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Public Input (public + input)
Selected AbstractsThe Role of Public Input in State Welfare PolicymakingPOLICY STUDIES JOURNAL, Issue 4 2000Greg M. Shaw This article reports findings from a survey of 257 state officials involved in public assistance policymaking in the American states during the early to mid-1990s. Respondents were asked to comment on the impetus for welfare reform, on methods employed to gauge public preferences, and on sources of policy ideas. These officials, including state legislators, social service agency directors, and senior advisors to governors, revealed a variety of forums for gathering public input. Although few respondents affiliated with elective office reported significant direct electoral challenges on welfare issues, they often cited constituent contacts regarding welfare reform. [source] Regulated competition and citizen participation: lessons from IsraelHEALTH EXPECTATIONS, Issue 2 2000David Chinitz PhD Objective To investigate the relationship between health system structure and citizen participation, in particular whether increased reliance on competition encourages or depresses citizen involvement. Setting The case of Israel's ongoing health reform, based on regulated competition among sick funds, is examined. Design Interviews with government officials and representatives of consumer groups; analysis of policy documents, judicial rulings, public surveys and journalistic accounts. Results The Israeli reform is based in large measure on a regulated competition model, in which citizens have free choice among highly regulated competing sick funds. At the same time, the reform process has been accompanied by legal, institutional and political frameworks, as well as significant interest group activity, all aimed at increasing public input into processes of health policy making and implementation. The Israeli case, it is argued, lends support to the proposition that citizen participation (voice) and individual choice (exit) are complementary, rather than alternative, modes of ensuring citizen influence over health services. The question is whether the development of multiple avenues for citizen involvement represents disarray or a healthy social learning process regarding the running of the health system. Conclusion This paper expresses cautious optimism that citizen participation is a projection of a healthy social learning process, and suggests directions for public policy to encourage this outcome. [source] Measuring Hospital Care from the Patients' Perspective: An Overview of the CAHPS® Hospital Survey Development ProcessHEALTH SERVICES RESEARCH, Issue 6p2 2005Elizabeth Goldstein Objective. To describe the developmental process for the CAHPS® Hospital Survey. Study Design. A pilot was conducted in three states with 19,720 hospital discharges. Methods of Analysis. A rigorous, multi-step process was used to develop the CAHPS Hospital Survey. It included a public call for measures, multiple Federal Register notices soliciting public input, a review of the relevant literature, meetings with hospitals, consumers and survey vendors, cognitive interviews with consumer, a large-scale pilot test in three states and consumer testing and numerous small-scale field tests. Findings. The current version of the CAHPS Hospital Survey has survey items in seven domains, two overall ratings of the hospital and five items used for adjusting for the mix of patients across hospitals and for analytical purposes. Conclusions. The CAHPS Hospital Survey is a core set of questions that can be administered as a stand-alone questionnaire or combined with a broader set of hospital specific items. [source] The Role of Public Input in State Welfare PolicymakingPOLICY STUDIES JOURNAL, Issue 4 2000Greg M. Shaw This article reports findings from a survey of 257 state officials involved in public assistance policymaking in the American states during the early to mid-1990s. Respondents were asked to comment on the impetus for welfare reform, on methods employed to gauge public preferences, and on sources of policy ideas. These officials, including state legislators, social service agency directors, and senior advisors to governors, revealed a variety of forums for gathering public input. Although few respondents affiliated with elective office reported significant direct electoral challenges on welfare issues, they often cited constituent contacts regarding welfare reform. [source] A Case Study of the Beneficial Reuse of Treated GroundwaterREMEDIATION, Issue 3 2001Andrew Curtis Elmore The future disposal of treated groundwater at the former Nebraska Ordnance Plant (NOP) Superfund site has been a topic of interest to the local property owners, the U.S. Army Corps of Engineers, and the local regulatory agencies. The Record of Decision