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Title: Non-profit Organisations, Domiciliary Care Services and Gender: A Case study of the Japanese Long Term Care Insurance Act
Author: Yamashita, Junko
ISNI:       0000 0001 3574 2037
Awarding Body: The University of York
Current Institution: University of York
Date of Award: 2007
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The role that Welfare Nonprofit Organisations (WNPOs) play in elderly domiciliary care services raises important issues for social policy. This is particularly significant and timely in Japan. Firstly, the field of activities of WNPOs has been tremendously expanded by the introduction of the Long Term Care Insurance Act in 2000. Secondly, their service provision appears to have shifted from unregulated independent activities into part of the public service provision. Thus, analysing the changes in their provision and perception of domiciliary care services gives us an opportunity to uncover the restructuring process and its influence on these organisations when they come to be regulated through policy reforms. This thesis explores the activities of WNPOs: how they are organised; what kinds of services they provide; and how they provide such services. In addition, all through the research, I focus on the influence of the Act's introduction and adopt a gendered approach to its analysis. To examine these issues, 10 WNPOs providing domiciliary care services to older people were the subject of fieldwork. Avariety ofqualitative methods was used to collect a range of data: semi-structured interviews with people involved in WNPO service provision at managerial and lower levels; field notes; overt observation; and the analysis ofdocumentary sources. This thesis makes an important contribution to the knowledge ofWNPOs. It is the argument ofthis thesis that they are more diverse and ambiguous than existing studies claim and also have tensions within them. Thus, the impact of the Act's introduction has been experienced differently by different organisations. In addition, the institutionalisation of care work by the Act has brought about contradictory outcomes. for WNPOs, which are pre-dominantly run by middle-aged women. The study concludes by making some recommendations in relation to both social policy and research on WNPOs.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available