Regulating quality of care in nursing homes in Hong Kong : a social-ecological investigation

Sheung Tak CHENG, Cheung Ming, Alfred CHAN

Research output: Journal PublicationsJournal Article (refereed)peer-review

16 Citations (Scopus)


A social-ecological model aided by an adversarial methodology was employed to study the regulation of private nursing homes in Hong Kong over a five-year period. Specifically the study addresses the way quality of care and its definitions changed in response to shifting socio-political-economic conditions. The study began when only 2 percent of the industry was licensable. It was found that an initial period of harmful capture was replaced by a period of cooperation between government and the industry, following increased resource flow into the system that made it possible for desirable trade-offs to occur between the two parties. Six-and-a-half years after the introduction of the regulatory ordinance, all homes in the market achieved licensure status.
Original languageEnglish
Pages (from-to)403-423
Number of pages21
JournalLaw and Policy
Issue number4
Publication statusPublished - 1 Oct 2003

Bibliographical note

An earlier version of this manuscript was presented at the Annual Congress of Hong Kong Association of Gerontology, 28 November 1998, Hong Kong.


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