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

本研究以瑞典与日本的小团体型敬老院为研究对象，从照护服务体系与个体照护的角度，探讨组织变迁。两者都进行了比较，因此下面的内容变得清晰起来。即：(1)个体护理单位保障护理人员在瑞典养老院工作台上的自我实现，以实现护理服务的稳定性。(2)为了设定护理服务水平并维持瑞典养老院的服务水平，构建了确定数量的护理人员稳定固定在工作台上的系统。瑞典的养老院在注重护理服务质量的同时考察了低成本的可能性，但在日本的养老院中看到了同时重视低成本和护理服务质量的提高的概念。然而，由于后者的概念试图提高护理服务的质量，导致组织崩溃。因此，以小单位的规模假设来推进护理服务机构的变革是不可取的。首先，要使护理服务体系与能够提供稳定护理服务的组织达到平衡状态。因此，决定护理单位规模和推进组织变革的方法，也就是说，追踪与当前一般流程相反的流程的技术是必要的。

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.