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Policy Change (policy + change)
Kinds of Policy Change Selected AbstractsPunctuated Equilibrium and Agenda-Setting: Bringing Parties Back in: Policy Change after the Dutroux Crisis in BelgiumGOVERNANCE, Issue 3 2008STEFAAN WALGRAVE The article analyzes how focusing events affect the public and political agenda and translate into policy change. Empirically, the study focuses on the policy changes initiated by paedophile Marc Dutroux's arrest in 1996 in Belgium. Theoretically, the article tests whether Baumgartner and Jones's (1993) U.S. punctuated equilibrium approach applies to a most different system case, Belgium being a consociational democracy and a partitocracy. Their approach turns out to be useful to explain this "critical case": Policy change happens when "policy images" and "policy venues" shift. Yet, the Dutroux case shows also that political parties, as key actors in the Belgian policy process, should be integrated more explicitly in the punctuated equilibrium theory. Finally, the article argues that the quantitative analysis of longitudinal data sets on several agendas should be supplemented with qualitative case study evidence (e.g., interviews with key decision makers) to unravel the complex case of issue attention and policy change. [source] From "New Institutionalism" to "Institutional Processualism": Advancing Knowledge about Public Management Policy ChangeGOVERNANCE, Issue 4 2006MICHAEL BARZELAY Research on public management reform has taken a decidedly disciplinary turn. Since the late 1990s, analytical issues are less often framed in terms of the New Public Management. As part of the disciplinary turn, much recent research on public management reform is highly influenced by the three new institutionalisms. However, these studies have implicitly been challenged by a competing research program on public management reform that is emphatically processual in its theoretical foundations. This article develops the challenge in a more explicit fashion. It provides a theoretical restatement of the competing "institutional processualist" research program and compares its substantive findings with those drawn from the neoinstitutionalisms. The implications of this debate about public management reform for comparative historical analysis and neoinstitutional theories are discussed. [source] Gender, Politics and Policy Change: The Case of Welfare Reform Under New LabourGOVERNMENT AND OPPOSITION, Issue 1 2010Claire Annesley Politics and gender scholarship is increasingly seeking to understand the relationship between the presence of women in politics and gendered policy outcomes , the substantive representation of women (SRW). Yet its focus remains squarely on the activities of ,critical actors' in parliaments and women's policy agencies and on ,feminist' rather than ,mainstream' policy areas. In contrast, this article investigates the impact of feminist actors in a range of institutional settings on recent processes of welfare reform in the UK. It finds that the gendered welfare reform introduced by New Labour was initiated and pushed through by a coalition of committed feminist actors across a range of institutions. Crucially, the reforms relied on the existence of ,strategic actors' and ,gate openers', defined as feminist actors in positions of significant institutional power. It makes a contribution to the actor-centred SRW scholarship, develops an institutionalist approach to this research and identifies the need for a political economy perspective to understanding how women can shape policy outcomes. [source] Effects of Policy Change on Nonstigmatized EmployeesINDUSTRIAL AND ORGANIZATIONAL PSYCHOLOGY, Issue 1 2010KEVIN J. ESCHLEMAN First page of article [source] Is There Life After Policy Streams, Advocacy Coalitions, and Punctuations: Using Evolutionary Theory to Explain Policy Change?POLICY STUDIES JOURNAL, Issue 4 2003Peter John This article reviews the current state of public policy theory to find out if researchers are ready to readdress the research agenda set by the classic works of Baumgartner and Jones (1993), Kingdon (1984) and Sabatier and Jenkins-Smith (1993). After reviewing the influences of institutional, rational choice, network, socio-economic and ideational approaches, the article pays tribute to the policy streams, punctuated equilibrium and policy advocacy coalition frameworks whilst also suggesting that future theory and research could identify more precisely the causal mechanisms driving policy change. The article argues that evolutionary theory may usefully uncover the micro-level processes at work, particularly as some the three frameworks refer to dymamic models and methods. After reviewing some evolutionary game theory and the study of memes, the article suggests that the benefits of evolutionary theory in extending policy theories need to be balanced by its limitations. [source] Feminist Ideas and Domestic Violence Policy ChangePOLITICAL STUDIES, Issue 2 2000Stefania Abrar First page of article [source] Policy Change and the Politics of Ideas: The Emergence of the Canada/Quebec Pension PlansCANADIAN REVIEW OF SOCIOLOGY/REVUE CANADIENNE DE SOCIOLOGIE, Issue 3 2009KRISTINA BABICH Insistant sur l'impact direct des idées sur le changement politique, les auteurs se penchent sur