- 生活経済学研究 (ISSN:13417347)
- vol.33, pp.71-84, 2011
Recently, the management of the municipality hospitals has deteriorated and the approach of various public private partnerships is done in a lot of hospitals to improve management. In the case of PFI, we have only a few examples with less favorable results. But in the case of using Specified Manager and Local Independent Administrative Agency, we see a lot more cases with better results. In this research, the works of the two methods of privatization, Specified Manager and Local Independent Administrative Agency, are examined investigating the actual cases of privatization of municipality hospitals. Most cases using Local Independent Administrative Agency have proved to attain a certain level of efficient management, and most cases of Specified Manager with user-charge system have also attained effective management. However, these results may owe to the advantage of initial operations and the strong sense of crisis on the part of hospital stuff.