Sector Bias and the Credibility of Performance Information: An Experimental Study of Elder Care Provision

• Published in: Public administration review Vol. 82; no. 1; pp. 69 - 82
• Main Authors: Meier, Kenneth J., Song, Miyeon, Davis, Jourdan A., Amirkhanyan, Anna A.
• Format: Journal Article
• Language: English
• Published: Hoboken, USA Wiley Subscription Services, Inc 01.01.2022; American Society for Public Administration
• Subjects: Accountability; Bias; Credibility; Elder care; Home health care; Information; Nonprofit organizations; Nursing; Nursing homes; Public sector; Public services; Residential Institutions; Respondents; Willingness
• ISSN: 0033-3352; 1540-6210
• DOI: 10.1111/puar.13425

Reporting government performance to the public is key tool in improving accountability. Some evidence, however, has shown that individuals’ anti‐public sector biases may distort performance information about public organizations. Using an experimental vignette on U.S. nursing homes, this study fills four gaps in the literature: (1) the need to include nonprofit organizations rather than just public and for‐profit, (2) consideration of the credibility of the source of performance information, (3) the use of simple commonly used performance metrics, and (4) the willingness to use services as a performance dimension. We find the public has a general but modest anti‐for‐profit sector bias in nursing home care with nonprofits perceived the most positively. Sector biases generally disappear when clear performance data are presented. The credibility of the source matters, and respondents' willingness to use organizational services is more sensitive to both sector bias and performance ratings than are performance measures. Practitioner Points In the field of long‐term care, individuals have no anti‐public sector bias, and they have more favorable views of nonprofit organizations than for‐profit organizations. Perceived sector bias disappears when simple and unambiguous performance information is introduced. The source of performance information matters: individuals perceive the information from government and nonprofit sources as more credible than that from for‐profit sources. A high degree of credibility amplifies the effect of performance information in shaping individuals’ evaluations of public services.