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Research on Aging
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Reward Structures and Organizational Design

An Analysis of Institutions for the Elderly

Seymour Spilerman

Columbia University

Eugene Litwak

Columbia University

This article is concerned with the issues of motivation and control of nursing home personnel to increase their responsiveness to the needs of the elderly. The perspective taken is one of organizational analysis and, specifically, a consideration of the functions and dysfunctions of particular reward structures. The reward structures analyzed are (1) reimbursement schemes for homes in relation to the performance of home administrators and (2) supervisory arrangements for personal care workers in regard to the delivery of nonroutine services to patients. We point out some of the difficulties inherent in existing organizational structures and suggest modifications to increase the influence of patients and their relatives.

Research on Aging, Vol. 4, No. 1, 43-70 (1982)
DOI: 10.1177/016402758241002
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Home page
 Journal of Applied GerontologyHome page
D. Brannon, M. Taylor-Nicholson, J. Bucher, and B. S. Mahoney
Survey of Health Promotion in Pennsylvania Nursing Homes
Journal of Applied Gerontology, March 1, 1992; 11(1): 38 - 49.
[Abstract] [PDF]