Watching care behind closed doors

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 N...

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Detalles Bibliográficos
Autores: Pérez Durán, Ixchel|||0000-0003-3665-3380, Grimmelikhuijsen, Stephan
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:307243
Acceso en línea:https://ddd.uab.cat/record/307243
https://dx.doi.org/urn:doi:10.1080/14719037.2024.2402351
Access Level:acceso abierto
Palabra clave:Downward accountability
Upward accountability
Accountability
Descripción
Sumario: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.