2019 年 26 巻 p. 175-190
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.