Steering, rowing, and bailing water: The role of government regulation and ownership in COVID-19 outcomes in nursing homes

Song, Miyeon, Amirkhanyan, Anna, Prince, William G. and Meier, Kenneth J. ORCID: https://orcid.org/0000-0002-6378-0855 2024. Steering, rowing, and bailing water: The role of government regulation and ownership in COVID-19 outcomes in nursing homes. International Public Management Journal Item availability restricted.

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Abstract

Studies of organizations with limited capacity operating in uncertain environments and hit by major crises can contribute important insights into public administration and management. Based on a large-N quantitative analysis of U.S. nursing homes, which became ground zero of the COVID-19 pandemic, this article examines the effect of government regulation, ownership, and several distinct management strategies on organizational capacity to curb the threats posed by the pandemic. Using hybrid datasets including nursing home facility data, administrator surveys, COVID-19 outcome data, a COVID-19 regulatory stringency index, and U.S. Census Bureau data, our analyses show that restrictive COVID-19 state government policies and public/nonprofit ownership help minimize environmental threats and reduce COVID-19 impacts. Yet the management strategies we examine – external management, innovation management, distributive leadership, and regulation management – have only modest effects on COVID-19 outcomes. These findings inform an understanding of how organizations operate at the margins and the impact of management on outcomes during a crisis.

Item Type:	Article
Date Type:	Published Online
Status:	In Press
Schools:	Business (Including Economics)
Publisher:	Taylor and Francis Group
ISSN:	1096-7494
Date of First Compliant Deposit:	20 March 2024
Date of Acceptance:	16 March 2024
Last Modified:	15 Apr 2024 19:35
URI:	https://orca.cardiff.ac.uk/id/eprint/167379

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