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Ownership, Chain Affiliation, and Administrator Decision-Making Autonomy in Long-Term Care Facilities
Abstract
This study compared the day-to-day activities and decision-making
autonomy of the executive administrator in a diverse sample of 47
nursing homes. Few differences were found when comparing
administrators' use of their time by ownership status or chain
affiliation. However, administrators of nonprofit and freestanding
facilities experienced significantly greater autonomy across a range
of decisions as compared to their counterparts in chain and
investor-owned facilities. Results demonstrated that chain affiliation
and unionization of staff were more important predictors of
administrator autonomy than ownership status. These findings highlight
the interactive effects of ownership, system size and facility
affiliation and the need to use multivariate analysis to provide a
solid foundation for future organizational research and policy
decisions. (PsycINFO Database Record (c) 2007 APA, all rights
reserved) (Journal abstract)
Journal
(2005)
vol29
no1
pages5-24
Categories
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Financial Management
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Organizational Decision Making
