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101.
Alexander C. Henderson 《Public administration review》2013,73(6):799-809
Passage of the Patient Protection and Affordable Care Act (ACA) has served to refocus attention on the complexity of health care delivery in the United States, with particular attention to concepts of quality, access, and outcomes. This article argues that our understanding of the ACA must be informed by an examination of policy implementation in health care, including the core public function of emergency medical services (EMS). Key concepts of implementation in frontline service—notably, rule abidance and deviation—are examined from the perspective of street‐level EMS workers. Results indicate that the intersection of rules, patient needs, and professional culture creates instances of both rule abidance and deviation, both of which contribute substantively to concepts of quality in a health care setting. 相似文献
102.
Michael Henderson 《Political Behavior》2014,36(3):631-657
Building on the growing body of research on campaign learning, this paper considers the way that learning about policy issues depends on the nature of the issue and its relevance for the individual citizen. Specifically, the analysis finds that seniors learned much more than non-seniors about candidate positions on an emerging Social Security issue that was heavily emphasized in the 2000 campaign, but not when the same issue was more familiar and largely ignored by the candidates and press in the 2004 campaign. Yet, even without additional learning or campaign emphasis, seniors still knew more than non-seniors in the later contest. These results suggest that once party positions become familiar to them, issue publics will hold their information advantage across future elections without dependence on further campaign emphasis. 相似文献
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