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作者:Hoflund, A. Bryce; Farquhar, Marybeth
作者单位:Virginia Polytechnic Institute & State University; Agency for Healthcare Research & Quality
摘要:Networks are an increasingly common aspect of administrative life in almost any public policy arena. In health care, networks have emerged in order to address wicked quality problems. One Such network organization, the National Quality Forum (NQF), was created as a response to the fragmentation and information deficit that have plagued the health care industry's efforts to improve health care quality. Its purpose is to bring diverse health care stakeholders from the public and private sectors ...
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作者:Heimer, Carol A.
作者单位:Northwestern University
摘要:If the core problem for decision making is the limited capacity of people and organizations to collect and process information, it is their limited capacity to pay attention that poses the challenge for regulation. Much regulatory activity is thus focused on devising methods for ensuring that organizations and their staff pay attention to the right things. Yet outsiders' claims on attention often are trivialized by insiders because Outsiders make those claims without understanding what will be...
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作者:Hervey, Tamara K.
作者单位:University of Sheffield
摘要:In the face of permanent welfare austerity, the European Union (EU) is increasingly involved in the governance of health care through various new governance tools. This development coincides with a growing interest in modernization of welfare, including health care. One of the fundamental critiques of new governance in the EU context concerns the (perceived) inability of new governance to protect the social against the market in Europe's constitutional settlement. Using multi-level governance ...
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作者:Halpern, Sydney
作者单位:University of Illinois System; University of Illinois Chicago; University of Illinois Chicago Hospital
摘要:New governance scholars see hybrid regulation as a means for achieving regulatory flexibility and responsiveness. The US system for overseeing human subjects research embodies three dimensions of hybridity: it brings together governmental and non-govern mental controls; it combines central and local authority; and it engages a multiplicity of policy actors. Yet this system became rigid 20 years into its development. Sources of rigidity included shifts in the regulatory environment, temporal co...
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作者:Burris, Scott
作者单位:Pennsylvania Commonwealth System of Higher Education (PCSHE); Temple University
摘要:Under US regulations known as the Common Rule, federally-supported human-subject research must be reviewed by an Institutional Review Board (IRB). The Common Rule system from a distance looks like an innovative instantiation of prescriptions for constitutive regulation and soft law, but in practice has grown into a self-referential, unresponsive, and legalistic bureaucracy. This article reviews criticism of the Common Rule. It also discusses why the system fails to regulate in an efficient and...