Citizen Participation and Its Impact on Performance in U.S. Nursing Homes

Anna A. Amirkhanyan, Ohbet Cheon, Jourdan A. Davis, Kenneth J. Meier, Fei Wang

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Fundamental to democratic societies, citizen participation is an important tool for promoting active, informed, and empowered citizenry as well as responsive and accountable administration. Past literature on citizen participation has focused on its determinants, forms, and prevalence. This study examines the relationship between a specific form of citizen participation—client participation—and organizational performance. We use hybrid data on U.S. nursing homes that combine a survey of nursing home administrators’ managerial practices with federal performance appraisal data. Our empirical findings suggest that more intense levels of client participation, such as the use of clients’ feedback in decision-making, are positively associated with performance: They increase the overall five-star ratings and lower health deficiencies. In contrast, less intense client participation efforts, such as merely communicating with client/family groups, are not significantly related to performance. This study highlights the role of participation intensity, suggesting that public administrators should not only go beyond informing and listening to their stakeholders, but also take steps to use the obtained feedback in organizational decision-making.

Original languageEnglish (US)
Pages (from-to)840-854
Number of pages15
JournalAmerican Review of Public Administration
Volume49
Issue number7
DOIs
StatePublished - Oct 1 2019

Keywords

  • citizen participation
  • clients
  • nursing homes
  • performance
  • quality

ASJC Scopus subject areas

  • Sociology and Political Science
  • Public Administration
  • Marketing

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