Urban Government Innovation: Identifying Current Innovations and Factors that Contribute to Their Adoption

This article presents two new sets of information regarding local government innovation. Using survey techniques, the research establishes a list of 22 modern local government innovations and identifies what are considered by local government professionals to be the top three mainstream local government innovations and cities leading in their usage. The research uses statistical techniques and previous research on the topic to test what effect factors related to the 100 most populated U.S. cities have on innovation usage. Among other variables, consistency, the population size, size of the advantaged population, and number of Democratic voters are found to be positively related to innovation on usage by cities.     

Expert Opinion, Agency Characteristics, and Agency Preferences

David E. Lewis Woodrow Wilson School of Public and International Affairs, Princeton University, Princeton, NJ 08540 e-mail: delewis{at}princeton.edu e-mail: clinton{at}princeton.edu (corresponding author) The study of bureaucracies and their relationship to politicalactors is central to understanding the policy process in theUnited States. Studying this aspect of American politics isdifficult because theories of agency behavior, effectiveness,and control often require measures of administrative agencies'policy preferences, and appropriate measures are hard to findfor a broad spectrum of agencies. We propose a method for measuringagency preferences based upon an expert survey of agency preferencesfor 82 executive agencies in existence between 1988 and 2005.We use a multirater item response model to provide a principledstructure for combining subjective ratings based on scholarlyand journalistic expertise with objective data on agency characteristics.We compare the resulting agency preference estimates and standarderrors to existing alternative measures, discussing both theadvantages and limitations of the method. Authors' note: We thank Tom Hammond, George Krause, and JoshuaTucker for helpful comments. We are grateful to Simon Jackmanand Shawn Treier for generously providing their code and oursurvey respondents for their time and expertise.     

Role of budget impact in drug reimbursement decisions

There are three known criteria that underlie drug reimbursement decisions: therapeutic value, cost-effectiveness, and burden of disease. However, evidence from recent reimbursement decisions in several jurisdictions points to residual, unexplained variables, among which is budget impact. Budget impact refers to the total costs that drug reimbursement and use entail with respect to one part of the health care system, pharmaceutical care, or to the entire health care system, taking into account the possible reallocation of resources across budgets or sectors of the health care system. The economic and equity rationale for carrying out budget impact analyses is opportunity cost, or benefits forgone, measured in terms of utility or equitable distribution, by using resources in one way rather than another. In other words, by choosing to draw down the budget in one way, decision makers forgo other opportunities to use the same resources. Under a set of unrealistic assumptions, cost-effectiveness analysis accounts for opportunity cost while conveying to the decision maker the price of maximizing health gains, subject to a budget or resource constraint. However, the underlying assumptions are implausible, particularly in the context of pharmaceutical care. Moreover, budget impact analysis is more useful to the decision maker than cost-effectiveness analysis if the objective is not to maximize health gains subject to a budget or resource constraint, but to reduce variance in health gains. With respect to equitable distribution, budget impact analyses lay bare the individuals or groups who lose out - those who bear the opportunity cost of spending resources in accordance with one decision rule rather than another.     

The Effect of Interviewer Gender on the Survey Response

We examined the existence of gender-of-interviewer effects in two local-area surveys in which male and female interviewers were randomly assigned to interview male and female respondents. Small but consistent gender-of-interviewer effects arose on questions related to the women's movement, women's issues, and gender equality, demonstrating that, as expected, respondents were more likely to provide feminist answers to female interviewers. Gender-of-interviewer effects were somewhat more pronounced and consistent on controversial political topics: the women's movement (feminists and political activism) and their policy agenda. There was mixed evidence on whether respondents were equally susceptible to gender-of-interviewer effects. In one of the surveys, gender-of-interviewer effects were more pronounced among less well-educated and younger respondents than among respondents who were better educated or older. This effect was not replicated in the second survey.     

Water policy and environmental sustainability: the case of post‐colonial Namibia

In semi‐arid countries, particularly in Africa, governments have evolved water policies oriented toward ‘techno‐giantist,’ grand‐scale schemes that have generally accelerated the depletion of national water tables. In Namibia, such a techno‐giantist water management strategy was utilized to reinforce the privileges of white minority farmers prior to independence, and was subsequently expanded to provide modern water facilities to the black African majority in the post‐independence period. The government has pursued not only the construction of a massive new system of pipelines and boreholes, but also the development of giant dam‐building and river canal schemes that are likely to result in watershed depletion over the long term. This reflects state leaders' belief in the imagery of political potency projected by the government's ability to build macro‐scale water systems. However, a water supply approach focused on more micro‐level extraction techniques through which aquifer recharge is prioritized is more likely to assure both local‐level water access and water table sustainability. Copyright © 2001 John Wiley & Sons, Ltd.