l'adoption du Régime de rentes du Québec (RRQ) et du Régime de pensions du Canada (RPC) de 1965, en examinant deux questions étroitement liées: 1) Pourquoi le gouvernement fédéral a-t-il décidé de créer au milieu des années 1960 un système public de pension proportionnel aux revenus, en plus du Programme de la sécurité de la vieillesse alors en vigueur? et 2) Pourquoi ce nouveau système présente-t-il un taux de remplacement plus élevé que celui proposé initialement, de même qu'un régime différent pour le Québec? De manière à répondre à ces deux questions, les auteurs analysent les débats menant à l'adoption du RRQ et du RPC. Stressing the direct impact of ideas on policy change, this article explores the adoption of the Canada and Quebec Pension Plans (C/QPP) in 1965 by addressing two closely related questions: in the mid-1960s: why did the federal government decide to create an earnings-related public pension system on top of the existing Old Age Security program? Second, why did that new system feature a replacement rate higher than initially proposed as well as a separate scheme for the province of Quebec? In order to answer these two questions, the article analyzes the debates leading to the enactment of the C/QPP. [source] Korean Immigration Policy Changes and the Political Liberals' Dilemma1INTERNATIONAL MIGRATION REVIEW, Issue 3 2008Nora Hui-Jung Kim Recently, Korean low-skilled foreign labor policies have changed in contradictory ways. On the one hand, Korea seems to be moving in a "liberal" direction, because the government is according more rights to foreign workers. On the other hand, Korea seems to be moving in an "illiberal" direction, because the government is according ethnic Korean workers preferential treatment over other foreign workers. I explain this contradictory situation in terms of political liberals' activism. Korean political liberals' activism vis-à-vis migrant workers is two-pronged: first, to afford more rights to all migrant workers and, second, to guarantee equal treatment to all ethnic Koreans. Taken separately, each move is in line with the political liberal principle of promoting nonascriptive, universalistic, and equal treatment. Taken together, these two moves are inherently contradictory , one pushes toward ethnicizing trends and the other pushes toward de-ethnicizing trends of immigration policies. This contradiction, which I call the political liberals' dilemma, divides political liberals and weakens their overall political leverage. [source] Strengthening ASNE Committees; Council Policy ChangesNAVAL ENGINEERS JOURNAL, Issue 4 2003Article first published online: 29 OCT 200 First page of article [source] Viewing Spatial Consequences of Budgetary Policy ChangesPUBLIC BUDGETING AND FINANCE, Issue 2 2005Robert T. Greenbaum While the research community is often very concerned with the distributional effect of public policy decisions, the geographic distribution of the affected populations is often overlooked. This paper argues that seemingly geographically neutral policies have spatial consequences and that the choice of how to measure them is important. We suggest that maps provide a powerful tool for communicating these ideas to policy makers and that geographical information systems supplemented by spatial statistics yield information that assist policy debates. We develop metrics to illustrate how geographic information provides insights into the spatial consequences of Medicaid expenditure changes in Ohio. [source] Punctuated Equilibrium and Agenda-Setting: Bringing Parties Back in: Policy Change after the Dutroux Crisis in BelgiumGOVERNANCE, Issue 3 2008STEFAAN WALGRAVE The article analyzes how focusing events affect the public and political agenda and translate into policy change. Empirically, the study focuses on the policy changes initiated by paedophile Marc Dutroux's arrest in 1996 in Belgium. Theoretically, the article tests whether Baumgartner and Jones's (1993) U.S. punctuated equilibrium approach applies to a most different system case, Belgium being a consociational democracy and a partitocracy. Their approach turns out to be useful to explain this "critical case": Policy change happens when "policy images" and "policy venues" shift. Yet, the Dutroux case shows also that political parties, as key actors in the Belgian policy process, should be integrated more explicitly in the punctuated equilibrium theory. Finally, the article argues that the quantitative analysis of longitudinal data sets on several agendas should be supplemented with qualitative case study evidence (e.g., interviews with key decision makers) to unravel the complex case of issue attention and policy change. [source] Victim-reported risk factors for continued abusive behavior: Assessing the dangerousness of arrested batterersJOURNAL OF COMMUNITY PSYCHOLOGY, Issue 4 2003Lauren Bennett Cattaneo Policy changes have dramatically increased the number of domestic violence cases entering criminal courts, creating a critical need for competent risk assessment. This study adds to the knowledge base about risk factors important to consider in such assessments, using a prospective design and follow-up through victim interview. Participants were 169 primarily African American women who appeared at a court intake center following the arrest of an abusive partner. We