规则制定与行政程序法

规则与规则制定是美国联邦行政程序法中确定的一个重要的政府规制工具,本文对规则制定的发展史作了一个简要的回顾,对其实施过程中产生的问题作了分析与评估,并对其未来发展以及行政程序法的实施作了展望,对于我们了解规则制定与美国联邦行政程序法具有较大的作用。     

The governance of children with disabilities and their families: Charting the public‐sector regime in Canada

Abstract: This article discusses governance and accountability structures that relate to the contemporary agenda of inclusion for children with disabilities in Canada. Who are the major public‐sector actors in policies for children with disabilities and their families? What governance roles does the sector perform? What are the defining trends that characterize the sector in the present age? The scope of the analysis is a broad scan of structures and roles rather than a detailed inventory of programs. Three clusters of governing activities are addressed: policy planning, consultation and coordination; creating structures, allocating resources and delivering services; and accountability roles and processes. Each of the clusters is examined in relation to public‐sector organizations general to government and to organizations specific to child and family and to disability issues. The education, health‐care and social‐service sectors are profiled to identify important trends and issues in the governance of Canadian disability policy. A concern of the public sector's governance regime for children with disabilities and their families is the absence of clear, consistent and central accountability mechanisms. There is a déjà vu discourse on disability reform, a strong sense that we have been here before. Among other factors, this frustrating pace of reform is due to bureaucratic factors and weak accountability mechanisms. To overcome this déjà vu, the author calls for the adoption of a more inclusive and integrated governance regime for the disability policy domain. Sommaire: Le prdéjàsent article porte sur les structures de gouvernance et de reddition de comptes concernant le programme aduel d'inclusion des enfants handicapés au Canada. Qui sont les principaux acteurs du secteur public responsables des politiques pour les enfants handicapés et leurs familles ? Quels rôles de gouvemance estce que le secteur joue? Quelles sont les tendances spécifiques qui caractérisent ce secteur à I'heure actuelle? L'analyse porte sur un vaste ensemble de structures et de rôles, plutôt que sur un inventaire détaillé de programmes. Trois groupes d'activités gouvernementales sont étudiés:la planification, la consultation et la coordination de politiques; la création de structures, l'affectation de ressources et la prestation de services; et les rôles et processus de la responsabilisation. Chacun de ces groupes est examiné par rapport aux organismes du secteur public dépendant du gouvemement et aux organismes relatifs à l'enfance et à la famille et aux questions d'invalidité. Les secteurs de l'éducation, des soins de santé et des services sociaux sont présentés pour identifier les tendances et questions importantes dans la gouvemance de la politique canadienne sur l'invalidité. Une précupation du régime de gouvernance du secteur public concemant les enfants handicapés et leurs familles est I'absence de mécanismes centraux de responsabilisation qui soient clairs, consistants et centralisés. Ce discours sur la réforme de l'invalidité a déjàété tenu. La lenteur frustrante de cette réforme est attribuable entre autres à des facteurs bureaucratiques et à de faibles mécanismes de reddition de comptes. Pour aller au‐dellà de ce déjà vu, I'auteur sumère l'adoption d'un régime de gouvemance plus inclusif et plus intégré pour le domaine des politiques en matière d'invalidité.     

What could be achieved with greater public hospital autonomy? Comparison of public and PNFP hospitals in Uganda

The policy of hospital autonomy has been discussed for some time in Uganda. There is little evidence from Uganda or elsewhere that increased autonomy will improve hospital performance. This article compares the performance of three private not‐for‐profit (PNFP) and public hospital pairs to address this question. PNFP and public hospitals have similar management structures but PNFP hospitals had better trained managers and a church affiliated chair in the hospital management committee. Both types have problems with personnel management but these appear more pronounced in public hospitals. Drug supply management appears better in PNFP hospitals. Overall, workloads are similar, but analysis of patterns of utilisation and prices across services suggest that patient choice of facilities is influenced by relative price levels, and that willingness to pay is higher for PNFP services. PNFP hospitals are more successful at generating revenue. There are no clear differences in efficiency between PNFP and public hospitals but there is some evidence of higher quality levels in PNFP hospitals. PNFP hospitals' performance is plausibly related to three areas of managerial autonomy. First, better management of drug supply is facilitated by their freedom to purchase drugs from the open market. Second, greater success with personnel management is plausibly related to their greater autonomy over staffing. Third, higher levels of cost recovery are enabled by their freedom to set fees. However, differences in accountability and competence of hospital management, and population willingness to pay for services may also help to explain differences. Further, the use of PNFP financing strategy by public hospitals has implications for universal access to hospital services. Although there appear to be potential advantages from greater public hospital autonomy, the Ugandan government should ensure it has developed strategies to enhance public hospital management and to protect access to public hospitals before advancing further with hospital autonomy policy. Copyright © 2002 John Wiley & Sons, Ltd.     

To Give or Not to Give: Modeling Individuals' Contribution Decisions

Employing data from a recent national survey on campaign finance, we examine the contribution behavior of individual citizens in the 2000 election. By disaggregating types of contributions, our model enables us to observe potential heterogeneity in the determinants of giving money to parties and candidates. We find that for both types of contributions, the effects of informational resources and solicitation on the decision to contribute outweigh those of financial resources. In addition, we propose both a theoretical and an empirical distinction between the selection effects of solicitation and the stimulus effects of solicitation. By distinguishing between these dual dimensions of solicitation, our analysis provides new insight into the causal linkages between income, solicitation, and contributions. We find that while solicitation increases the likelihood of contributing through selective targeting or rational prospecting, it also does so through a stimulus mechanism.     

What to Do When Stakeholders Matter: The Case of Problem Formulation for the African American Men Project of Hennepin County, Minnesota

We propose a series of stakeholder analyses designed to help organizations—especially governments—think and act strategically during the process of problem formulation in order to advance the common good. Specifically, we argue that at least five sets of analyses are necessary, including the creation of (1) a power versus interest grid; (2) a stakeholder influence diagram; (3) bases of power–directions of interest diagrams; (4) a map for finding the common good and structuring a winning argument; and (5) diagrams indicating how to tap individual stakeholder interests to pursue the common good. What the analyses do is help to transform a seemingly "wicked problem"—for example, how to produce better outcomes for African American men aged 18–30—into something more tractable, and therefore amenable to collective action. In other words, stakeholder analysis can be used to link political rationality with technical rationality so that support can be mobilized for substantive progress.     

Outcomes–Based Performance Management in the Public Sector: Implications for Government Accountability and Effectiveness

Requirements for outcomes–based performance management are increasing performance–evaluation activities at all government levels. Research on public–sector performance management, however, points to problems in the design and management of these systems and questions their effectiveness as policy tools for increasing governmental accountability. In this article, I analyze experimental data and the performance–management experiences of federal job–training programs to estimate the influence of public management and system–design factors on program outcomes and impacts. I assess whether relying on administrative data to measure program (rather than impacts) produces information that might misdirect program managers in their performance–management activities. While the results of empirical analyses confirm that the use of administrative data in performance management is unlikely to produce accurate estimates of true program impacts, they also suggest these data can still generate useful information for public managers about policy levers that can be manipulated to improve organizational performance.