Public Health In A Retrenchment Era

Public Health in a Retrenchment Era illustrates the political and economic reality of making cutbacks in traditional government-sponsored programs. This book critically examines the issues concerning cutbacks by focusing on Los Angeles County, which has one of the largest public health service systems in the nation, and explains how cutbacks were legitimized and implemented. Muller and Ventriss propose that the retrenchment process offers an opportunity for policymakers and citizens alike to critically examine new choices which may not have existed in periods of fiscal expansion. They criticize the present focus on managerialism and propose an alternative approach. Called the co-possibility model, it enhances a more humane and substantive policy approach in making cutbacks. This model links the citizen, policymaker, and public organization in a new relationship, fostering an environment for policy experimentation and innovation in this retrenchment era.

Public Health in a Retrenchment Era illustrates the political and economic reality of making cutbacks in traditional government-sponsored programs. This book critically examines the issues concerning cutbacks by focusing on Los Angeles County, which has one of the largest public health service systems in the nation, and explains how cutbacks were legitimized and implemented. Muller and Ventriss propose that the retrenchment process offers an opportunity for policymakers and citizens alike to critically examine new choices which may not have existed in periods of fiscal expansion. They criticize the present focus on managerialism and propose an alternative approach. Called the co-possibility model, it enhances a more humane and substantive policy approach in making cutbacks. This model links the citizen, policymaker, and public organization in a new relationship, fostering an environment for policy experimentation and innovation in this retrenchment era.

Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

First multi-year cumulation covers six years: 1965-70.

We live in an era where many citizens feel increasingly uncertain about their futures, having to deal with stagnant wages, globalization, and wealth and income inequality, while, at the same time, policymakers appear unable or unwilling to reach any viable policy consensus on a wide range of major issues. Public Affairs and Democratic Ideals addresses these vexing conditions and the challenge they pose for public management and administration. Curtis Ventriss argues for reordering intellectual and policy priorities with a focus on publicness and the role of critical democratic thought in public affairs. Too often, the assumptions that underlie the prevailing theory and practice of addressing major political and economic problems remain unquestioned, with economic and political conflicts displaced into issues of administration and leadership. Ventriss calls for a reinvigorated notion of publicness based, in part, on a public social science, civic experimentation, and policies designed and tailored to the unique needs of various publics. As a way to move forward, this book offers ideas for redefining professionalism, promoting civic initiatives, and rethinking professional education for public service.

Most people know what management is but often people have vague ideas about Manageralism. This book introduces Manageralism and its ideology as a colonising project that has infiltrated nearly every eventuality of human society.