reached over half of these participants for follow-up 3 months later. Questionnaires administered at intake elicited information about demographics, substance abuse, the history of physical and psychological abuse in the relationship, the batterer's general violence, and the victim's own assessment of her level of endangerment. All variables were measured through victim report, combined with official records when relevant. Significant predictors of continued abusive behavior were the batterer's history of alcohol abuse, the severity of abuse in the relationship, the batterer's general violence, the level of psychological abuse in the relationship, and, notably, the victim's own assessment of the dangerousness of her case. Most variables were stronger in their sensitivity, or ability to correctly identify reabusers, than their specificity, or ability to correctly identify nonreabusers. Implications for practice and research are discussed. © 2003 Wiley Periodicals, Inc. J Comm Psychol 31: 349,369, 2003. [source] Survival and expansion: migrants in Greek rural regionsPOPULATION, SPACE AND PLACE (PREVIOUSLY:-INT JOURNAL OF POPULATION GEOGRAPHY), Issue 6 2008Charalambos Kasimis Abstract Migratory movements towards southern Europe have increased considerably in the past 20 years. An important aspect of this process is connected to the agricultural sector and rural regions , a development connected to agriculture's particular weight in the economies and societies of all southern European countries. However, their role is not restricted to agriculture. They are also related to non-agricultural economic activities and the overall support of aged populations, especially in marginal or mountainous rural areas. This paper draws on the qualitative and quantitative findings of two research projects carried out in three exemplar rural regions of Greece and over two different periods: 2000,2002 and 2004,2006. The aim of the research was the empirical investigation of the economic and social implications of the settlement and employment of migrant labour in rural Greece. The paper moves from the presentation of the theoretical and methodological framework to the presentation of the main findings for each period of the research. The socioeconomic implications of migrant employment and settlement in the regions studied are revealed in the light of the recent Common Agricultural Policy changes, and the changes following the implementation of ,regularisation programmes'. Additionally, the characteristics of migration trends in these regions are identified and the formation of new migrant social groups, with different prospects of social integration and mobility, is revealed. Copyright © 2008 John Wiley & Sons, Ltd. [source] Liver and Intestine Transplantation in the United States 1998,2007AMERICAN JOURNAL OF TRANSPLANTATION, Issue 4p2 2009C. L. Berg Liver transplantation numbers in the United States remained constant from 2004 to 2007, while the number of waiting list candidates has trended down. In 2007, the waiting list was at its smallest since 1999, with adults ,50 years representing the majority of candidates. Noncholestatic cirrhosis was most commonly diagnosed. Most age groups had decreased waiting list death rates; however, children <1 year had the highest death rate. Use of liver allografts from donation after cardiac death (DCD) donors increased in 2007. Model for end-stage liver disease (MELD)/pediatric model for end-stage liver disease (PELD) scores have changed very little since 2002, with MELD/PELD <15 accounting for 75% of the waiting list. Over the same period, the number of transplants for MELD/PELD <15 decreased from 16.4% to 9.8%. Hepatocellular carcinoma exceptions increased slightly. The intestine transplantation waiting list decreased from 2006, with the majority of candidates being children <5 years old. Death rates improved, but remain unacceptably high. Policy changes have been implemented to improve allocation and recovery of intestine grafts to positively impact mortality. In addition to evaluating trends in liver and intestine transplantation, we review in depth, issues related to organ acceptance rates, DCD, living donor transplantation and MELD/PELD exceptions. [source] TAX REVISIONS OF 2004 AND PRO SPORTS TEAM OWNERSHIPCONTEMPORARY ECONOMIC POLICY, Issue 4 2010N. EDWARD COULSON Tax law revisions of 2004 altered the "roster depreciation allowance" enjoyed by pro sports team owners. Supporters claimed this would practically eliminate costly legal oversight by the IRS and, ultimately, increase owner tax bills. Government officials and leagues remained silent on team value impacts but outside analysts argued they would rise by 5%. We model this policy change and investigate it empirically. Supporters in Congress were absolutely correct that owner tax payments should increase but outside analysts underestimated team value increases by half. No wonder Major League Baseball and the National Football League favored the revision. (JEL D21, G38, H25, L83) [source] A tale of CIN,the Cannabis Infringement Notice scheme in Western AustraliaADDICTION, Issue 5 2010Simon Lenton ABSTRACT Aims To describe the development and enactment of the Western Australian (WA) Cannabis Infringement Notice scheme and reflect on the lessons for researchers and policy-makers interested