Regulating care

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...

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Detalles Bibliográficos
Autores: Pérez Durán, Ixchel|||0000-0003-3665-3380, Rozas-Bugueño, Joaquín|||0000-0002-2803-3176, Rincon Garcia, Leire Maria|||0000-0002-1442-0933
Tipo de recurso: artículo
Fecha de publicación:2026
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:326454
Acceso en línea:https://ddd.uab.cat/record/326454
https://dx.doi.org/urn:doi:10.1111/rego.70128
Access Level:acceso abierto
Palabra clave:Nursing home service provision
Ownership
Transparency
Sanctions
Oversight
Descripción
Sumario: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.