At present we observe a decreasing role for the state in many areas where it used to be prominent. Amidst severe budgetary cuts, the state and its organs are confronted with ever louder calls for efficiency in public office (`value for money') and public performance. Simultaneously we see in many democratic welfare states the rise of new institutional forms and social organizations responding to new public priorities. Phenomena like privatization and de-regulation, new forms of regulation and self-regulation, and the rise of special issue groups are an expression of this. This book seeks to provide order in some of today's issues and to offer analysis and explanation for selected topics. The book opens with contributions on the importance of concepts of present-day institutional economics interpreting modern governmental behavior and organization. Subsequent chapters deal with new developments in various fields such as environmental management and conservation, political legitimacy, or the new roles for covenants. Audience: This volume will be of interest for scholars in the fields of public service, government studies and adjacent branches of economics, political science and law.

This book examines methods for selecting topics and setting priorities for clinical practice guideline development and implementation. Clinical practice guidelines are "systematically defined statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances." In its assessment of processes for setting priorities, the committee considers the principles of consistency with the organization's mission, implementation feasibility, efficiency, utility of the results to the organization, and openness and defensibilityâ€"a principle that is especially important to public agencies. The volume also examines the implications of health care restructuring for priority setting and topic selection, including the link between national and local approaches to guidelines development.

A new release in the Quality Chasm Series, Priority Areas for National Action recommends a set of 20 priority areas that the U.S. Department of Health and Human Services and other groups in the public and private sectors should focus on to improve the quality of health care delivered to all Americans. The priority areas selected represent the entire spectrum of health care from preventive care to end of life care. They also touch on all age groups, health care settings and health care providers. Collective action in these areas could help transform the entire health care system. In addition, the report identifies criteria and delineates a process that DHHS may adopt to determine future priority areas.

The dual problems of securing access to health care and containing the increasing costs of health care delivery bring the issue of prioritization to the forefront of health care debates. This study discusses the implications and consequences of allocating priorities to certain groups.

This book provides an institutional costs framework for intelligence and security communities to examine the factors that can encourage or obstruct cooperation. The governmental functions of security and intelligence require various organisations to interact in a symbiotic way. These organisations must constantly negotiate with each other to establish who should address which issue and with what resources. By coupling adapted versions of transaction costs theories with socio-political perspectives, this book provides a model to explain why some cooperative endeavours are successful, whilst others fail. This framework is applied to counterterrorism and defence intelligence in the UK and the US to demonstrate that the view of good cooperation in the former and poor cooperation in the latter is overly simplistic. Neither is necessarily more disposed to behave cooperatively than the other; rather, the institutional costs created by their respective organisational architectures incentivise different cooperative behaviour in different circumstances. This book will be of much interest to students of intelligence studies, organisational studies, politics and security studies.

In an attempt to instil trust in their performance, credibility, integrity, efficiency, cost-effectiveness, and good governance, many public organizations are in effect viewing tax-paying citizens as consumers. Little research exists to explore synergies between the market economy, public administration reformation, and their complex bilateral effects. This book takes a timely look at the heightened need for public administration reform as a result of the economic challenges currently faced by nations across the globe. In particular it explores the roles of eGovernment and a citizen-centric focus in this transformation. Public Administration Reform examines several commonly-held assumptions about public administration: the public sector is slow and bureaucratic; government employees are frequently disengaged; and government agencies are sometimes wasteful. eGovernment is proposed as a key tool in the improvement of both public services and reputations of public organizations.