Organizational Change in the Non Profit Care Service Organization in Japan and Sweden

本研究从照护服务系统和个人照护的角度，对瑞典和日本的小团体式养老院的组织变革进行了研究。两者都进行了比较，因此下面的内容变得清晰起来。也就是说，(1)个人护理单位为了护理服务的稳定性，在瑞典养老院的工作台上确保护理人员的自我完成。(2)为了设置瑞典养老院的护理服务水平并保持服务水平，构建了确定数量的护理人员稳定地保证在工作台上的制度。瑞典养老院在重视护理服务质量的同时，考察了一种低成本的可能性，但在日本的养老院中，人们看到了既注重提高护理服务的低成本，又注重提高护理服务质量的理念。然而，由于后者试图提高护理服务组织质量的理念崩溃了，因此，以小单位规模为假设来推进护理服务组织的革命是不可取的。首先，要使护理服务体系和能够提供稳定护理服务的组织处于平衡状态。因此，决定护理单元规模和推进组织变革的方法是必要的，也就是说，跟踪与当前一般过程相反的过程的技术是必要的。

In this research, organizational change were investigated from the viewpoint of the care service system and individual care in the small group type nursing home for the aged in Sweden and Japan. Both were compared, therefore the following became clear. That is,(1) an individual care unit secures the care staff in the self-fulfillment on the work table in the nursing home for the aged in Sweden for the stability of the care service.(2) To set the care service level and to maintain the service level in the nursing home for the aged in Sweden, the system that the care staff of the decided number are stably secured on the work table is constructed.A low-cost possibility was examined in the nursing home for the aged in Sweden while attaching importance to the quality of the care service, but the conception that attached importance to both of the improvement of a low-cost and the quality of the care service was seen in the nursing home for the aged in Japan. However, because the conception of the latter tries to improve the quality of care service organization is caused to collapse.Therefore, it is undesirable to advance the revolution of the care service organization on the assumption of the scale of the small unit. First of all, it is necessary to make the state of balance of the care service system and the organization that can provide stable care service. So the method that decides the scale of the care unit and advances organizational change, that is to say, the technique for tracing an process opposite to the current general process is necessary.