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Centre for Policy on Ageing | |
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| Regulation and quality in aged care: a cross-national perspective | | Author(s) | John Braithwaite |
| Journal title | Australasian Journal on Ageing, vol 17, no 4, November 1998 |
| Pages | pp 172-176 |
| Keywords | Nursing homes ; Registration eg homes, nursing homes ; Inspection ; Quality ; Japan ; Canada ; United States of America ; Australia ; United Kingdom. |
| Annotation | The aim of this study was to critically assess the regulatory foundations required for continuous improvement in the quality of nursing home care. Data were drawn from observations of nursing home inspections in Australia, the United States (US), the United Kingdom (UK), Canada, and Japan between 1988 and 1992. The main findings of the study were: the quality of regulatory dialogue affects care outcomes: disrespectful dialogue and tolerance of law-breaking makes things worse; trustful dialogue, praise, reintegrative shaming and building the self-efficacy of managers improves compliance; a useful policy framework is a regulatory pyramid that tries dialogue first and then escalates to more sanction-based strategies when dialogue fails; attempts to pursue consistency in regulatory decisions by rendering rules more specific and disciplining them with scientific protocols are counterproductive because of the operation of a `reliability paradox'. (AKM). |
| Accession Number | CPA-990111403 A |
| Classmark | LHB: Q3: 3U: 59: 7DT: 7S: 7T: 7YA: 8 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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