Linking Organizational Capacity and Performance: The Case of Probation and Medicaid Reform in California Counties

• 成果类型: Article
• 署名作者: Koerner, Aeric A. H.; Johnston, Jocelyn M.
• 署名单位: American University
• 刊物名称: JOURNAL OF PUBLIC ADMINISTRATION RESEARCH AND THEORY
• ISSN/ISSBN: 1053-1858
• DOI: 10.1093/jopart/muab047
• 发表日期: 2022
• 页码: 702-716
• 关键词: Public management; health-care; implementation; FRAMEWORK; ABUSE; MODEL; state; size

摘要

This article examines whether and how the capacity of a street-level organization moderates its ability to perform effectively in the context of a public program reform. We use the case of California probation departments during the phased implementation of the state's Low-Income Health Program, a major Medicaid reform that offered critical new services for many probation citizens/clients, namely, mental health and substance abuse treatment. We exploit six years of monthly California county-level probation department data to conduct quasi-experimental difference-in-differences analyses. Results indicate that in those counties that had activated the reform, probation departments with greater capacity achieved higher rates of probation completion success when compared to departments with lower capacity. The analysis implies that organizations improved most when departments benefitted from a combination of reform-generated resources and more robust organizational capacity.