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This paper tests public budgeting as a long-run and short-run process; political decision makers strive to head toward budgetary balance over the long run but are constrained in the short run and follow incremental decision-making. First, the budget equilibrium theory is stated and is used to explain the relationship between revenues and expenditures. Second, the interaction between expenditures and revenues is tested with a vector error correction model for Canada, UK and the US, using annual time series data between 1948 and 2000. The results show that, in the long-run, revenues are the driving force behind the budget in Canada; in the UK expenditures force the budget toward balance. In the short-run, incrementalism occurs in both of these countries. The most interesting finding is for the United States where on-budget revenues and expenditures both push the budget toward balance over the longrun but there is no incrementalism in the process in the short-run. This, of course, is contrary to much of the existing literature.

Since 1997, the Labour Government sought to respond to the dilemmas and consequences of the earlier New Public Management reforms, according to the two principles of joined‐up government and public service delivery. A key aspect of its reform programme has been the public service agreement (PSA) framework, a target‐based performance regime that acts as a vehicle for the majority of spending and policy decisions across government and on the ground. Analysing its implementation and success, the article suggests that, in theory, the PSA regime provides an important example of steering at a distance as a form of political leadership, wherein the role of the centre is to provide the strategic framework for policy delivery. However, there are several structural constraints that have impeded the effectiveness of the framework, such as the pervading Whitehall departmental culture, and the tensions between top‐down performance management and devolved autonomy on the ground.

The purpose of this paper is to investigate the sales impact of different types of online word-of-mouth based on their source (user vs critic) and form (structured vs unstructured).

The paper proposed a model by adopting the heuristic-systematic perspective of information processing and tested it using online movie reviews collected from Rotten Tomatoes. A unique dataset was constructed, which matched critic reviews and user reviews with metadata such as box-office sales and advertisement spending for 90 movies. Sentiment information from the textual contents of both user and critic reviews were text-mined and extracted. Data analyses were used to compare the box-office responsiveness of four types of reviews: user numeric ratings, user text reviews, critic numeric ratings and critic text reviews.

Critic reviews and user reviews influence sales through different forms: while user reviews impact sales through their aggregate numeric ratings, critic reviews exert their impact through textual narratives.

This study provides managerial implications to businesses on how to allocate their resources on different social media-related marketing strategies to maximize the economic value of online user-generated information.

The major contribution of this study is to extend the current understanding of the sales impact of online reviews to their textual aspect, as well as investigate how these textual narratives play different roles when offered by critics and users.

Examines the way the public sector and public management evolved in the UK over the last two decades of the twentieth century. Concentrates on the period between 1979 to 1997 when the UK had a succession of Conservative governments, when there was a kind of “arms race” of escalating rhetoric between the right and the left. Attempts to present a balanced account of what actually happened to the UK’s public sector in general. Concludes that public services are still a very large proportion of national life, and that they have not qualitatively altered the share of national resources they consume, the numbers of people they employ or the range of services they offer.

The purpose of this paper is to review the coalition's policy on ageing.

A detailed review of recent government policy towards ageing.

Localism has become increasing important, with reforms to health, planning and care emphasising the importance of localised action. The “nudge” of auto-enrolment will increase the number of people saving for old age.

This policy analysis incorporates a detailed review of recent government policy on ageing.

The over‐the‐counter (OTC) drug market is highly competitive, and consumer advertising is a prominent influence in OTC drug purchase and consumption. Given current marketplace conditions, it is important to summarize OTC drug advertising research. This paper aims to review the state of the public research literature on OTC drug advertising and provide a research agenda derived from the findings.

A literature review was conducted to identify the key themes in OTC drug advertising research and secondary data were collected about the regulation, nature, functions, and scope of OTC drug advertising.

Most pharmaceutical advertising studies have focused on prescription drugs, including the majority of direct‐to‐consumer advertising investigations. OTC drug advertising has received considerably less empirical attention. Since the mid‐1970s, only 24 OTC drug advertising studies have appeared sporadically in the literature. The cumulative findings are interesting and suggestive but dated, fragmented, and incomplete. Though research interest has waned, OTC drug markets and advertising spending have not. Advertising remains a prominent OTC drug purchase and consumption driver, likely spurred on by self‐medication and Rx‐to‐OTC drug switching. The state of the public research, the social and policy implications of self‐medication, and the growing OTC drug market signal that it is time to revisit OTC drug advertising content, processes, and effects.

