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1 – 10 of 152Qing Yang, Ling He, Xingxing Liu and Mengying Cheng
This study aims to analyze reform path for waste management policy implementation. With reference to the Bayesian theory, this study provides a dynamic policy conversion method…
Abstract
Purpose
This study aims to analyze reform path for waste management policy implementation. With reference to the Bayesian theory, this study provides a dynamic policy conversion method through various context settings. Furthermore, this study attempts to present an empirical research paradigm.
Design/methodology/approach
Matland’s “ambiguity-conflict model” is applied to explain the problems and reform paths of China’s waste management policy implementation. Integrating structure discovery and bibliometrics into qualitative analysis, this study used search data from literature search engine with specific themes to achieve structure learning of Bayesian network with key factors refined in waste management policy.
Findings
The results show that China’s waste management policy implementation belongs to symbolic implementation with high ambiguity and high conflict. Four basic conversion paths for the waste management policy are proposed, which are classified by length and stability. Then, it is possible to locate the factors, paths and types of policy implementation through involvement analysis with features of each path and each district of policy implementation. Public education holds direct but unstable impact on waste management. Economic incentives hold continuous but gradually diminishing impact. Perceived policy effectiveness plays the crucial role like a central bridge. Resident conditions have a positive impact, which could be enhanced through economic development of China. The impact of subjective norm on waste management is not significant. But subjective norm has the potential breakthrough for solving stagnation of waste classification policy. However, the impacts from each factor may change along with economy growth and technology innovation.
Originality/value
This study uses the “ambiguity-conflict model” to position China’s waste classification policy and suggests that structure discovery methods help understand feasible reform paths for reform policy. The integration of theoretical analysis and quantitative simulation can achieve a comprehensive analysis of problems and solutions in waste management policy implementation of China. Promotion and education, economic incentives, perceived value, behavior control, subjective norm, perceived policy effectiveness, informal waste recycling system and residential conditions are explored as key factors for waste classification policy implementation as a representative in waste management policy. The role of each key factor and features of each conversion paths are integrated to position reform paths in the ambiguity-conflict model. This work helps to explain the stagnation of waste management policy implementation from the perspective of dynamic structure evolution, and some specific suggestions to get out of stagnation are proposed.
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Gianluca Veronesi and Kevin Keasey
Purpose – The chapter aims to understand what kind of policy approach has been more successful in facilitating the involvement of patients and the public in the design and…
Abstract
Purpose – The chapter aims to understand what kind of policy approach has been more successful in facilitating the involvement of patients and the public in the design and provision of health-care services at the local level and the explanatory factors justifying the implementation outcome.Methodology – By applying Richard Matland's ambiguity/conflict policy implementation model, the chapter analyses the impact of a number of policies introduced after 1997 in the English National Health Service that targeted final users and the local population in decision-making processes.Findings – The evidence shows that policies emphasising the importance of context-specific contingencies can be more effectively implemented when room for interpretation and discretion in selecting the appropriate means for involvement is given. In this way, the overall aims/purposes of health policies can be locally reshaped by allowing the adoption of flexible strategies within the implementation process.Practical implications – A strong leadership at the top of public sector organisations and, in particular, from the board of directors is needed to steer and facilitate a consensus oriented outcome in organisational decision-making processes that aim to incorporate the views and opinions of patients and the public.Social implications – Local initiatives in increasing participation, for specific purposes, are bound to be more successful than a general initiative, expecting comparatively uniform implementation.
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Michelle Cornes, Bruno Ornelas, Bridget Bennett, Andy Meakin, Karl Mason, James Fuller and Jill Manthorpe
The purpose of this paper is to present a case study describing the progress that is being made in one city in England to increase access to Care Act 2014 assessments and personal…
Abstract
Purpose
The purpose of this paper is to present a case study describing the progress that is being made in one city in England to increase access to Care Act 2014 assessments and personal budgets among people with experiences of homelessness and multiple exclusion.
Design/methodology/approach
A case study employing a “study group” to describe and reflect on local development work.
Findings
The authors focus on the “systems change” activity that was undertaken by one voluntary sector partnership project to address issues of referral and access to adult social care. This included the development of a “Multiple Needs Toolkit” designed to support voluntary sector workers to communicate more effectively with adult social care around the application of the new Care Act 2014 eligibility thresholds. The authors discuss the role of “persistent advocacy” in increasing access to assessments and also the limitations of this as regard the potential for poorer joint working.
Originality/value
Throughout, the authors draw on the “ambiguity-conflict” model of policy implementation to assess if the learning from this single case study might be applied elsewhere.
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Annie K. Lewis, Nicholas F. Taylor, Patrick W. Carney and Katherine E. Harding
Long waitlists in outpatient clinics are a widely recognised problem. The purpose of this paper is to describe and report the impact of a waitlist reduction strategy for an…
Abstract
Purpose
Long waitlists in outpatient clinics are a widely recognised problem. The purpose of this paper is to describe and report the impact of a waitlist reduction strategy for an epilepsy clinic.
Design/methodology/approach
This observational study described the local impact of a methodical approach to tackling a long waiting list, using targeted strategies supported by a modest additional budget. The interventions were described using the template for intervention description and replication (TIDieR).
