for addressing the complex challenges facing healthcare systems worldwide.

Weight: 453g
Dimension: 229 x 152 (mm)
ISBN-13: 9780367567408

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