Despite the profound and pervasive importance of trust in medical settings, there is no commonly shared understanding of what trust means, and little is known about what difference trust actually makes, what factors affect trust, and how trust relates to other similar attitudes and behaviors. To address this gap in understanding, the emerging theoretical, empirical, and public policy literature...

The role of principles in shaping the development of public policy has garnered increasing attention. The authors explore the role of underlying principles in the development of a Canadian National Pharmaceuticals Strategy (NPS), an area in which practical policy development has been disappointing. In analyzing proposed principles for a NPS identified in government documents and by a set of maj...

This paper discusses the importance of institutional knowledge and cooperation in the Danish tourism industry. In Danish tourism there is a need for further development both of products, processes and organisations. As the tourism industry is dominated by SMEs, actors outside the firm may play an import role for future development. The actors outside the firm are a heterogeneous group consistin...

Co-management, in which government and resource users share responsibility for managing a natural resource, is attracting considerable attention in both public policy and common pool resource research. However, little is understood about how this approach arises in a mature regulatory setting, or about its strengths and weaknesses. This study uses the experience of the New Zealand rock lobster ...

When cultural economists look at the public support for the arts, they distinguish between two aspects: the positive issue where one analyses the extent of support by the government, and the normative issue whether or not the arts should be publicly supported and, if so, to what extent. In the second case, the cultural economist desires to inform the public about an appropriate policy, a welfar...

Peter Singer’s ‘Famine, Affluence, and Morality’ appeared in Philosophy and Public Affairs in 1972. It is a thoughtful and direct essay. Singer claims that a certain moral principle is true. He claims that it implies that affluent people such as ourselves ought to give very substantial assistance to the poverty-stricken victims of natural disaster in East Bengal. He goes further; he claims that...

Deliberative democracy emphasizes a process in which political actors listen to each other with openness and respect, provide reasons and justifications for their opinions, and remain open to changing their points of view about public policy problems. Deliberators should be oriented toward mutual understanding, the goal of coming to some level of agreement, and should want to learn the reasons ...

In this article, we argue that when patron-client relations are grounded in economic relationships, such as between landlord and worker, we should expect clientelism to influence not just how public policy, the state, and the political system work, but also how the economy works. We develop a simple model of the economic consequences of electoral clientelism when voting behavior can be observed...

The longitudinal status of supported employment in Finland was examined via a 2003 nationwide survey sent to job coaches involved in supporting workers with intellectual and other disabilities. Sustained supported employment, defined as “paid work in integrated settings with ongoing supports that contained at least two on-site visits per month at the worksite” was identified at 22 organizations...

Eliminating the well-documented health disparities found within the United States population is a laudable public policy goal. Social justice demands that we understand the sources of health inequality in order to eliminate them. A central dilemma is: To what extent are health disparities the result of unequal distribution of resources, and thus a consequence of varied socioeconomic status (or ...