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Do non-profit nursing homes separate governance roles?: The impact of size and ownership characteristics

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  • Dewaelheyns, Nico
  • Eeckloo, Kristof
  • Van Herck, Gustaaf
  • Van Hulle, Cynthia
  • Vleugels, Arthur

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.

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  • Dewaelheyns, Nico & Eeckloo, Kristof & Van Herck, Gustaaf & Van Hulle, Cynthia & Vleugels, Arthur, 2009. "Do non-profit nursing homes separate governance roles?: The impact of size and ownership characteristics," Health Policy, Elsevier, vol. 90(2-3), pages 188-195, May.
  • Handle: RePEc:eee:hepoli:v:90:y:2009:i:2-3:p:188-195
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    References listed on IDEAS

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    Cited by:

    1. Federica VIGANO & Andrea SALUSTRI, 2015. "Matching profit and Non-profit Needs: How NPOs and Cooperative Contribute to Growth in Time of Crisis. A Quantitative Approach," Annals of Public and Cooperative Economics, Wiley Blackwell, vol. 86(1), pages 157-178, March.
    2. Cecilia NAVARRA & Elena VALLINO, 2015. "Who Had the Idea to Build Up a Village Organization? Some Evidence from Senegal and Burkina Faso," Annals of Public and Cooperative Economics, Wiley Blackwell, vol. 86(1), pages 33-72, March.

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