Digital Commons Network^™

Nongovernmental Program Replication And Implementation: What Can Community-Based Programs To Support The Uninsured Learn From Other Communities?, Raymond J. Higbea

Dissertations

This research study evaluated the replication and implementation of Project Access (a nongovernmental, structured program providing physician and health care services to the working-poor) in Grand Rapids, Michigan. A mixed methodological approach was used and included quantitative and qualitative methodologies. The qualitative method used was a self-administered mailed survey of all Project Access enrollees. This survey evaluated the enrollee's perceived health and lifestyle function, access to physician services, access and adherence to prescribed medication regimen, and barriers to physician services during the year pre- and post-enrollment in Project Access. The survey also evaluated the amount enrollees were able or willing …

The Challenges Of Implementing Privatization Reform Program Of State-Owned Enterpreises (Soes) In Kenya 1979 To 2002, Peter Kiiru Kariuki

Dissertations

Before any more sales o f public stakes in parastatals are carried out, we need a robust public debate. We also feel that the interests o f Kenyans, whose taxes built those parastatals, should be recognized. A new policy, which gives Kenyans the first right to buy parastatals, is needed. (Editorial-Daily Nation, Nairobi Publication, Retrieved 9/17/2006 http://www. nationmedia. com/dailynation)

This study reviews the progress and challenges of implementing privatization of state-owned enterprises (SOEs) reform program in Kenya during the period 1979- 2002 as part of the Structural Adjustment Program (SAP). The impetus for implementing privatization reform program has two sources: …

A Heuristic Study Of The Decision To Privatize Local Government Service, David L. Rich

Dissertations

The purpose of this research is to explore the nature of local government decision making. Six Michigan cities, selected from respondents to an International City/County Management Association (ICMA) privatization survey, are the basis of this multi-case study examining the decision to privatize public services.

Classical decision-making theory is used to identify six foundational elements from which to analyze the privatization decision: (1) identification of theproblem(s) that triggered the decision to consider privatization; (2) the solutions considered; (3) the processes or mechanisms used to make the decision; (4)the environment in which the decision was made; (5) the identification of the key …

Unintended Consequences In Public Policy: Formulation And Implementation Of Michigan’S Safe Delivery Of Newborns Law, Anne Julie Hacker

Dissertations

It is generally believed that social policy is the result of careful research and planning on the part of officials. Yet there often exists a gap between theformulation and implementation of many social policies. This gap brings with it conflict, which in turn may result in unintended consequences. Theseconsequences may be so antithetical to the formulators' original intent as to make the policy implementation paradoxical.

This qualitative research study examines the ambiguities, challenges, or boundaries that policy formulators placed on practitioners responsible for implementing Michigan's Safe Delivery of Newborns Act and that ultimately created unintended consequences indicative of a public …

Electronic Government Accessibility For People With Blindness Or Low Vision Who Utilize Assistive Computer Technology, Robert J. Sobie

Dissertations

Citizen access to electronic government information and services continues to enjoy an expansionary phase in local government. This expansionary phase holds a prominent place in service delivery strategic planning as governments address on-going operational challenges caused by increased fiscal pressures and greater accountability to the citizenry for their actions. Since the advent of the World Wide Web, in the mid 1990s, static information and interactive applications are available on government websites to facilitate information dissemination and citizen interaction.

The presence of electronically delivered information and services may not address the accessibility needs of people with blindness or low vision who …

Providing Uninsured Adults With Free Or Low-Cost Primary Care: Does It Influence Their Use Of Hospital Emergency Departments?, Anne G. Zahradnik

Dissertations

This study analyzes one component of the health care safety net to determine whether or not being enrolled in a free or low-cost primary care physician access program subsequently affects emergency room utilization by uninsured adults ages 18 through 64. Those individual decisions are analyzed from both public goods and rational choice schemas. Additionally, physician access programs of different formats (a low-cost physician referral program and a freewalk-in clinic) are analyzed and compared for relative effectiveness. The study is a quantitative analysis of more than 40,000 individual patient records rather than relying on qualitative patient recall or on analyzing broad …