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Full-Text Articles in Public Affairs, Public Policy and Public Administration
Fiscal Stress In American Municipalities: An Analysis On The Role Of The State As It Relates To Municipal Financial Health, Yong-Hua He
Public Affairs Capstones Collection
While municipal bankruptcy as a whole is rare in the United States, since the Great Recession, fiscal distress in municipalities is common. This is due to the compounding of decreased state aid, declining property values and increased need of services. In these fiscally and administratively challenging times, where the U.S. government is ripe and saddled with political discord, high debt/legacy costs, and decreased economic stability, can cities walk the stringent financial tightrope without falling head first? This research paper addresses the causations leading to municipal fiscal stress, role of the state as it relates to municipal financial health and best …
How Will Public Health And Primary Care Come Together In Massachusetts?, Javier Crespo
How Will Public Health And Primary Care Come Together In Massachusetts?, Javier Crespo
Public Affairs Capstones Collection
The Patient Protection and Affordable Care Act aims to place public health and prevention practice closer to the clinical care delivery system by mandating basic preventive services and creating a national prevention plan. The Massachusetts health care system has a number of elements that can help foster closer linking of public health practices in the primary care setting. This research set out to examine whether the current healthcare system in Massachusetts will enable public health and primary care integration as intimated upon by the Affordable Care Act. This study will assess the current connection between public health and primary care …
Chief Executive Structure In Massachusetts Towns: The Relationship Between Authority Levels And Leadership Opportunities, Maureen A. Thomas .
Chief Executive Structure In Massachusetts Towns: The Relationship Between Authority Levels And Leadership Opportunities, Maureen A. Thomas .
Public Affairs Capstones Collection
Throughout Massachusetts towns and cities there are various organizational and chief executive structures that dictate levels of authority and leadership opportunities. Drawing mostly from the literature on city forms of government, this research explores the authority-level variations among town administrators and town managers in Massachusetts and examines how authority levels relate to leadership opportunities. A mixed methods approach is used via a survey instrument to the 215 Massachusetts town administrators and town managers, 7 in-depth interviews, and secondary data review. Levels of chief executive authority and leadership were found to vary widely among the 94 survey respondents. While quantitative results …