in the translation of policy research to policy practice. Methods An insiders' description of the background research, knowledge transfer strategies and political and legislative processes leading to the enactment and implementation of the WA Cannabis Control Act 2003. Lenton and Allsop were involved centrally in the process as policy-researcher and policy-bureaucrat. Results In March 2004, Western Australia became the fourth Australian jurisdiction to adopt a ,prohibition with civil penalties' scheme for possession and cultivation of small amounts of cannabis. We reflect upon: the role of research evidence in the policy process; windows for policy change; disseminating findings when apparently no one is listening; the risks and benefits of the researcher as advocate; the differences between working on the inside and outside of government; and the importance of relationships, trust and track record. Conclusions There was a window of opportunity and change was influenced by research that was communicated by a reliable and trusted source. Those who want to conduct research that informs policy need to understand the policy process more clearly, look for and help create emerging windows that occur in the problem and political spheres, and make partnerships with key stakeholders in the policy arena. The flipside of the process is that, when governments change, policy born in windows of opportunity can be a casualty. [source] A Quantitative Theory of Unsecured Consumer Credit with Risk of DefaultECONOMETRICA, Issue 6 2007Satyajit Chatterjee We study, theoretically and quantitatively, the general equilibrium of an economy in which households smooth consumption by means of both a riskless asset and unsecured loans with the option to default. The default option resembles a bankruptcy filing under Chapter 7 of the U.S. Bankruptcy Code. Competitive financial intermediaries offer a menu of loan sizes and interest rates wherein each loan makes zero profits. We prove the existence of a steady-state equilibrium and characterize the circumstances under which a household defaults on its loans. We show that our model accounts for the main statistics regarding bankruptcy and unsecured credit while matching key macroeconomic aggregates, and the earnings and wealth distributions. We use this model to address the implications of a recent policy change that introduces a form of "means testing" for households contemplating a Chapter 7 bankruptcy filing. We find that this policy change yields large welfare gains. [source] Heroin-assisted treatment in Switzerland: a case study in policy changeADDICTION, Issue 1 2010Ambros Uchtenhagen ABSTRACT Background Switzerland introduced a pragmatic national drug policy when the former conservative abstinence-orientated politics proved unable to cope with an escalating number of users and related negative consequences for public health and public order. The high visibility of ,needle parks' and the size of the acquired immune deficiency disorder (AIDS) epidemic called for a new approach and for national leadership. Aims To describe the intentions, the process and the results of setting up the new treatment approach of prescribing heroin to treatment resistant heroin addicts, as an example of drug policy change. Materials and Methods A systematic collection of relevant documents is analysed and used as evidence for describing the process of policy change. Results Measures to reduce the negative consequences of continued use and to prevent the spread of AIDS were started mainly by private initiatives and soon taken up officially in the ,four-pillar' drug policy (including harm reduction, prevention, treatment and law enforcement). Medical prescription of heroin to chronic, treatment-resistant heroin addicts was one of the innovations, based on extensive scientific and political preparation. Detailed documentation and evaluation, ample communication of results, adaptations made on the basis of results and extensive public debate helped to consolidate the new policy and heroin-assisted treatment, in spite of its limitations as an observational cohort study. All necessary steps were taken to proceed from a scientific experiment to a routine procedure. Discussion Comparable policy changes have been observed in a few other countries, such as The Netherlands and Germany, based on the Swiss experience, with equally positive results of heroin-assisted treatment. These experiments were designed as randomised controlled trials, comparing intravenous heroin against oral methadone, thereby demonstrating the specific value of pharmaceutical diamorphine for maintenance treatment in opiate dependence. The positive impact of policy change and the positive outcomes of heroin-assisted treatment were acknowledged increasingly nationally and internationally, but made it difficult to continue the process of adapting policy to new challenges, due to the low visibility of present drug problems and to changing political priorities. Conclusion A major change in drug policy was effectively realised under typical conditions of a federalist country with a longstanding tradition of democratic consensus building. Facilitating factors were the size and visibility of the heroin problem, the rise of the Aids epidemic, and a pragmatic attitude of tolerating private initiatives opening