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In response to the perceived failure of both the state and market models of service delivery, governments have embarked on a reform program that draws on the community sector to expand the suite of available policy and service delivery arrangements. This paper explores and identifies the nature of changed relationships between government and the community sector. It uses a case study that examines the operation of a new type of community organisation, and analyses the affectivity and outcomes from the experience of a community based networked arrangement. Although there is evidence of a shift to more relationship‐ oriented models of operation because of either mandate or preference both community and government sectors have found it difficult to make the necessary adjustments to these new ways of working. Community has begun the shift to this new relational approach but finds it difficult to sustain the momentum and tends to revert to more independent and competitive modes. Governments find it difficult to make the necessary adjustments to power‐sharing and resource allocation and continue to operate as ‘business as usual’ through the traditional bureaucratic authority of command and control. In this way, the rhetoric of collaboration and partnership between government and the community sector is not necessarily matched by policy and action supporting the practice of ‘new ways of working’ although these ‘experiments in service delivery’ have opened the way for adopting more innovative and effective approaches to service delivery. 相似文献
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Despite widespread institutional and professional support, the recommendations of the Bristol Royal Infirmary Inquiry may be insufficient to reduce patient risk from impaired senior medical practitioners. Using the First Inquiry into Neurosurgical Services at the Canberra Hospital as a case study, this article argues that the Bristol-type recommendations--which emphasise reformulation of clinical governance structures, including early reporting of "sentinel events" and compulsory clinical audits--will be ineffective without a reformed institutional ethos that encourages open transparency and respect for those committed to such processes. Such reformulation may need to commence in medical education and involve new strategies including the use of portable digital technology to facilitate self-assessment of performance and immediate reporting of adverse incidents. 相似文献
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Kerry Brown 《亚洲事务》2018,49(1):1-10
The fact that the extensive anti-corruption struggle that has consumed China since 2013 is highly political is widely accepted and understood. But the question is precisely what political strategy it is directed at – that of bolstering the position of the current supreme leader, Xi Jinping. Or for the preservation of the Party itself. There is a huge difference between these. The first simply means in effect the replacement of one corruptible elite by another. The second means a titanic struggle to change the Chinese communist party culture of power, and to make it enduring and sustainable. 相似文献
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Kerry D. Feldman 《政策研究评论》1981,1(1):87-110
The past and potential contributions of anthropology to public policy have been described andlor argued for by numerous writers in the past decade, but the primary application and concern have been at the national and international levels. The present paper continues this discussion, but focuses on state-level policy in Alaska. The work of three Alaskan anthropologists is presented; they have made significant contributions to policy in the areas of law, Native Alaskan subsistence rights and fisheries management. Their work is evaluated in the context of a five-step model for conducting policy analysis which begins with the assessment of policy-making environments and ends with an evaluation of policy alternatives. The primary policy concerns of the anthropologists discussed involved the traditional research focus of anthropology, Native Alaskans; however, the tools they employ and background they bring to their work, the specific kinds of policy issues and problems confronted, are not as traditional. One of the anthropologists discussed is atlingit Indian completing doctoral studies at Harvard University, another is a lawyer-anthropologist, and the third is highly trained in biological and economic theory as well as computer technology. It is argued that the "hyphenated" anthropologist, at least as exemplified in the cases discussed, is most readily equipped to make policy relevant contributions. 相似文献