000			02033naa a2200193uu 4500
001			8071714274710
003			OSt
005			20190211164032.0
008			080717s2008 xx ||||gr |0|| 0 eng d
100	1		_aAMIRKHANYAN, Anna A. _934641
245	1	0	_aDoes the public sector outperform the nonprofit and for-profit sectors? : _bevidence from a national panel study on nursing home quality and access
260			_aHoboken, NJ : _bWiley Periodicals, _cSpring 2008
520	3		_aAre public and private organizations fundamentally different? This question has been among the most enduring inquiries in public administration. Our study explores the impact of organizational ownership on two complementary aspects of performance: service quality and access to services for impoverished clients. Derived from public management research on performance determinants and nursing home care literature, our hypotheses stipulate that public, nonprofit, and forprofit nursing homes use different approaches to balance the strategic tradeoff between two aspects of performance. Panel data on 14,423 facilities were analyzed to compare measures of quality and access across three sectors using different estimation methods. Findings indicate that ownership status is associated with critical differences in both quality and access. Public and nonprofit organizations are similar in terms of quality, and both perform significantly better than their forprofit counterparts. When compared to nonprofit and, in some cases, for-profit facilities, public nursing homes have a significantly higher share of Medicaid recipients. The paper proposes strategies to address the identified long-term care divide. © 2008 by the Association for Public Policy Analysis and Management
700	1		_aKIM, Hyun Joon _935071
700	1		_aLAMBRIGHT, Kristina T _935072
773	0	8	_tJournal of policy analysis and management _g27, 2, p. 326-353 _dHoboken, NJ : Wiley Periodicals, Spring 2008 _xISSN 02768739 _w
942			_cS
998			_a20080717 _b1427^b _cTiago
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c27084 _d27084
041			_aeng