New Public Management à la Française: The Case of Regional Hospital Agencies

In 1996, French authorities—committed to developing an innovative, decentralized style of public intervention in a country with a reputation for administrative conservatism and a historical bias toward centralization—created the Regional Hospital Agencies. The author asks whether these agencies exemplify the modernization of French public administration. A survey of all 26 such agencies indicates that they did introduce novel management practices and do, in fact, illustrate New Public Management " à la française."     

State Medicaid managed care enrollment: understanding the political calculus that drives Medicaid managed care reforms

The objective of this article is to understand the political motivations underlying Medicaid managed care reforms by examining the determinants of enrollment of beneficiaries in managed care plans in the fifty states. To highlight the role of the model variables, including measures of the political environment, public interest, and special interests, a distinction is made between capitated and fee-for-service managed care enrollment. The results show that cost containment within the context of the Medicaid program is perceived as strongly favored by voters. Accordingly, the relative cost and tax price of providing Medicaid services are important factors in states' decision to enroll Medicaid beneficiaries in managed care plans, particularly capitated ones. The results also indicate a surprisingly significant influence by labor unions that generally oppose managed care enrollment for fears of lost jobs. The recipient population and provider groups also play an important role in shaping the Medicaid managed care landscape. The influence of variables measuring states' ability and willingness to pay and median voter preferences suggest that, within the context of Medicaid managed care enrollment, the public's interests are being served; however, the results also point toward inequities within the program and implications concerning financing arrangements between states and the federal government.     

Taming the real estate boom in the EU: Pathways to macroprudential (in)action

In the fallout of the 2008 crisis, macroprudential policy has been installed as the policy remedy against future financial instability, a primary focus being developments in the real estate sector. With house prices consistently rising in the EU since 2014, causing alarm among macroprudential supervisory bodies, a core question of EU regulatory governance is how far macroprudential bodies have been capable of bringing about countercyclical actions against the build-up of such vulnerabilities. This paper investigates this question using a novel dataset of macroprudential intensity coded for the 17 EU countries that experienced real estate vulnerabilities post-euro crisis. Specifically, it asks which configuration of conditions account for the (in)capacity of countries to impose stringent countercyclical regulations against housing booms? Using fuzzy set qualitative comparative analysis technics coupled with qualitative analysis of country cases using expert interviews, we find that the absence of political salience of homeownership and the political independence of macroprudential authorities to be crucial conditions that jointly explain countercyclical macroprudential activity. These findings, which show two pathways to action have implications for the capacity of the EU to prevent future crises and future reform of the EU prudential framework.     

Empowerment for development: Taking participatory appraisal further in rural South Africa

This paper examines the potential for Participatory Rural Appraisal techniques to contribute to community development and empowerment in a deprived rural community in the Eastern Cape Province in South Africa. A series of participatory workshops was undertaken in which various new techniques were used to identify people-environment relationships and, in particular, the community perception of the value and problems relating to the river and riparian zone. The workshops led to the community taking positive action to address the problems identified. The study indicates the value and role of participatory research among disempowered communities in rural Africa.     

The relationship between intent,consequences, the dangerousness of the victim,and blame: The case of self-defense

Abstract

The way in which, in the special case of self-defense, intent to harm, consequences of the negative act and information regarding the dangerousness of the victim were integrated in a judgment of blame was studied. The sample consisted of men on the street, and also of two sub-populations directly concerned with the special issue of self-defense: police officers and prisoners. Overall, the way in which information was integrated appeared to conform to the proposed model: Blame = f [(Intent + Consequences) × Dangerousness]. The strength of the main effects and of the interactions were, however, extremely variable from one participant to another. A noticeable effect of dangerousness was observed in only onethird of the men on the street and the prisoners, and in only one police officer out of 19.