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POLICY TERMINATION: A CONCEPTUAL FRAMEWORK AND
APPLICATION TO THE LOCAL PUBLIC HOSPITAL CONTEXT
by
Ke Ye
A Dissertation Presented to the
FACULTY OF THE GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(PUBLIC ADMINISTRATION)
May 2007
Copyright 2007 Ke Ye
Object Description
| Title | Policy termination: a conceptual framework and application to the local public hospital context |
| Author | Ye, Ke |
| Author email | kny@usc.edu |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Planning / Public Administration |
| School | School of Policy, Planning, and Development |
| Date defended/completed | 2006-12-07 |
| Restricted until | Unrestricted |
| Advisor (committee chair) | Elizabeth, Graddy |
| Advisor (committee member) |
Melnick, Glenn Sellers, Jeffrey |
| Abstract | The improvement of government performance requires that government carry out periodical reviews of its policies and terminate those that are inefficient and ineffective. The existing literature nevertheless reveals that the termination process has been severely understudied. The paucity of knowledge has left many important questions unanswered, thus limiting our capability to evaluate and guide government reforms. The consequence is most acutely perceived at a time when governments are struggling to do more with less and more terminations are expected to take place.; The main purpose of this study is therefore to develop an analytical framework of the policy termination process by integrating theories from the policy termination, decision-making and organization theory literature. With an emphasis on local government, this study develops a two-stage model of the termination process: the triggering factors, which include fiscal problems, perceived policy failures and ideological change, and the local decision-making context, which encompasses government structure, policy characteristics, the influence of interest groups and community characteristics. The model is then empirically tested using binary and multinomial procedures with data on California public hospitals over the period from 1981 to 1995. The results of the binary procedure show that state and local fiscal conditions, the local private service market, the organization of interest groups, the size of the beneficiary group, the local commitment to public service delivery, and preference homogeneity are important determinants of policy termination. The multinomial procedure reaches similar conclusions, but further reveals that different termination forms are associated with different sets of factors. More specifically, the conversion decision is affected by state and local fiscal conditions, the organization of anti-termination interest groups, the private service market and local commitment to the target services. The closure decision, however, is affected by local fiscal conditions and the target program's performance. Furthermore, the multinomial results suggest that some factors distinguish the choice of conversion versus closure form. Better operating efficiency, a less developed private hospital service market and a weaker community commitment favor a conversion rather than a closure decision. These findings highlight the importance of the termination form when examining government termination decisions. |
| Keyword | policy termination; public hospital; conversion; closure |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Type | texts |
| Legacy record ID | usctheses-m289 |
| Contributing entity | University of Southern California |
| Rights | Ye, Ke |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | http://www.usc.edu/isd/libraries/services/ask_a_librarian/email/ |
| Filename | etd-Ye-20070222 |
| Archival file | uscthesesreloadpub_Volume23/etd-Ye-20070222.pdf |
Description
| Title | Page 1 |
| Contributing entity | University of Southern California |
| Full text | POLICY TERMINATION: A CONCEPTUAL FRAMEWORK AND APPLICATION TO THE LOCAL PUBLIC HOSPITAL CONTEXT by Ke Ye A Dissertation Presented to the FACULTY OF THE GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (PUBLIC ADMINISTRATION) May 2007 Copyright 2007 Ke Ye |
