Article: Shareholder value and the performance of a large nursing home chain.(Quality and Guidelines)(Report)

During the 1990s, the U.S. nursing home industry was transformed by the growth of large, multifacility corporations (chains) through successive mergers (Kitchener and Harrington 2004). Management researchers heralded this process of nursing home "chaining" as an effective means of delivering efficiency and quality improvements in member facilities through techniques including standardization of services and knowledge transfer (Banaszak-Holl et al. 2002; Kamimura et al. 2007). In contrast, economic sociologists identify chaining as one of the managerial practices used by firms implementing the "shareholder value" concept of control which demands that corporate executives ...

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