Regulating Aged Care: Ritualism and the New Pyramid'Regulating Aged Care is a significant achievement and addresses areas of personal caring which do not usually receive attention. [It] is an important book which draws attention to the central problems of providing care for large numbers of vulnerable |
Contents
| 3 | |
2 US nursing home regulation | 40 |
3 The disciplinary society and its enemies | 74 |
4 American regulatory strategies | 103 |
5 English nursing home regulation | 146 |
6 Australian nursing home regulation | 176 |
PART II Rethinking Regulation and Governance | 217 |
7 Dimensions of ritualism | 219 |
8 Market ritualism | 260 |
9 Transcending ritualism | 289 |
10 The new pyramid | 305 |
References | 334 |
Index | 361 |
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Regulating Aged Care: Ritualism and the New Pyramid John Braithwaite,Toni Makkai,Valerie A. Braithwaite No preview available - 2007 |
Common terms and phrases
accreditation administrator aged aged care agency American nursing homes Australian nursing home cent Chapter commitment compliance consultancy consumers continuous improvement deficiencies deterrence director of nursing discipline disengagement documentation effect elderly English inspectors escalation example exit conferences facility federal fieldwork Gerontologist HCFA hospitals industry associations inspec institutions interviews John Braithwaite Journal less Makkai and Braithwaite Medicaid Medicare meeting ment NCCNHR networked non-compliance nursing home inspection nursing home regulation nursing home residents OBRA observed ombudsman outcomes patients physical restraint Pioneer Network plan of correction political pressure sores problem professional proprietors protocols providers quality assurance reactance reform regime Registered Nursing regulatory capitalism regulatory pyramid reintegrative shaming resi residential resistance response rewards risk ritualism root cause root cause analysis Social Care Inspection staff standards monitoring strategy street-level bureaucrats strengths-based survey things tion
Popular passages
Page 46 - Yet there is consensus that regulations have made a positive contribution, although reliable comparative data are not available to support this judgment. The committee found that the consumer advocates, providers, and state regulators with whom it discussed these matters believe that a larger proportion of the nursing homes today are safer and cleaner, and the quality of care, on the average, probably is better than wai the case prior to 1974.
Page 77 - Discipline' may be identified neither with an institution nor with an apparatus; it is a type of power, a modality for its exercise, comprising a whole set of instruments, techniques, procedures, levels of application, targets; it is a 'physics' or an 'anatomy
Page 219 - The audit society is a society that endangers itself because it invests too heavily in shallow rituals of verification at the expense of other forms of organizational intelligence. In providing a lens for regulatory thought and action audit threatens to become a form of learned ignorance.
Page 344 - Improving the quality of medical care: building bridges among professional pride, payer profit, and patient satisfaction', Journal of the American Medical Association, 286 (20), 2578-84.
Page 36 - For example, just as every sentence in English expresses within itself the totality which is the 'language' as a whole, so every interaction bears the imprint of the global society (Giddens.
Page 90 - prisons resemble factories, schools, barracks, hospitals, which all resemble prisons"?
Page 7 - INSTITUTIONALIZED ADAPTATION GOALS MEANS I. Conformity + + II. Innovation + — III. Ritualism — + IV. Retreatism — — V. Rebellion ± ± Source: Robert K. Merton, Social Theory and Structure. Glencoe, 111.: The Free Press, 1949, p. 133. Reprinted with permission. Note: In this typology Merton used the symbol -)- to signify "acceptance," — to signify "rejection," and ± to signify "rejection of prevailing values and substitution of new values.
Page 46 - Although the incidence of neglect and abuse is difficult to quantify, the collective judgment of informed observers, including members of the committee and of resident advocacy organizations, is that these disturbing practices now occur less frequently. Residents and resident advocates, both in public hearings and in a study of resident attitudes conducted by the National Citizens' Coalition for Nursing Home Reform,24 expressed particular concern about the poor quality of life in many nursing homes.