التفاصيل البيبلوغرافية
| العنوان: |
Assessing the Impacts of Political Factors on Nursing Home Regulation. |
| المؤلفون: |
Deason, Lucinda M., Hammond, Augustine, Aka, Philip C. |
| المصدر: |
Journal of Public Management & Social Policy; Spring2011, Vol. 17 Issue 1, p3-31, 29p |
| مصطلحات موضوعية: |
NURSING care facility laws, PUBLIC administration, FEDERAL government, INTERGOVERNMENTAL cooperation, POLICY sciences, REGRESSION analysis, SOCIAL science research |
| مصطلحات جغرافية: |
UNITED States |
| مستخلص: |
This study draws on pertinent literature that includes theories of public administration relating to federalism, intergovernmental relations, and the role of public administrators in the policymaking process, to systematically assess the influence of political factors, oversight, and affiliation/ownership status of nursing facilities on the nursing home regulatory regime inaugurated by the Nursing Home Reform Act of 1987 and its progeny. Specifically, it measures, using regression analysis, variables that account for variations nationwide in the citation of deficiencies for violation of nursing home regulations. Previous studies have speculated on the possible influence of political considerations in citation of deficiencies across states. Our study takes the scholarship one level higher by actually testing the influence of political and other factors on the citation of deficiencies by state inspectors. Our efforts yielded several fruitful findings: (1) we are able to confirm definitively that political factors play an important role in the differences observed across the states in the citation of deficiencies by inspectors; (2) some of our findings are statistically significant, although those findings also uncovered a puzzling result regarding for-profit chains that we attribute to underreporting of deficiencies; and (3) our independent variables accounted for nearly 52 percent of the variance in our dependent variable, a figure deemed respectably high in social science research. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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