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THE INFLUENCE OF INSTITUTIONS AND CULTURE ON HEALTH POLICIES: DIFFERENT APPROACHES TO INTEGRATED CARE IN ENGLAND AND THE NETHERLANDS

KUMPERS, SUSANNE;VAN RAAK, ARNO;HARDY, BRIAN;MUR, INGRID;VAN RAAK, ARNO;HARDY, BRIAN;MUR, INGRID

Public Administration, n.º 2/2002, pág. 339

Sumario

The concept of integrated care has assumed growing importance on the policy agendas both in England and The Netherlands and elsewhere. It is characterized as health and health care-related social care needed by patients with multi-faceted needs. This article compares policy approaches to integrated care in England and The Netherlands. Differing political strategies and conditions for integrated care correspond to the dissimilarities in the institutional strucure and culture of their health care systems. Health care systems are understood as specific national and historical configurations. We review the last decades relevant policy processes, using the concepts of hierarchy, market and network. The state health care system in England relies mainly on hierarchical steering, thus creating tight network structures for integrated care on the local level. The Netherlands, with its health care system in a public-private mix, has set incentives for voluntary, loosely coupled and partly market-driven cooperation on the local level. Implications for success or failure are mixed in both configurations. Policy recommendations have to be tailored to each systems characteristics.

THE POLITICS AND REALITY OF ENVIRONMENTAL JUSTICE: A HISTORY AND CONSIDERATIONS FOR PUBLIC ADMINISTRATORS AND POLICY MAKERS

BOWEN, WILLIAM M.;WELLS, MICHAEL V.

Public Administration Review, n.º 6/2002, pág. 688

Sumario

1. Introduction. 2. History. 3. Weak empirical foundations. 4. Methodology obstacles to improved environmental justice research. 5. Little research on the health impact of environmental hazards. 6. Implications for public administrators and policy makers.

THE POLITICS OF ADOPTION: CHILD RIGHTS IN THE BRAZILIAN SETTING

FONSECA, CLAUDIA

Law And Policy, n.º 3/2002, pág. 199

Sumario

I. Introduction. II. Child circulation: a social dynamic aimed at promoting child welfare. III. Brazilian legislation: the linear evolution toward plenary adoption. IV. From the poor man's boarding school to pre-adoption internment. V. The efficacy of safeguards in contemporary legislation. VI. Historical context and interest groups. VII. Conclusions: a need to repoliticize questions of child welfare.

THE ROLE(S) OF COUNTY COUNCILLORS: AN EVALUATION

COLE, MICHAEL

Local Government Studies, n.º 4/2002, pág. 22

Sumario

1. Academic literature. 2. The modernising agenda. 3. Devon county council. 4. The role(s) of devon county councillors. 5. Conclusions.

THE SECURITIES AND EXCHANGE COMMISSION: A SMALL REGULATORY AGENCY WITH A GARGANTUAN CHALLENGE

KHADEMIAN, ANNE M.

Public Administration Review, n.º 5/2002, pág. 515

Sumario

I. A Primer on the SEC: The Past as a Guide to the Present. II. The SEC Today: Management and Regulatory Challenges. III. Recommendations for Future Regulatory Efforts.

THE STATE SOCIALIST WELFARE SYSTEM AND THEN POLITICAL ECONOMY OF PUBLIC HOUSING REFORM IN URBAN CHINA

X. GU, EDWARD

Policy Studies Review, n.º 2/2002, pág. 179

Sumario

1. Abstract. 2. The pre-reform public housing system in urban China. 3. Why housing reform?: The incentive structure on institutional changes. 4. The limits of some partial reforms. 5. The new housing reforms policy of 1998: a preliminary assessment. 6. Conclusions. 7. References.

THE STRENGTH OF CORPORATE CULTURE AND THE RELIABILITY OF FIRM PERFORMANCE

SORENSEN, JESPER B.

Administrative Science Quarterly, n.º 1/2002, pág. 70

Sumario

1. The strength of corporate cultures and firm performance. 2. Method. 3. Results. 4. Discussion. 5. Conclusion.

THE VALUE OF PUBLIC SERVICE

BUSH, GEORGE H.W.

Public Administration Review, n.º 62/2002, pág. 4

THE WAR ON TERRORISM AND THE ADMINISTRATION OF THE AMERICAN STATE

SPICER, MICHAEL W.

Public Administration Review, n.º 62/2002, pág. 63

Sumario

1. Ideas about the state. 2. Civil association and the Constitution. 3. War and purposive association. 4. Implications.

THERMOMETER OR SAUNA? PERFORMANCE MEASUREMENT AND DEMOCRATIC ASSISTANCE IN THE UNITED STATES AGENCY FOR INTERNATIONAL DEVELOPMENT (USAID)

HIRSCHMANN, DAVID

Public Administration, n.º 2/2002, pág. 235

Sumario

This article presents a case study of performance measurement in the United States Agency for International Developments (USAIDs) democracy and governance program. Its purpose is to illustrate the juxtaposition (and sometimes contradiction) between the high standards of casual logic and accuracy required or performance measurement, and the untidiness involved in the "politics or democratization". Based on USAID experiences in numerous countries, this article concentrates on four specific themes drawn mainly from the literature on re-engineering but also from new public administration. These are: the complexity of politics; the challenge of attribution; the danger or distortive incentives; and the interrelated questions of product and process and quantitative and qualitative measures. Problems of measurement are clearly complicated by the fact that the Agency does not deliver service directly, has limited control over its complex and sensitive area, across international borders and diverse political systems and cultures. The article includes a discussion or some innovative qualitatively-oriented USAID responses to these problems.

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