Accountability mechanisms in nursing home services

GOLTC Care Home Markets and Regulation Interest Group webinar

Date: 25 February 2025

Time: 13.00-14.00 GMT (you can check your local time here.)

Link: Register to join on Zoom

An upcoming webinar will present a recent study on accountability in nursing home services by Ixchel Perez Duran from the Autonomous University of Barcelona and Stephan Grimmelikhuijsen from Utrecht University School of Governance.

Abstract of presentation: We examined both upward and downward accountability mechanisms in nursing home (NH) services, focusing on how relatives of NH residents assess these mechanisms and the conditions that affect their assessments. We conducted an original survey in Spain (n = 1009), targeting direct relatives of NH residents. To address our research questions, we examined the impact of various macro, meso- and individual-level characteristics. At the meso level, we investigated the effect of types of ownership and perceived performance during the COVID-19 pandemic. At the macro level, we explored the effect of the formal transparency laid out in the legislation that regulates the services. Additionally, at the individual level, we examined nursing home residents’ level of wealth/income and their relatives’ knowledge and familiarity with the legislation regulating the services. Our findings show important insights about the influence of private ownership, performance during COVID-19, and knowledge of the two types of accountability.

The webinar will cover:

1. Introduction to the Global Observatory of Long-Term care and welcome (Adelina Comas-Herrera, Care Policy and Evaluation Centre, LSE, UK).

2. Introduction to the Care Home Markets and Regulation Interest Group (Igor Shagalov, Care Policy and Evaluation Centre, LSE, UK; Health Economics Unite, University of Birmingham, UK).

3. Presentation: Accountability mechanisms in nursing home services (Ixchel Perez Duran, Autonomous University of Barcelona, Spain; Stephan Grimmelikhuijsen, Utrecht University School of Governance, Netherland).

4. Questions & Answers session (Jose-Luis Fernandez, Care Policy and Evaluation Centre, LSE, UK)