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This comprehensive text offers a broad view of health care policy, health services delivery and organization, and health care management. Drawing on the insights of over 100 scholars and leading practitioners, it highlights organizational changes reflected in health care mergers, networks, and affiliations and describes the role of funding agencies in the direct provision of services. Providing over 2350 references, tables, and drawings, the book charts the influences of managed care on provisions, funding, and the configuration of providers and services, and portrays the increasingly influential and challenging role of health administrators.
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"Passage of the Civil Service Reform Act was controversial, and there is still controversy over its effectiveness. A book of this sort will be well received and anxiously read by specialists in public administration, public policy, and public personnel administration."-H. George Frederickson, University of Kansas The Civil Service Reform Act of 1978 was the most far reaching reform of the federal government personnel system since the merit system was created in 1883. The Future of Merit reviews the aims and rates the accomplishments of the 1978 law and assesses the status of the civil service. How has it held up in the light of the National Performance Review? What will become of it in a glo...
The readings in this volume will enlighten and enliven the contents of any standard public administration text covering human resource management. Selected mainly from the pages of Public Administration Review and Review of Public Personnel Administration, these classic articles trace the historical and evolutionary development of the fields of public personnel administration and labor relations from the point at which the first civil service law was passed - the Pendelton Act in 1883 - through the 21st century. The collection covers everything from the seminal concerns of civil service (e.g., keeping spoils out) to topics that early reformers would never have envisioned (e.g., affirmative action and drug testing). These works continue to inform the theory and practice of public personnel and labor relations. To facilitate an instructor's ability to assign readings that illuminate lectures and course material, a correlation matrix on the M.E. Sharpe website shows how this book can be used easily alongside eight leading textbooks.
In the wake of Hurricane Katrina, many questioned whether the large number of political appointees in the Federal Emergency Management Agency contributed to the agency's poor handling of the catastrophe, ultimately costing hundreds of lives and causing immeasurable pain and suffering. The Politics of Presidential Appointments examines in depth how and why presidents use political appointees and how their choices impact government performance--for better or worse. One way presidents can influence the permanent bureaucracy is by filling key posts with people who are sympathetic to their policy goals. But if the president's appointees lack competence and an agency fails in its mission--as with ...
Legislating Bureaucratic Change is an in-depth analysis of the Civil Service Reform Act of 1978. This legislation, hailed by many as the major domestic achievement of the Carter presidency, was a far-reaching attempt to change and control the massive federal bureaucracy. Not since the passage of the Pendleton Act in 1883 had so major a reform been attempted. Legislating Bureaucratic Change reveals this process of change and reform. As a collection, its chapters advance our understanding of the dimensions and problems of bureaucratic change. In a larger sense, by focusing on civil service reform as public policy, the book also provides valuable insights into the ability of American policy institutions to address critical public problems.
The complex and changing state of policy protections for transgender communities practically requires trans people to become legal experts just to navigate their everyday lives. It also simultaneously offers a window of opportunity for legal advocates to shape new laws and policies based on the lived experiences of trans people. Using personal interviews, legal case histories, and transgender theory, Transgender Employment Experiences combines policy analysis with the lived experiences of twenty transgender-identified employees, showing how worker protections that should exist under the Civil Rights Act are instead systematically undermined in the case of many transgender employees. Rather t...
Includes coverage of issues relating to every level of government (federal, state, and local agencies) as well as in nonprofit organizations Examines the latest management theories (such as employee engagement and motivation) and current issues including disability and LGBT inclusivity, privatization, merit systems, and family and medical leave The discussion is rooted in public policy issues, providing students with a better understanding of the actors involved and the broader context of personnel administration The focus on the human resource issues is important to the work of all managers--not just personnel specialists Abundant pedagogical tools, including learning objectives, summaries, and discussion questions, guide student understanding and foster critical thinking Exercises and case studies throughout the book can be assigned for individual or group work, helping students apply public personnel management concepts to real world situations.
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