Organizational Impact of Regulation: The Case of Long-Term-Care Facilities
研究了俄勒冈州养老院行业的监管与放松监管,调查了患者倡导者、护理提供者和监管人员对合规成本、患者权利等问题的看法,并比较了不同群体的认知差异。
This paper reports a research project on regulation and de-regulation in the Oregon nursing home industry. It investigates two contrasting public-policy views of the regulatory process, capture and majoritanan. The focus of this investigation is on the following issues: the relative benefits and costs of regulatory compliance; patients' rights; the intent of regulation; regulatory complications, duplications, contradictions, and inconsistencies; and whether compliance is measured in terms of activities or performance. Local and national representatives of three groups were surveyed: patient advocates, providers of nursing-home care, and state andfederal regulatory personnel. These groups' perceptions of the issues are identified; patterns of similarity and dissimilarity among the groups are examined; and inferences are drawn regarding the implications of these patterns for the competing public-policy views.