Continuity and Change in Public Policy and Management by Christopher Pollitt

By Christopher Pollitt

'This lucid, vibrant and clever e-book on 'continuity and alter' in coverage and administration via Pollitt and Bouckaert follows within the footsteps of Pollitt's prior publication at the factor of time, an essential yet frequently missed factor. within the current e-book the point of interest is on comparisons: Britain and Belgium, hospitals and police, nationwide and native, and comparability through the years. back conceptually wealthy, this booklet makes you're thinking that. the easiest a ebook can do.'
- Walter Kickert, Erasmus collage Rotterdam, the Netherlands

Continuity and alter in Public coverage and Management bargains a huge reconsideration of styles in long term policymaking and organizational swap. Christopher Pollitt and Geert Bouckaert use foreign and inter-sectoral comparability to problem a few at the moment stylish types of policymaking.

Combining concept improvement, overseas comparability and unique case research research, of Europe s top public coverage and administration students observe and boost a number of the major versions of coverage switch and supply a revealing long term view of coverage advancements for the reason that 1965. Drawing on an intensive programme of elite interviews and documentary research they supply an built-in therapy of nationwide and native policymaking in significant public companies - sanatorium care and the police - in England and Belgium. This well timed ebook addresses the 'paradigm wars' in public coverage, arguing for a nuanced intermediate place that demanding situations the orthodox and the post-modernists alike.

This interesting center ebook can be hugely sought via complicated scholars and teachers in public management, public administration, executive, comparative politics or public coverage classes. it's going to additionally turn out to be a big software for college kids in police reports and healthcare administration.

Contents: Preface; 1. conception and technique in Comparative reports of Organizational swap; 2. nationwide Reforms: The Belgian and English Regimes; three. nationwide Reforms: Hospitals; four. nationwide Reforms: Police; five. nationwide Reforms: Intersectoral comparability; 6. What occurred in the community? Hospitals; 7. What occurred in the community? Police; eight. Reflections on Theories of switch; nine. Reflections on Doctrines of comparability; Appendix: The Brighton-Leuven venture; References; Index

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For the first 15 years there was very little new building, but from the mid-1960s onwards there were a series of attempts to close down small, old or inconveniently placed hospitals and replace them with a more planned, efficient system. Later, as medical techniques advanced, average lengths of stay began to fall, and conditions which had once required inpatient treatment could now be handled by primary care doctors or on an outpatient basis. 1). The number of separate sites offering hospital services also declined – from 2063 in 1978 to 1624 in 1990/91 (surprisingly, figures for sites are not available since then, because the statistics are collected by trust, and many trusts have more than one site – Hensher and Edwards, 1999).

To begin with, Belgium is often completely absent from comparative texts – it seems to appear much less often than other small countries such as Denmark or Sweden or the Netherlands. In addition, when it does appear, it is usually labelled as a slow-mover, a polity which is so institutionally complex and so locked into elaborate consensualist processes by its internal linguistic divisions that it finds it hard to act dynamically or decisively. , 2006). Thus, in mainstream comparative politics texts, Belgium is (or at least used to be) deemed to be highly consensualist and corporatist, almost in the opposite corner from the UK in most diagrammatic representations (Lijphart, 1984, 1999).

2004, p. 2). This has been a Stalactite-type process, by which the average hospital of 2005 was much bigger than its average 1965 counterpart. Patients come and go more quickly and, on average, the inpatients have become sicker (because lesser conditions can now be effectively dealt with in communitybased facilities or on an outpatient basis). And the technology inside the hospital’s doors has been transformed, with all sorts of consequences for staffing and training and financial outlays. In both countries governments have felt obliged to try to control the spread of the most expensive items of new medical technologies, both to limit expenditure and to try to ensure a balanced geographical spread.

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