the way to official policy change. [source] International patterns of environmental policy change and convergenceENVIRONMENTAL POLICY AND GOVERNANCE, Issue 2 2005Per-Olof Busch Abstract The article gives an empirical overview of the international spread of 22 environmental policy innovations. The policy innovations examined in the article include administrative institutions (e.g. environmental ministries, scientific advisory bodies), laws (e.g. soil protection laws, packaging waste laws), instruments of environmental policy integration (e.g. national environmental policy plans, environmental impact assessment), energy taxes and eco-labels. On this empirical basis, recurring patterns in the global spread of environmental policy innovations are identified and linked to specific causal mechanisms through which this change occurs. In particular, the paper demonstrates how and to what extent non-obligatory diffusion, legal harmonization and coercive imposition matter as mechanisms of global environmental policy convergence. Copyright © 2005 John Wiley & Sons, Ltd and ERP Environment. [source] Constitutional courts as veto players: Divorce and decrees in ItalyEUROPEAN JOURNAL OF POLITICAL RESEARCH, Issue 3 2001MARY L. VOLCANSEK This article argues that constitutional courts in Western European parliamentary systems should be integrated into discussions of how public policies are changed, rather than being viewed as an external veto point. It attempts to bridge a gap between a judicial politics literature that focuses on the micro,level of individual judges' votes and comparative scholarship that operates at the macro,level. A model for viewing constitutional courts as veto players, as a third institutional actor, is proposed and is then illustrated using the cases of legalizing divorce and blocking the executive reissuing decree laws in Italy. The model considers both the indirect and direct influences that constitutional courts can exert on the policy,making process. It also facilitates understanding and explaining the role of courts, as well as legislatures and executives, in conducting the interactions and bargaining that result in policy change. [source] Stalin's Demands: Constructions of the "Soviet Other" in Turkey's Foreign Policy, 1919,1945FOREIGN POLICY ANALYSIS, Issue 1 2010vanç Co Standard accounts on Turkey's foreign policy identify Molotov's communication of 1945 (better known as "Stalin's demands") as the catalyst behind Turkey's post-WWII decision to strain its relations with the USSR and turn to the United States (US) for defense support. The aim here is to complement these accounts which have stressed the military and ideological threat posed by the USSR as the catalyst behind Turkey's foreign policy change, by offering an analysis that explores the conditions of possibility for such change. The aim here is not to question the seriousness of the risks involved in failing to stand firm against the USSR in the immediate post-WWII period. Nor is it to dispute the appropriateness of Turkey's search for "Western" allies at a time when its economic, political and military vulnerabilities were acknowledged by friend and foe alike. The following mediates through accounts that stress the military threat and those that emphasize the ideological threat and presents an analysis that looks into the production of representations of the USSR as a "threat" to Turkey and the context which allowed for the production of such representations of the USSR. [source] A Political Theory of Economic StatecraftFOREIGN POLICY ANALYSIS, Issue 4 2008Jean-Marc F. Blanchard When can economic sanctions and incentives achieve important political objectives? Why do they often fail? We propose a political theory of economic statecraft, arguing that the success of economic statecraft does not depend on the magnitude of its economic effect. Instead, it succeeds when the economic pain or gain it engenders translates into political costs or opportunities. We argue that the political effects of economic signals will depend on a variety of international and domestic political factors, the most important of which is the target state's level of stateness, comprised of three components: autonomy, capacity, and legitimacy. When economic statecraft motivates key domestic coalitions to push for policy change, high stateness enables target state leaders to resist their calls and defy the sender. Conversely, when economic statecraft convinces target leaders that they ought to comply with the sender's demands, high stateness enable them to overcome domestic opposition to compromise. To evaluate the usefulness of our theory, we employ a plausibility probe, testing our approach against three leading alternatives (the realist, economic liberal, and domestic conditionalist approaches) with case studies of Western economic incentives to Hungary and Romania after the Cold War and Indian sanctions against Nepal in the late 1980s. [source] Ideas and Change in U.S. Foreign Aid: Inventing the Millennium Challenge CorporationFOREIGN POLICY ANALYSIS, Issue 2 2008Steven W. Hook Recent scholarship on foreign policy change focuses on the role of ideas in altering policies and related governing institutions. While a welcome antidote to the previous preoccupation with static analysis, this research has yet to provide