Establishment of small-scale multifunctional in-home nursing care and facility locations : The case of Nagasaki City

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This study investigated the process by which small-scale multifunctional in-home nursing care has been established in Nagasaki City to elucidate problems of the public recruitment system of business operators related to establishment of community-based services. Results show that the system has been difficult to establish as a city project until recently because few business operators in Nagasaki City applied to open recruitment for the small-scale multifunctional in-home nursing care. Many operators that had entered it withdrew. Low motivation of business operators to participate in projects limits the capabilities of municipal planning of the community-based service supply system. To enhance municipal planning effectiveness, it is important for local governments to offer unique incentives to encourage more operators to enter the market for community-based services and to stabilize their businesses at their own discretion.

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