COVID-19, Co-production and Governance of Japanese Healthcare Providers

Victor Pestoff () and Yayoi Saito ()
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Victor Pestoff: Center for Civil Society Research, Ersta Sköndal Bräcke University College, Stockholm (Sweden)
Yayoi Saito: Faculty of Human Sciences, University of Osaka (Japan)

Journal of Entrepreneurial and Organizational Diversity, 2021, vol. 10, issue 2, 54-70

Abstract: The COVID-19 pandemic underlines the importance of citizen support for and compliance with public health goals. This paper explores the contribution of governance to the staff’s work environment, and patient participation in public financed healthcare services. More staff control over their daily work-life tasks will promote greater work satisfaction; in turn, more satisfied staff will provide better quality services than dissatisfied staff. Therefore, it considers three models for governing public financed services: a democratic, multi-stakeholder model, a stewardship model, and a more traditional “command and control” model. The paper investigates whether a participatory governance model allows the staff greater autonomy and promotes a multi-stakeholder dialogue that facilitates greater user/citizen participation. It also asks how public financed service providers can develop institutions that facilitate, foster and institutionalize user/citizen participation. Furthermore, the paper presents a case study from the Minami Medical Co-op in Nagoya, Japan and concludes that participatory governance can serve as a “best practice” for other public and private healthcare providers.

Keywords: Covid-19; Co-production; Governance; Healthcare; Japan (search for similar items in EconPapers)
JEL-codes: I18 I2 J53 J81 L30 (search for similar items in EconPapers)
Date: 2021
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Persistent link: https://EconPapers.repec.org/RePEc:trn:csnjrn:v:10:i:2:p:54-70

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