for the site includes the extraction, treatment, and disposal of almost 3,000 gpm of groundwater with an estimated restoration time period exceeding 100 years. Interest from property owners and the Nebraska agency charged with regulating groundwater supply prompted the Corps of Engineers to consider several strategies for beneficially reusing the treated water. Alternatives included the establishment of a rural water district or local distribution system; delivery of the water to the municipal supply system of Lincoln, Nebraska, andsol;or other nearby municipalities; and consideration of innovative remedial technologies to reduce the quantity of treated water requiring disposal. The selected disposal plan consists of providing treated groundwater to interested parties for agricultural use with excess treated groundwater discharged to two streams. Multiple feasibility studies were generated, public input was solicited, and interagency agreements were executed during the course of the project. The remediation project is currently being constructed, and at least one property owner has constructed a new center-pivot irrigation system to use the treated groundwater. © 2001 John Wiley & Sons. [source] Evaluating Oversight Systems for Emerging Technologies: A Case Study of Genetically Engineered OrganismsTHE JOURNAL OF LAW, MEDICINE & ETHICS, Issue 4 2009Jennifer Kuzma The U.S. oversight system for genetically engineered organisms (GEOs) was evaluated to develop hypotheses and derive lessons for oversight of other emerging technologies, such as nanotechnology. Evaluation was based upon quantitative expert elicitation, semi-standardized interviews, and historical literature analysis. Through an interdisciplinary policy analysis approach, blending legal, ethical, risk analysis, and policy sciences viewpoints, criteria were used to identify strengths and weaknesses of GEOs oversight and explore correlations among its attributes and outcomes. From the three sources of data, hypotheses and broader conclusions for oversight were developed. Our analysis suggests several lessons for oversight of emerging technologies: the importance of reducing complexity and uncertainty in oversight for minimizing financial burdens on small product developers; consolidating multi-agency jurisdictions to avoid gaps and redundancies in safety reviews; consumer benefits for advancing acceptance of GEO products; rigorous and independent pre- and post-market assessment for environmental safety; early public input and transparency for ensuring public confidence; and the positive role of public input in system development, informed consent, capacity, compliance, incentives, and data requirements and stringency in promoting health and environmental safety outcomes, as well as the equitable distribution of health impacts. Our integrated approach is instructive for more comprehensive analyses of oversight systems, developing hypotheses for how features of oversight systems affect outcomes, and formulating policy options for oversight of future technological products, especially nanotechnology products. [source] Commentary: Emerging Technologies Oversight: Research, Regulation, and CommercializationTHE JOURNAL OF LAW, MEDICINE & ETHICS, Issue 4 2009Robbin Johnson This paper reviews the paper by Kuzma, Najmaie, and Larson that looks at what can be learned from the experience with genetically engineered organisms for oversight of emerging technologies more generally. That paper identifies key attributes of a good oversight system: promoting innovation, ensuring safety, identifying benefits, assessing costs, and doing so all while building public confidence. In commenting on that analysis, this paper suggests that looking at "oversight" in three phases , research and development, regulatory review, and market acceptance , can help to determine when certain of these attributes should take precedence over others and how to structure remedies when an error occurs. The result is an approach that is precautionary with respect to research and development, prudent and open to public input in the regulatory review stage, and purposefully persuasive once market acceptability is at stake, with remedies that are risk-containing in the first phase, risk-managing in the second, and risk-assuaging in the third. Combining the key attributes with the idea of three phases can help attune oversight to society's needs. [source] Problem Formulation and Option Assessment (PFOA) Linking Governance and Environmental Risk Assessment for Technologies: A Methodology for Problem Analysis of Nanotechnologies and Genetically Engineered OrganismsTHE JOURNAL OF LAW, MEDICINE & ETHICS, Issue 4 2009Kristen C. Nelson Societal evaluation of new technologies, specifically nanotechnology and genetically engineered organisms (GEOs), challenges current practices of