Regulating care : how transparency, ownership, control, and sanctions shape trust and preferences
Pérez Durán, Ixchel (Universitat Autònoma de Barcelona. Departament de Ciència Política i de Dret Públic)
Rozas-Bugueño, Joaquín (Universitat Autònoma de Barcelona)
Rincon Garcia, Leire Maria (Universitat Autònoma de Barcelona. Departament de Ciència Política i de Dret Públic)

Date:	2026
Abstract:	Of the various attributes and regulatory tools related to nursing home service provision-such as ownership, transparency, oversight, and sanctions-which are seen as preferable and are most trusted? To address this question, we conducted a conjoint survey experiment on nursing home services with 1009 direct relatives of nursing home residents in Spain. Participants evaluated hypothetical nursing home profiles that varied across core service characteristics and regulatory tools: ownership, transparency, oversight body, and control and sanction mechanisms. The article shows that individuals prefer public and nonprofit providers, five-star quality ratings, disclosure of inspection results, and strict sanctions. However, when examining which models are most trusted, our results indicate that trust is shaped by overlapping but distinct factors. As with preferences, respondents place greater trust in public and nonprofit providers, but trust is also shaped by participatory mechanisms, suggesting that opportunities for involvement and having one's voice heard have a core role in shaping confidence in care provision.
Grants:	Ministerio de Ciencia e Innovación PID2022-142315NA-I00
Note:	Altres ajuts: acords transformatius de la UAB
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:	Nursing home service provision ; Ownership ; Transparency ; Sanctions ; Oversight
Published in:	Regulation & governance, 2026, p. 1-17, ISSN 1748-5991

DOI: 10.1111/rego.70128

17 p, 1.0 MB

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