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Full-Text Articles in Public Affairs, Public Policy and Public Administration
Determinants Of Health Care Use Among Rural, Low-Income Mothers And Children: A Simultaneous Systems Approach To Negative Binomial Regression Modeling, Swetha Valluri
Masters Theses 1911 - February 2014
The determinants of health care use among rural, low-income mothers and their children were assessed using a multi-state, longitudinal data set, Rural Families Speak. The results indicate that rural mothers’ decisions regarding health care utilization for themselves and for their child can be best modeled using a simultaneous systems approach to negative binomial regression. Mothers’ visits to a health care provider increased with higher self-assessed depression scores, increased number of child’s doctor visits, greater numbers of total children in the household, greater numbers of chronic conditions, need for prenatal or post-partum care, development of a new medical condition, and …
Disjointed Innovation: The Political Economy Of Digitally Mediated Institutional Reform, Jane E. Fountain
Disjointed Innovation: The Political Economy Of Digitally Mediated Institutional Reform, Jane E. Fountain
Jane E. Fountain
Current attention to social media and governance has focused on the enactment of networked communication and information use by and for governance with particular attention to the role of civil society. This paper argues that such a focus, while illuminating a possibly utopian perspective on political participation, often obscures even recent government reforms, existing institutional arrangements, and the myriad processes by which knowledge is translated to action in political settings. Drawing from and extending core perspectives within historical institutionalism, the paper examines three streams of theory and research: temporal models, coordination models, and the political effects of public policies where …