governance and science. Employing environmental risk assessment (ERA) for governance and oversight assumes we have a reasonable ability to understand consequences and predict adverse effects. However, traditional ERA has come under considerable criticism for its many shortcomings and current governance institutions have demonstrated limitations in transparency, public input, and capacity. Problem Formulation and Options Assessment (PFOA) is a methodology founded on three key concepts in risk assessment (science-based consideration, deliberation, and multi-criteria analysis) and three in governance (participation, transparency, and accountability). Developed through a series of international workshops, the PFOA process emphasizes engagement with stakeholders in iterative stages, from identification of the problem(s) through comparison of multiple technology solutions that could be used in the future with their relative benefits, harms, and risk. It provides "upstream public engagement" in a deliberation informed by science that identifies values for improved decision making. [source] Calling all citizens: The challenges of public consultationCANADIAN PUBLIC ADMINISTRATION/ADMINISTRATION PUBLIQUE DU CANADA, Issue 1 2004Keith Culver This article provides a case study of one such consultation. In the fall of 2002, the City of Saint John, faced with a sizeable budget deficit, sought public input on important fiscal decisions that had to be made before year's end. Citizens could provide their views in a traditional way - by mailing in a questionnaire to city hall - or they could submit their views electronically via the City of Saint John web site. Drawing on a wide variety of data sources, including interviews with city officials and a follow-up survey of consultation participants, the authors assess the success of this particular exercise in achieving several interrelated objectives: facilitating citizen participation in public affairs, enhancing citizens' sense of their political efficacy, providing public officials with insight into public opinion, and shaping public policy. Taking into account both consultation outcomes and the expectations of citizens and officials, the authors identity key shortfalls of the Saint John consultation, as well as avenues for constructive change in future exercises. Sommaire: L'une des maniéres dont les gouvernements ont réagi au méontentement démocratique exacerbé. qui s'est manifesté ces derniéres années a été d'accroitre la participation des citoyens au processus d'éaboration de politiques en organisant des consultations publiques à grande échelle. Le présent article ést une étude de cas portant sur une de ces consultations. À L'automne de 2002, la ville de Saint-John, faisant face à un gros déficit budgétairc, a cherchéà obtenir L'avis du public sur d'impor-tantes décisions financiéres qui devaient être prises avant la fin de L'annee. Les cito-yens avaient la possibilité de faire connaître leur opinion d'une façon traditionnelle en renvoyant un questionnaire par la poste à L'Hôtel de Ville, ou bien ils pouvaient soumettre leurs commentaires par voie électronique par L'intermédiaire du site Web de la Ville de Saint-John. À partir d'une grande variété de sources de données, y compris des entrcvues avec des responsables municipaux et un sondage de suivi auprés dcs participants a la consultation, f'étude de cas évalue le succés de cet exer-cice particulier à atteindre plusieurs objectifs interdépendants:faciliter la participation des citoyens aux affaires publiques, améliorer le sentiment d'efficacité politiquc chez les citoyens, permettre aux fonctionnaires de se faire une meilleure idée de L'opinion publiquc et façonner la politique publique. En tenant compte à la fois des résultats des consultations et des attentes des citoyens et des fonctionnaircs, nous identifions les principales lacunes de la consultation de Saint-John ainsi que les moyens d'apporter des changements constructifs aux exercices futurs. [source] Endogenous Public Expenditures on EducationJOURNAL OF PUBLIC ECONOMIC THEORY, Issue 4 2005PETER BEARSE We construct a model of the determination of public funding of education through majority voting. Households have the option of privately supplementing public education. Alternatively, they can opt out of public education completely and choose private education. We find that in general the single-crossing property cannot be used to establish existence of a majority voting equilibrium. Numerical solutions of the model reveal (i) when public education inputs and private supplements are substitutes, private school enrollment is often zero; and (ii) the funding level for public education is very sensitive to the productivity of private supplements and the elasticity of substitution between public inputs and private supplements. [source] | |||||||||||||