adequate understanding of whether and how ideas produce change in specific instances. This study seeks to narrow this gap by examining a recent program change in U.S. foreign aid policy: the creation in 2004 of the Millennium Challenge Corporation (MCC), an independent agency designed to reward the world's most impoverished countries that had previously undertaken neoliberal economic reforms and democratic political reforms. The study identifies a convergence of widely shared principled and causal beliefs which, mediated through U.S. domestic structures, produced the most significant change in U.S. aid strategy and structures in nearly half a century. In melding societal theories that emphasize the role of transnational norm diffusion with theories of domestic politics, the study answers the call for multilevel explanations of foreign policy change. And by applying constructivist notions of ideas and discursive framing with rationalist conceptions of power and interests, the study further responds to the need for theoretical synthesis in the study of foreign policy. [source] Punctuated Equilibrium and Agenda-Setting: Bringing Parties Back in: Policy Change after the Dutroux Crisis in BelgiumGOVERNANCE, Issue 3 2008STEFAAN WALGRAVE The article analyzes how focusing events affect the public and political agenda and translate into policy change. Empirically, the study focuses on the policy changes initiated by paedophile Marc Dutroux's arrest in 1996 in Belgium. Theoretically, the article tests whether Baumgartner and Jones's (1993) U.S. punctuated equilibrium approach applies to a most different system case, Belgium being a consociational democracy and a partitocracy. Their approach turns out to be useful to explain this "critical case": Policy change happens when "policy images" and "policy venues" shift. Yet, the Dutroux case shows also that political parties, as key actors in the Belgian policy process, should be integrated more explicitly in the punctuated equilibrium theory. Finally, the article argues that the quantitative analysis of longitudinal data sets on several agendas should be supplemented with qualitative case study evidence (e.g., interviews with key decision makers) to unravel the complex case of issue attention and policy change. [source] Ideas, Interests, and Institutions: Challenging the Property Rights Paradigm in BotswanaGOVERNANCE, Issue 4 2003Amy R. Poteete Recent work in international studies and comparative politics scrutinizes the relative importance of ideas, interests, and institutions as sources of policy change. A growing body of scholarship identifies ideas as the main causal factors, influencing perceived interests as well as perceived policy options. Others contend that policies can best be understood as products of institutions. Neither explanation can account for both policy choice by politicians and the implementation strategies of administrators. In Botswana, the use of professional criteria for hiring and advancement encourages adherence to international professional norms within the bureaucracy, but electoral competition gives politicians more reason to be attentive to local political concerns. The institutions that define relations of authority among actors with different motivations shape the outcomes of policy choice and implementation. Institutions influence the attentiveness of policy-makers to ideas when making decisions, the degree of attention particular policy-makers give to ideas from particular sources, and the degree of acceptance that ideas must achieve to affect policy. Better evaluations of political development can be achieved through attentiveness to the mix of actors involved in policy decisions, the diversity of institutions and ideas that affect their policy preferences, and the relations of authority that shape their relative influence over policy choice and implementation. [source] The Impact of Private Insurance Coverage on Veterans' Use of VA Care: Insurance and Selection EffectsHEALTH SERVICES RESEARCH, Issue 1p1 2008Yujing Shen Objective. To examine private insurance coverage and its impact on use of Veterans Health Administration (VA) care among VA enrollees without Medicare coverage. Data Sources. The 1999 National Health Survey of Veteran Enrollees merged with VA administrative data, with other information drawn from American Hospital Association data and the Area Resource File. Study Design. We modeled VA enrollees' decision of having private insurance coverage and its impact on use of VA care controlling for sociodemographic information, patients' health status, VA priority status and access to VA and non-VA alternatives. We estimated the true impact of insurance on the use of VA care by teasing out potential selection bias. Bias came from two sources: a security selection effect (sicker enrollees purchase private insurance for extra security and use more VA and non-VA care) and a preference selection effect (VA enrollees who prefer non-VA care may purchase private insurance and use less VA care). Principal Findings. VA enrollees with private insurance coverage were less likely to use VA care. Security selection dominated preference selection and naïve models that did not control for selection effects consistently underestimated the insurance effect. Conclusions. Our results indicate that prior