The structure of bureaucratic decisions in the American states.
A study was conducted to examine the structure of bureaucratic decisions in state Medicaid, and more specifically, to attempt to discern an underlying pattern in Medicaid optional service adoptions across the U.S. during the period from 1985 through 1994. The cumulative, or Guttman, scaling model,...
| Publicado en: | Public Administration Review Vol. 57; pp. 240 - 250 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Wiley-Blackwell
May/June 1997
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=507576587&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 507576587 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00333352 PBA jtl: Public Administration Review issn: 00333352 maglogo: N pubinfo: dt: May/June 1997 vid: 57 pid: 480 pub: Wiley-Blackwell artinfo: ui: 507576587 10.2307/976655 ppf: 240 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P size: 5.2MB tig: atl: The structure of bureaucratic decisions in the American states. aug: au: Schneider, Saundra K. Jacoby, William G. Coggburn, Jerrell D. su: Medicaid Decision making Health policy State governments United States sug: subj: United States Medicaid Decision making Health policy State governments ab: A study was conducted to examine the structure of bureaucratic decisions in state Medicaid, and more specifically, to attempt to discern an underlying pattern in Medicaid optional service adoptions across the U.S. during the period from 1985 through 1994. The cumulative, or Guttman, scaling model, with which the process of adopting services according to their degree of difficulty is consistent, was tested against empirical data. The results indicate that states differ in the degree to which they extend services into more controversial aspects of health care and that their willingness to do so follows a clear cumulative pattern: States initiate more controversial, limited services only after they have already adopted a complete range of services that are extensively acceptable to the public and governmental officials. This cumulative pattern in administrative decisions discloses much about the nature of bureaucratic actions in state-level social welfare programs. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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