Title: Do non-profit nursing homes separate governance roles? The impact of size and ownership characteristics
Authors: Dewaelheyns, Nico ×
Eeckloo, Kristof
Van Herck, Gustaaf
Van Hulle, Cynthia
Vleugels, Arthur #
Issue Date: May-2009
Publisher: Elsevier
Series Title: Health Policy vol:90 issue:2-3 pages:188-195
Article number: 10.1016/j.healthpol.2008.09.014
Abstract: Separation between operational responsibilities and those of oversight is an important point of discussion in governance. Novel to the literature, this paper not only offers direct evidence on the degree of separation, but also shows its relationship with size (ceteris paribus efficiency prescribes that large organizations implement more separation) and ownership characteristics of non-profit institutions. Using a sample of Belgian (Flemish) nursing homes, we find that in private nursing homes this separation increases with size while this is not the case in public homes. We document that this lack in flexibility in governance practices explains the micro-monitoring in public institutions. We formulate policy implications and suggest solutions to create more flexibility and likely also better governance.
ISSN: 0168-8510
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Research Center Finance, Leuven
Research Center Accountancy, Leuven
Academic Centre for Nursing and Midwifery
Faculty of Economics and Business (FEB) - miscellaneous
Department of Financial Management, Campus Carolus Antwerp
× corresponding author
# (joint) last author

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