@inproceedings{oai:kutarr.kochi-tech.ac.jp:00001052,
 author = {Sakai, Kazuyuki and Tomisawa, Osamu},
 book = {Society for Social Management Systems Internet Journal},
 issue = {1},
 month = {Mar},
 note = {A role of Visiting Nursing Station (VNS) is getting crucial due to recent medical system reformation policy in Japan, to encourage home medical care in place of hospitals. In the future, home health care will be substantial in the aging society and the VNS will play a much more important role. Typical VNS’s are operated by so-called “social entrepreneurs” who are highly motivated in pursuing societal value and contributing to the society rather than the pursuit of profits. There are, however, difficulties in management of small to medium scale VNS’s. Typical VNS’s have a few nurses and a few customers or clients. According to a statistics, most of small to medium size VNS’s are operating at a loss. Visiting nursing service is provided through a value net consisting of a medical doctor, a care manager, nurses, and clients and a VNS is one of the players in this value net. Management issues surrounding VNS business include public health system, customer/client retention, and operation process. Public health system restricts financial flexibility and client retention is a topic to be addressed as a service business. In order to investigate issues of small to medium size VNS management, the framework of balanced score card was applied. Issues of customer/clients, process, learning and financial were analyzed according to these four perspectives. Specifically, cost structure of a VNS was analyzed in detail. Combining information obtained from the interview with top management of four typical VNS’s located in Kochi, Japan, potentially profitable strategic model was developed.},
 publisher = {Society for Social Management Systems},
 title = {Management Issues of Visiting Nursing Station Business},
 volume = {6},
 year = {2010}
}