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Full-Text Articles in Public Policy

Can Deliberation Alter Patterns Of Influence? A Study On Local Government Decision-Making And The Deliberative Dialogue Process, William Molnar Aug 2010

Can Deliberation Alter Patterns Of Influence? A Study On Local Government Decision-Making And The Deliberative Dialogue Process, William Molnar

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This study surveyed South Carolina county council elected officials and citizens to examine the local government decision-making process, as it relates to influence and power in the growth and development arena. At its center were both the Kettering Foundation's deliberative dialogue forum model and their assertion that citizens want, and need, to be infused into the process. The study has three significant findings. First, forums did not alter citizen perceptions on who holds power and influence within the local government power structure. Second, decision-makers did not alter on which groups influence them as the type of issue moves from routine …


Deployed Electronic Medical Record Policy Compliance: An Intra-Department Principal-Agent Perspective, Mark Mellott Aug 2010

Deployed Electronic Medical Record Policy Compliance: An Intra-Department Principal-Agent Perspective, Mark Mellott

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To understand problems related to a policy of implementing a lifelong longitudinal electronic health record (EHR) more fully, this dissertation examines compliance with changes in policy over time. We analyze drivers of compliance with a required electronic medical record (EMR) by hospital clinicians completing the records for deployed service members. This study examines compliance as an outcome of principal-agent (PA) relationships, with the EMR modeled as the measure of success between one level of bureaucratic principal (i.e. medical command) with control over the necessary mechanisms in order to ensure compliance of agents (i.e., medical professionals).
Policy compliance is operationalized in …