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11.
Systems Ideologies and Street-Level Bureaucrats: Policy Change and Perceptions of Quality in a Behavioral Health Care System 总被引:1,自引:0,他引:1
Kimberly Roussin Isett Joseph P. Morrissey Sharon Topping 《Public administration review》2006,66(2):217-227
This article examines the stability of street-level bureaucrats' negative perceptions regarding a newly implemented managed care system on quality of care and service delivery in a publicly funded behavioral health care system. Overall findings indicate that the generally negative perception of managed care did not differ between staff in the two programs, indicating a weak effect on attitudes of frontline workers. More proximal variables to the caregiver, such as service type and job title, show more influence on attitudes. The conclusion discusses the implications of these findings for practicing administrators and academic researchers. 相似文献
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This ecological study examined the association between seven socioeconomic indicators (GDP, unemployment rate, female labor force participation rate, alcohol expenditure, marriage rate, percentage of births outside of marriage, and indictable crime rate) and total, male, and female rates of suicide and suicide plus undetermined death in Ireland during the period 1968-2000. Analysis of the data expressed as absolute values showed highly significant associations between the socioeconomic indicators and the total, male, and female suicide rates. However, these associations were explained by the strongly trended data. The trended nature of the data was removed by using year-to-year differences. Analysis of the first-differenced data showed that none of the socioeconomic indicators was associated with the total, male, or female suicide rates with the exception of indictable crime, which had a significant independent effect on the female suicide rate (coefficient = 2.0, p < .01) but not on suicide plus undetermined death. This study highlights the need to use econometric methods in time-trend analyses, the lack of age-sex specific exposure data in this area, and the challenge of understanding trends in suicide in their socioeconomic context. 相似文献
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Ivan Y. Sun 《American Journal of Criminal Justice》2002,27(1):69-83
This article assesses whether police Field Training Officers (FTOs) display patterns of attitudes that distinguish them from non-field training officers. The analysis focuses on attitudes toward four important groups: fellow officers, immediate supervisors, top managers, and neighborhood residents. Interview data used were collected from Indianapolis Police Department (IPD) during the summer of 1996. Findings show that FTOs are more critical of their immediate supervisors and district managers than non-FTOs, whereas FTOs and non-FTOs hold similar attitudes toward their co-workers and neighborhood residents. Implications for future research and policy are discussed. 相似文献
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根据Corden和Neary提出的"荷兰病"理论模型及国内外相关研究,文章分别从世界石油价格波动是否直接影响哈萨克斯坦货币的汇率、外商直接投资是否更倾向于能源部门、能源行业是否存在工资上涨效应三个方面,对制造业等非能源型行业是否存在"去工业化"现象进行研究,发现哈萨克斯坦已经存在"荷兰病"的征兆。为此,对目前哈国政府所采取的建立哈国国民基金、促进经济结构转型等应对"荷兰病"的政策措施进行了分析。 相似文献
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