research, which has not controlled for insurance selection effects, may have underestimated the potential impact of any private insurance policy change, which may in turn affect VA enrollees' private insurance coverage and consequently their use of VA care. From the decline in private insurance coverage from 1999 to 2002, we projected an increase of 29,400 patients and 158 million dollars for VA health care services. [source] ,Flames and fear on the farms': controlling foot and mouth disease in Britain, 1892,2001*HISTORICAL RESEARCH, Issue 198 2004Abigail Woods For over a century, the British government has pursued a policy of national freedom from foot and mouth disease (F.M.D.), a highly contagious disease of cloven-footed animals. One of the cornerstones of this policy was the slaughter of infected animals. However, on several occasions , most notably in 2001 , slaughter struggled to contain F.M.D., and provoked widespread criticism and calls for policy change. Drawing upon a range of previously unexamined sources, this article examines the history of F.M.D. in Britain, in an attempt to explain the twenty-first-century persistence of a Victorian disease control policy. [source] Public funding for residential and nursing home care: projection of the potential impact of proposals to change the residential allowance in services for older peopleINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 3 2003Paul Clarkson Abstract Background This paper investigates the potential effects of a policy change in the funding of UK residential care. The White Paper Modernising Social Services (Cm 4169, 1998) outlined plans to change the distribution of the Residential Allowance (RA), payable in support of residents in independent residential or nursing home care, from a component of income support paid direct to establishments to a grant to local authorities. This change was intended to remove the perverse incentive in accessing independent residential care more favourably than local authority care. A further objective was to encourage local authorities to use the grant to support home-based alternatives to residential care. The policy rests on a model in which price signals dictate the choice of care for an older person. By, in effect, raising the price of independent residential and nursing home care, the policy provides an incentive for authorities to seek alternatives to institutional care. Methods Managers from 16 UK social services departments attended a focus group discussion, completed questionnaires and provided information to assist in calculating the potential diversionary effect of the policy. Results Managerial estimates indicated a small diversionary effect of the policy; A potential effect of 0.26 and 0.19 per 1000 older people diverted from residential and nursing care respectively. Conclusions The study indicated that wider organisational factors other than price are likely to play a greater role in deciding whether an older person is admitted to care. Changes in public funding alone do not reflect the complexities involved in decision-making concerning the residential placement of older people. Copyright © 2003 John Wiley & Sons, Ltd. [source] Healthcare financing reform and the new single payer system in the Republic of Korea: Social solidarity or efficiency?INTERNATIONAL SOCIAL SECURITY REVIEW, Issue 1 2003Soonman Kwon In July 2000, national health insurance in the Republic of Korea was transformed into a single insurer system. This major reform in healthcare financing resulted from the merger of more than 350 health insurance societies. Inequity in healthcare financing and the chronic financial situation of the health insurance societies for self,employed workers in rural areas have been the driving forces leading to the unified health insurance system. The unique institutional context together with political change opened the window of policy change, and various stakeholders such as politicians, rural self,employed workers, trade unions and civic groups were involved in the healthcare reform process. Fair income assessment of the self,employed and the role of the single insurer as a prudent purchaser of medical care will be vital for the new system to achieve its intended goal and improve social solidarity and efficiency of healthcare. [source] National and Partisan Contexts of Europeanization: The Case of the French SocialistsJCMS: JOURNAL OF COMMON MARKET STUDIES, Issue 1 2001Alistair Cole This article affirms the usefulness of thinking of Europeanization and European policy change in terms of national, party and European contexts and their interrelationships. Through a case study of the French Socialists in office, the article seeks to establish that national, party and European policy contexts matter in different ways and in varying degrees. National context provides a set of institutions, interests and referential paradigms which help to make sense of a complex external environment. Party provides a distinctive partisan lens and an enduring political community. Europeanization poses a series of direct and indirect policy challenges and opportunities for nation-states and party governments. The article considers national and Europeanized pressures to be more significant than partisan processes. [source] | ||||||||||||||||||||||||||||||||||||||||||||||