It is a scandal! Comparing the causes and consequences of nursing home media scandals in five countries

It is a scandal! Comparing the causes and consequences of nursing home media scandals in five countries
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DOI:
10.1108/ijssp-03-2013-0034
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发表时间:
2014-01-01
影响因子:
2.7
通讯作者:
Szebehely, Marta
Szebehely, Marta
中科院分区:
其他
文献类型:
--
作者:
Lloyd, Liz;Banerjee, Albert;Szebehely, Marta

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目的-本研究的目的是探讨媒体丑闻的原因和后果,涉及养老院的老年人在加拿大,挪威,瑞典,英国和美国。设计/方法/方式-本研究采用了描述性的案例研究方法,提供了一个深入的,集中的,定性分析一个选定的养老院丑闻在每个司法管辖区。选择丑闻的依据是其实质性足以影响政策。一个国际比较的角度来考虑是否以及如何不同的社会,政治和经济环境可能塑造丑闻及其后果。结果-这项研究发现,以营利为目的的住宅护理提供以及养老院的所有权和融资的国际趋势的因素出现的所有媒体丑闻,调查性报道和对国家在提供寄宿照料方面的作用缺乏共识也是如此。所有的丑闻导致政府的行动,但这种行动一般避免解决潜在的结构性conditions.Research限制/implications -本研究探讨只有短期影响的五个媒体的丑闻。独创性/价值-虽然有长期认识到的重要性,丑闻的发展住宿照顾政策,很少有研究系统地探讨这类丑闻的原因和后果。本文有助于研究议程,更充分地考虑媒体的作用,在住宅护理政策的发展,出席其承诺和缺点。
Purpose - This study aims to explore the causes and consequences of media scandals involving nursing homes for older persons in Canada, Norway, Sweden, the UK and the USA.Design/methodology/approach - This study uses a descriptive case-study methodology which provides an in-depth, focused, qualitative analysis of one selected nursing home scandal in each jurisdiction. Scandals were selected on the basis of being substantive enough to potentially affect policy. An international comparative perspective was adopted to consider whether and how different social, political and economic contexts might shape scandals and their consequences.Findings - This study found that for-profit residential care provision as well as international trends in the ownership and financing of nursing homes were factors in the emergence of all media scandals, as was investigative reporting and a lack of consensus around the role of the state in the delivery of residential care. All scandals resulted in government action but such action generally avoided addressing underlying structural conditions.Research limitations/implications - This study examines only the short-term effects of five media scandals.Originality/value - While there has been longstanding recognition of the importance of scandals to the development of residential care policy, there have been few studies that have systematically examined the causes and consequences of such scandals. This paper contributes to a research agenda that more fully considers the media's role in the development of residential care policy, attending to both its promises and shortcomings.