Watching care behind closed doors : upward and downward accountability mechanisms in nursing home services
Pérez Durán, Ixchel (Universitat Autònoma de Barcelona. Departament de Ciència Política i de Dret Públic)
Grimmelikhuijsen, Stephan (Utrecht University)

Imprint:	Taylor & Francis Group, 2024
Abstract:	Nursing homes (NHs) play a critical role in caring for vulnerable people, yet their operations often remain hidden from public scrutiny, potentially causing a negative impact on service quality. We investigate upward and downward accountability mechanisms in NH services, examining how relatives of NH residents assess these mechanisms and what influences their assessments. We conducted an original survey in Spain (n = 1009), targeting direct relatives of NH residents. Our findings show important insights about the influence of private ownership, performance during COVID-19, and knowledge on the two types of accountability. The study demonstrates that downward and upward mechanisms are closely intertwined.
Grants:	Agencia Estatal de Investigación CNS2022-136086 Agencia Estatal de Investigación PID2019-106964RA-I00
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Downward accountability ; Upward accountability ; Accountability
Published in:	Public management review, Vol. 27, núm. 5 (Septembre 2025) , p. 1469-1488, ISSN 1471-9037

DOI: 10.1080/14719037.2024.2402351

21 p, 907.1 KB

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