ABSTRACT
Based primarily on experiences from Norway, this chapter assesses the effectiveness of means to ensure for-profit homes are held accountable. To whom they are, can or should be accountable, is discussed at the national, municipal and facility level, and with regards to authorities, users, family and workers. It is argued that to what extent and how for-profits in nursing homes are made accountable is influenced by several context specific factors. Such factors as the share of for-profits within the sector, the regulatory environment at the national and municipal level and other national characteristics are discussed. The role of unions is highlighted as particularly significant, given their position, influence and bargaining power in Norwegian society. Furthermore, the relationship between government and the general population, including the non-government organization, are also addressed. All these factors are dealt from both an historical and contemporary perspective.
