Co-Production and Health System Reform – From Re-Imagining To Re-Making

There is growing interest in the application of citizen participation within all areas of public sector service development, where it is increasingly promoted as a significant strand of post-neoliberal policy concerned with re-imagining citizenship and more participatory forms of citizen/consumer engagement. The application of such a perspective within health services, via co-production, has both beneficial, but also problematic implications for the organisation of such services, for professional practice and education. Given the disappointing results in increasing consumer involvement in health services via 'choice' and 'voice' participation strategies, the question of how the more challenging approach of co-production will fare needs to be addressed. The article discusses the possibilities and challenges of system-wide co-production for health. It identifies the discourse and practice contours of co-production, differentiating co-production from other health consumer-led approaches. Finally, it identifies issues critically related to the successful implementation of co-production where additional theorisation and research are required.     

Exploring the Determinants of the Entry and Exit of Ministers in Korea: 1980–2008

The entry and exit of ministers has been of primary interest to students of political science and public management in Western countries. Responding to the lack of research on the entry and exit of ministers in non‐Western countries, this article examined determinants of both the entrance and exit of ministers in Korea from the life cycle point of view based on the Korean Ministerial Database from 1980 to 2008. We argued that as the Korean presidency shifts from an imperialistic to a democratic presidency, ministerial appointments in Korea also seem to shift from an expertise‐focused to a politics‐focused approach. Likewise, the primary resignation reason also shifts from policy failure to political reasons. We also argued that Korean presidents use their power to reshuffle cabinet ministers too often for their political interests. As a result, Korean ministers spend too little time in post; average tenure is now down to about one year. These short terms in office dilute a minister's ability to dictate departmental policy.     

An Empirical Analysis on the Determinants of the Length of Ministerial Tenure in Korea, 1980–2008

ABSTRACT

The study of the length of ministerial tenure has received some attention by scholars of public management in Western countries. Responding to the lack of empirical research on ministerial duration in non-Western countries, this article empirically examines the determinants of ministerial duration based on the Korean Ministerial Database from 1980 to 2008. The empirical findings are as follows. First, being a female minister decreases the probability of stepping down by 1.78 times compared to a male minister. Second, political democratization after 1987 drastically increases the probability of ministerial stepping down by 3.46 times. Third, confirmation hearings after 2005 decrease the probability of ministerial stepping down by 0.53 times. Based on these empirical findings of the analysis, we can identify distinctive characteristics of ministerial duration in Korea. We argue that as the Korean political system shifts from military or authoritarian rule to democratic rule after 1987, a single five-year presidential term may set a political environment for frequent changes of ministers to allocate political spoils.     

Asymmetric payoffs in simultaneous and sequential prisoner’s dilemma games

We investigate the role of payoff asymmetry in laboratory prisoner’s dilemma games. Symmetric and asymmetric games are examined in simultaneous and sequential settings. In the asymmetric sequential games, we study the impact of having payoff advantaged players moving either first or second. Asymmetry reduces the rates of cooperation in simultaneous games. In sequential games, asymmetry interacts with order of play such that the rate of cooperation is highest when payoff disadvantaged players move first.     

Brain Politics: Aspects of Administration in the Comparative Issue Definition of Autism-Related Policy

The construction of public problems has a lasting influence on implementation in a given policy subsystem. National and sociopolitical contexts influence issue definition differently across nations. However, the degree to which nation-specific issue definition takes place has been insufficiently explored. In recent years, the growing incidence of autism has led to a quest for causal factors. One hypothesis posits that the use of mercury in vaccines may be a culprit. This paper examines the definition of the mercury and autism issue in Australia, Canada, the United Kingdom, and the United States. Insights into the comparative elements of issue definition are suggested by the case. These insights are of particular importance to administrators, as agencies are deeply involved as objects and actors in the process of issue definition and are often responsible for implementing new and redefined policies.     

Sino-South Korean economic cooperation: An analysis of domestic and foreign entanglements

One of the most explicit manifestations of post-Mao China’s pragmatic foreign policy has been the significant shift in Beijing’s position vis-à-vis Seoul from a “non-policy” todefacto economic diplomacy. Despite the extent of cooperative endeavors, Sino-South Korean economic relations have been circumscribed by various domestic and external factors. While a further intensification of the cooperative relationship is projected for the second decade of Sino-South Korean economic diplomacy, the actual materialization of such prospects depends on how China and South Korea are going to maintain economic complementarity. More importantly, it also depends on when and how China is going to accommodate politically its economic relations with South Korea by resolving the issue of “two Koreas,” thus maximizing the potential benefits from its ties with Seoul and simultaneously minimizing the negative effects from the entanglements of various domestic and foreign factors.     

On the optimal retaliation against terrorists: The paid-rider option

We examine whether nations, faced with the threat of terrorism, will be motivated to engage in the efficient amount of retaliation against terrorists. We demonstrate that the problem confronting the efforts of nations to achieve an optimal retaliation against terrorists is understated by the traditional free-rider analysis. In particular, nations have the option of actually selling or reducing the public good of retaliation, provided through the efforts of others, by offering safe havens to terrorists in return for the terrorists' pledge to attack elsewhere. This paid-rider behavior is also shown to apply to other public good scenarios.The authors gratefully acknowledge the helpful comments of Gordon Tullock on an earlier draft. Sole responsibility for the paper's content rests with the authors. Todd Sandler's research was supported by a Science and Humanities Research Institute Summer Grant at Iowa State University.