Abstract
In this research, we conducted a survey on changes in human resource management
at multiple hospitals representative from the industry as an example of rationalization
reform in highly regulated industry in the DPC system at hospitals. As a result of the
survey, it was confirmed that the DPC system（ management rationalization） influenced
changes in human resources management. In addition, the process of change was to
support the claim of de-institutionalization in institutional sociology- institutional theory.
