Health promotion programs for residents represent a discretionary organizational response to
increased demand for service differentiation within the nursing home setting. More than half
(57%) of facilities in a systematic sample of Pennsylvania nursing homes reported offering one
or more health promotion programs. This article describes the variety of topical categories of
programs. Guided by two alternative explanations of medical technology adoption-the key
professional model versus the institutional/environmental model-an explanation is offered
about why some facilities offer such programs and others do not.
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