Findings
Over an eight-month period, the waitlist for the epilepsy clinic was reduced from 599 to 24 patients without increasing the number of days until the next available appointment. Most referrals were removed from the waitlist without an appointment. Auditing revealed a high proportion of patients no longer required the service or referrals remained on the waitlist due to administration error. A short-term increase in clinic capacity of 51 extra appointments met the needs of the remaining waiting patients. The additional project funding invested in this process was AUD $10,500 and a time-limited amount of extra work was absorbed by using existing clinic resources.
Practical implications
This waitlist reduction strategy resulted in a very small waitlist for the epilepsy clinic, which is now well placed to trial further interventions with the aim of sustaining the service with minimal waiting times. Not every referral on the waitlist, particularly the very long waiters, required an appointment. Other outpatient clinics may be able to apply this process to reduce their waitlists using a modest budget.
Originality/value
Although there are reports of successful waitlist reduction, few report the intervention in detail. Use of the TIDieR in reporting enables the intervention to be appraised or adapted to other settings where long waitlists are problematic. Considerations related to implementation of policy are discussed and in this case, a locally led and executed change management strategy was a key to achieving the result.
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Geraldo Flowers, Delia Kundin and Ralph S. Brower
This paper examines how administrators in two very different Florida state agencies implemented performance-based program budgeting. It identifies the key organizational…
Abstract
This paper examines how administrators in two very different Florida state agencies implemented performance-based program budgeting. It identifies the key organizational conditions that facilitate and inhibit implemen-tation and propose implications for generalizing these observations to other settings. The study concludes that agency variables make implementation much more difficult in some settings and that a one-size-fits-all approach may contribute to a variety of delays and conflicts in the implementation process.
A thematic analysis of teachers’ experiences in implementing the Annual National Assessments (ANAs) policy in South Africa was presented in this chapter. Describing the lack of…
Abstract
A thematic analysis of teachers’ experiences in implementing the Annual National Assessments (ANAs) policy in South Africa was presented in this chapter. Describing the lack of preparation and capacity building on behalf of policy makers, this chapter argued that teachers’ roles in the policy formulation of the ANAs positioned them as only policy implementers without agency. Two broad categories described the experiences. The first was concerned with the preparation process of assessments. The second was concerned with the implications of assessments, outlining the worry and fear in the use of results for teacher blaming culminating in a standoff between teacher unions and the ministry. The shift in the policy mandate expressed through increased reporting and monitoring requirements for poor performing schools reveals that the assessments deviated from being a diagnostic tool to testing for teacher accountability. Finally, the chapter concluded with a reflection on how the National Assessment Framework, set to replace the ANA policy, could be strengthened based on the opportunities revealed by the ANA policy implementation process.
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Frances Stokes Berry and Geraldo Flowers
How do entrepreneurs in the public sector effect major policy changes? Are the same entrepreneurs likely to be involved from the idea initiation stage through design, adoption…
Abstract
How do entrepreneurs in the public sector effect major policy changes? Are the same entrepreneurs likely to be involved from the idea initiation stage through design, adoption, implementation and institutionalnation, or are there different prominent entrepreneurs in each of the policy stages? What does the pattern of entrepreneurial participation mean for the success of the policy? Utilizing a case study of Performance-Based Program Budgeting (PB2 ) in the State of Florida, this paper employs the observations of key Florida policymakers and advocates to describe the strategic and purposive actions of public entrepreneurs in the four stages of the PB2 budget reform policy process. The work supports current research that major policy changes, such as the adoption of PB2 in Florida, require purposive and strategic actions from public entrepreneurs for their fruition. The paper also contributes to the growing implementation and budgeting literature that describes and assesses performance-based budgeting in the states, and provides observations on necessary conditions for institutionalizing PB2 in Florida.
Luca Gnan, Alessandro Hinna and Fabio Monteduro
Research on public and non-profit organizations has recently shifted towards the main body of research on governance of organizations and many public and non-profit scholars…
Abstract
Research on public and non-profit organizations has recently shifted towards the main body of research on governance of organizations and many public and non-profit scholars focused on that. Actually, public and non-profit organizations are important elements of the whole spectrum of organizations. But in the meanwhile, their study, within the governance research, has kept aside. Moreover, with the scope and the aim of the governance research, public and non-profit governance research fitted to this new environment, focusing on performance issues, as private organizations do.
Tayebe Amirkhani, Asal Aghaz and Alireza Sheikh
The purpose of this paper is to provide a dynamic model for implementing performance-based budgeting (PBB) in Ministry of Health and Medical Education (MOHME) in Iran.
Abstract
Purpose
The purpose of this paper is to provide a dynamic model for implementing performance-based budgeting (PBB) in Ministry of Health and Medical Education (MOHME) in Iran.
Design/methodology/approach
The insights from PBB, organizational theory and theory of system were integrated based on system dynamic approach. The primary data were gathered in a two-step process through in-depth interviews and focus groups. The data gathered from the interviews were analyzed using thematic analysis and were considered as a basis for modeling based on system dynamic. The dynamic model was verified in the MOHME of Iran based on the data gathered from the focus group.
Findings
An analytical implementation model was adopted for the PBB, including comprehensive variables at both external (country) and internal (organizational) levels and accordingly the relationships were established among these variables based on system dynamics (SD). In addition, verifying this model in the MOHME of Iran sets the stage for gaining a deeper understanding of what is required for successful implementation of PBB.
Originality/value
This paper introduces an efficient modeling methodology based on SD, which explains how soft methodology can be used in management science for designing an implementation model of PBB in healthcare sector of Iran.
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