Based on extensive qualitative data, this article explores nonprofit executive and program directors’ knowledge and views of welfare reform, including how their levels of knowledge affect their ability to advocate for clients and to plan proactively. Overall, the findings suggest that the majority of the respondents do not have a comprehensive understanding of the welfare rules. Analyses furthe...

To succeed, health care reform must slow spending growth while improving quality. We propose a new approach to help achieve more integrated and efficient care by fostering local organizational accountability for quality and costs through performance measurement and "shared savings" payment reform. The approach is practical and feasible: it is voluntary for providers, builds on current referral ...

In May of 1992 the Mexican federal government transferred to the 31 states responsibility over basic and teacher education. This decentralization strategy was at the core of an overall educational reform that began in late 1980's. The central government had strong motives to decentralize the educational institution because the highly centralized system was notoriously rigid, inefficient, confli...

Mexico is undergoing profound health reform, extending health insurance to previously uninsured populations and changing the way health care services are delivered. Legislation enacted in 2003 and implemented in 2004 mandated funding and infrastructure that will allow 52% of Mexico's population to access medical care at no cost by 2010. This ambitious social reform has not been without challeng...

INTRODUCTION This study evaluates implementation of the Quebec Mental Health Reform (2005-2015), which promoted the development of integrated service networks, in 11 local service networks organized into four territorial groups according to socio-demographic characteristics and mental health services offered. METHODS Data were collected from documents concerning networks; structured questionn...

Re-denomination was not only a zero dropping and new coin minting operation but also a significant milestone in Turkey. Before the currency reform, multiple zeros had posed several difficulties in expressing monetary values, transactions, bookkeeping and statistical records, data processing software, payment systems, price labels etc. So, removing six zeros from national currency became a ...

This article identifies the leaders, the supporters and the resisters of public service reform. It adopts a principal–agent framework, comparing reality with an ‘ideal’ situation in which citizens are the principals over political policymakers as their agents, and policy-makers are the principals over public service officials as their agents. Reform in most developing countries is complicated b...

The organizational reform of public hospitals is part of the health policy agenda worldwide as a reaction to inefficient and low quality performance in public institutions. A central theme of these reforms is the possibility of improving performance in public settings in corporatized forms i.e. under semiautonomous circumstances. Central and East European countries face the problem of an oversi...

E-government – the use of information and communication technologies in public administrations, combined with proper organizational change and skills development – has become an explicit component of public sector reform, as an instrument increasing efficiency, strengthen competitiveness and enhance modernization. E-government enhances the delivery of improved public services and supports activ...