Citizen participation and its impact on performance in US nursing homes

Amirkhanyan, Anna A., Cheon, Ohbet, Davis, Jourdan A., Meier, Kenneth J. ORCID: https://orcid.org/0000-0002-6378-0855 and Wang, Fei 2019. Citizen participation and its impact on performance in US nursing homes. American Review of Public Administration 49 (7) , pp. 840-854. 10.1177/0275074019854172

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Abstract

Fundamental to democratic societies, citizen participation is an important tool for promoting active, informed, and empowered citizenry as well as responsive and accountable administration. Past literature on citizen participation has focused on its determinants, forms, and prevalence. This study examines the relationship between a specific form of citizen participation—client participation—and organizational performance. We use hybrid data on U.S. nursing homes that combine a survey of nursing home administrators’ managerial practices with federal performance appraisal data. Our empirical findings suggest that more intense levels of client participation, such as the use of clients’ feedback in decision-making, are positively associated with performance: They increase the overall five-star ratings and lower health deficiencies. In contrast, less intense client participation efforts, such as merely communicating with client/family groups, are not significantly related to performance. This study highlights the role of participation intensity, suggesting that public administrators should not only go beyond informing and listening to their stakeholders, but also take steps to use the obtained feedback in organizational decision-making.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Business (Including Economics)
Publisher:	SAGE Publications (UK and US)
ISSN:	0275-0740
Last Modified:	26 Oct 2022 08:42
URI:	https://orca.cardiff.ac.uk/id/eprint/128088

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