A Comparative Analysis of Entrepreneurial Approaches Within Public Healthcare Organisations

This article examines the development of two distinct models of organising allied health professionals within two public sector health service organisations in Australia. The first case illustrated a mode of organising that facilitated a culture that focused on asset protection and whose external orientation was threat oriented because its disparate multiple identities operated as a fractured, fragmented and competitive set of profession disciplines. In this milieu, there was no evidence of entrepreneurial approaches being used. In contrast, the second case study illustrated a mode of organising that facilitated an entrepreneurial culture that focused on asset growth and an external orientation that was opportunity oriented because of the evolution of a strong superordinate allied health identity that operated as a single united health services stakeholder. This evolution was coupled with the emergence of a corporate boardroom model of management that is consonant with Savage et al. (1997) IDS/N model of management. Once this structure and strategy were in place, corporate entrepreneur ship became the modus operandi. Consequently, because the case study was a situation where corporate entrepreneurship existed in the public sector, it was possible to compare the factors that stimulate corporate entrepreneurship in Sadler's (2000) study with factors that were observed in our study.     

The stigma of public programs: Does a separate S‐CHIP program reduce it?

Previous studies suggest access to and satisfaction with care may be different for enrollees in S-CHIP and Medicaid, but it is unclear whether those differences are fully explained by socioeconomic characteristics of the enrollees. We analyze access and satisfaction of three groups of children: Medicaid enrolled, S-CHIP enrolled, and children who are income eligible for Medicaid but carry a card similar to the state's S-CHIP children's card. Both enrollees and providers may believe that these children are enrolled in S-CHIP despite the fact that reimbursement is through the state's Medicaid system. Results indicate that the same network of providers treat, or are perceived by families to treat, the three groups differently. They support the notion that some of the differences in satisfaction between S-CHIP and Medicaid enrollees are related to unmeasured characteristics (for example, income) of the families in the different programs, but that programmatic identity contributes substantially to differential care experience.     

The long-term impact of restorative justice programming for juvenile offenders

While extant research generally supports restorative justice as an alternative to traditional juvenile court processing, much of this research is limited to short-term follow-up periods examining only prevalence of reoffense. In addition, recent meta-analyses point to several study design characteristics, the impacts of which are not well understood. This study compared long-term outcomes of youth referred to restorative justice and traditional juvenile court processing using multiple outcome measures. Specifically, the authors examined the impact of restorative justice referral on prevalence of reoffense, number of later official contacts, and seriousness of later offending behavior over several follow-up periods up to four years post-referral.     

Capital punishment preferences for special offender populations

The present study utilized the factorial survey design, a quasi-experimental approach, in an attempt to measure respondent's capital punishment preferences regarding juvenile, the mentally incompetent, and the mentally retarded offenders. The findings indicated that respondents were significantly less likely to prefer capital punishment over alternative sentencing options. Moreover, the influence aggravating and mitigating circumstances such as the offender's age, mental capacity, prior record, and death-eligibility were found to strongly affect the public's death penalty preferences. The substantive, methodological, and public policy implications of this study are discussed.     

Dynamic systems simulation analysis: A planning tool for the new century

Dynamic systems simulation analysis is an analytical technique that allows for the modeling of complex, nonlinear systems. While this technique is currently not widely used in the social sciences or in criminal justice planning, the author argues that more attention should be given to these models in criminal justice. These models can be used in a variety of ways—to gain greater insight into processes of system change, to track the development of specific system populations (e.g., drug offenders, elderly offenders), and to estimate projected system growth and change over a variety of legislative and policy scenarios—making them useful tools for theoretical development and policy evaluation, as well as more pragmatic considerations such as program, facilities, and overall system planning. An overview of the methodology and some examples of analyses are presented.     

Poorhouse to Warehouse: Institutional Long-Term Care in the United States

Nursing homes in the United States are a product of Americanfederalism and reflect the complexities and variabilities ofthat system. Over time, institutional long-term care for frailelders has shifted from local government funding and administrationto state-level oversight and support to a shared federal-stateconcern. The unsystematic American approach produces haphazardresults in terms of quality, equity, and efficiency. The grayingof the American population will increase the demand for long-termcare, resulting in pressure for a more coherent policy response.