The paper puts the subject of OTC drug advertising back on the radar of communication, advertising, and pharmaceutical marketing researchers and offers an agenda of research questions derived from the reviewed literature to guide and stimulate future studies.

Increasingly, countries around the world are reforming their traditional ‘special educational needs’ funding models, many of which contradict the overarching principles of inclusive education as set out in the United Nations Convention on the Rights of Persons with a Disability (UNCRPD). There is growing awareness across countries that the way education systems are financed directly shapes the extent to which schools can be inclusive. Spiralling costs have also influenced governments who have begun calling for ‘cost control’ and greater transparency and accountability in how resources are distributed and monies are spent. In Ireland, calls for a more equitable resource model for students with disabilities in mainstream education resulted in the introduction of a new system of funding which removed the need for diagnosis to receive supports. However, since ratification of the UNCRPD in 2018, Ireland's system of special education is being considered for full reform with the possibility of moving to a system of inclusive education and the removal of special schools and classes. This raises the question: can two separate funding streams, one for general education and one for special education ever exist in an inclusive system? Having one funding model for all students, although the logical choice, is the source of much concern among parents and disability advocates, many of whom fear it will lead to children with disabilities ‘falling through the cracks’ and used by government as a mechanism to reduce spending overall.

Performance regimes attempt to bring policy development, service delivery and public assurance into a mutually supportive, coherent and joined-up approach. This chapter sets out a dynamic conceptual model that illustrates how the different parts of performance regimes are configured and how the individual parts interrelate with each other. It identifies the activities relevant to the three core domains of policy development, service delivery and public assurance and shows how they relate to situational and contextual factors, as well as the principle values and behaviour by which public service is conducted in the United Kingdom. This model forms the basis for the evaluations of the specific reforms in the following three chapters.

The aim of this research was to identify the importance of trust as a determinant of participants’ behaviour and the weight of different motivational factors that enhance the amount and the quality of contribution.

Quantitative research methods (online survey of 450 respondents and content analysis of 250 reviews) were applied on a Romanian crowdsourcing platform founded in 2008, with the mission to help potential tourists to take the most informed decision in their travel choices.

The data collected showed that the majority of the active members have a positive outlook over their experience within the community, admitting its trustworthy characteristics. The findings show that most of the top-rated members of the community were not motivated by material rewards such as money or prizes, but rather by socially related factors or by individual factors (positive feedback through comments or acquiring knowledge).

The findings cannot be generalised to other crowdsourcing models, which are subject to different task designs, outcomes, local contexts and even functionalities.

The results of this research can contribute to the design and implementation of customer-centred platforms, which might represent a way of development of organisational communication in the future.

The research posits that individuals’ experience within colloraborative crowdsourcing communities needs to be meaningful, as participants act based on a reciprocity norm, of giving something back to the community which is useful for fulfilling their own information-seeking purposes.

Residents collect information from the electronic health record (EHR) to present during rounds, but this crucial process is understudied. The purpose of this paper is to examine the feasibility of utilizing an EHR embedded time-tracking software to quantify resident pre-round EHR activity and how patient acuity impacts this activity.

This was a retrospective observational study that quantified resident EHR activities (total time spent, tasks performed and patient encounters accessed) during pre-rounds on their pediatric intensive care unit rotation between May 2016 and December 2016. Patient encounters were reviewed to determine resident ownership and critical care resources provided.

Allo 21 eligible participants were included. In total, 907 patient encounters were included to evaluate patient acuity impact. EHR usage per patient encounter (median in minutes (25th, 75th percentile)) was significantly affected by the critical care resources utilized. Total EHR time: both ventilator and vasoactive support (10.54 (6.68, 17.19)); neither ventilator nor vasoactive support (8.23 (5.07, 12.72)); invasive/noninvasive ventilator support (8.74 (5.69, 13.2)); and vasoactive support (10.37 (7.72, 11.65)), p<0.001. Chart review, order entry and documentation EHR times demonstrated similar trends.

Residents spend more time utilizing the EHR to collect data on patients who require significant critical care resources. This information can be useful to determine optimal resident to patient workload. Future research is required to assess this EHR tool’s ability to contribute to physician workflow study.

EHR embedded time-tracking software can offer insights into resident workflow.