Does the public sector outperform the nonprofit and for-profit sectors? Evidence from a national panel study on nursing home quality and access

摘要: Are public and private organizations fundamentally different? This question has been among the most enduring inquiries in administration. Our study explores impact of organizational ownership on two complementary aspects performance: service quality access to services for impoverished clients. Derived from management research performance determinants nursing home care literature, our hypotheses stipulate that public, nonprofit, forprofit homes use different approaches balance strategic tradeoff between performance. Panel data 14,423 facilities were analyzed compare measures across three sectors using estimation methods. Findings indicate status is associated with critical differences both access. Public nonprofit are similar terms quality, perform significantly better than their counterparts. When compared and, some cases, for-profit facilities, have a higher share Medicaid recipients. The paper proposes strategies address identified long-term divide. © 2008 by Association Policy Analysis Management.