The mid-1990s promise to be extremely challenging years as state leaders and institutions struggle to bring accountability and predictability back into their political systems. Faced with continuing budgets troubles, increasing demands for services and a shift of responsibility from the federal to the state level, the American states will be hard pressed to satisfy constituent needs or improve state services. However, the tough times may result in long-term improvement in state government, as administrators streamline agencies, legislators trim inefficient or redundant programs and state leaders generally seek new and cost effective solutions to social and economic problems.
{"title":"The challenge ahead: the state agenda for the coming years.","authors":"D Ryen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The mid-1990s promise to be extremely challenging years as state leaders and institutions struggle to bring accountability and predictability back into their political systems. Faced with continuing budgets troubles, increasing demands for services and a shift of responsibility from the federal to the state level, the American states will be hard pressed to satisfy constituent needs or improve state services. However, the tough times may result in long-term improvement in state government, as administrators streamline agencies, legislators trim inefficient or redundant programs and state leaders generally seek new and cost effective solutions to social and economic problems.</p>","PeriodicalId":79745,"journal":{"name":"The Journal of state government","volume":"65 2","pages":"53-7"},"PeriodicalIF":0.0,"publicationDate":"1992-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20992065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A transformation within the welfare state.","authors":"J A Begala, C Bethel","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79745,"journal":{"name":"The Journal of state government","volume":"65 1","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20991922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The South accepts the challenge.","authors":"T L Copeland","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79745,"journal":{"name":"The Journal of state government","volume":"64 3","pages":"91-3"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20987056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Public data and private doctors: Maine tackles treatment variations.","authors":"R B Keller","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79745,"journal":{"name":"The Journal of state government","volume":"64 3","pages":"83-6"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20987049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Putting a lid on health costs is a job that states can and must tackle. There are many options available and many states are already testing them. But success in this arena will require strong leadership and cooperation among key state officials.
{"title":"Strategies for controlling health care costs. National Governors' Association.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Putting a lid on health costs is a job that states can and must tackle. There are many options available and many states are already testing them. But success in this arena will require strong leadership and cooperation among key state officials.</p>","PeriodicalId":79745,"journal":{"name":"The Journal of state government","volume":"64 3","pages":"88-90"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20987054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Private-public partnerships to expand health care access.","authors":"T Riley","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79745,"journal":{"name":"The Journal of state government","volume":"64 3","pages":"80-2"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20987053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Options for state health policy: alternative benefit designs.","authors":"J Begala, S Kuehn, C Levine","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79745,"journal":{"name":"The Journal of state government","volume":"64 3","pages":"75-9"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20987339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Many elderly, misled by celebrity and door-to-door sales pitches, are buying unneeded medigap insurance policies. With federal regulations unlikely, it is up to states to stop abuses.
{"title":"Celebrities and deceptive ads: Medigap sellers mislead many elderly.","authors":"L E Pearson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Many elderly, misled by celebrity and door-to-door sales pitches, are buying unneeded medigap insurance policies. With federal regulations unlikely, it is up to states to stop abuses.</p>","PeriodicalId":79745,"journal":{"name":"The Journal of state government","volume":"62 3","pages":"111-3"},"PeriodicalIF":0.0,"publicationDate":"1989-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21172380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Undercover investigators found neglect and abuse in nursing homes. Reform followed, but the fight is on-going and some "hell holes" still exist.
卧底调查人员发现养老院存在忽视和虐待行为。改革随之而来,但斗争仍在继续,一些“地狱洞”仍然存在。
{"title":"Long-term care or carelessness? Arkansas cracks down on nursing homes.","authors":"S Clark","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Undercover investigators found neglect and abuse in nursing homes. Reform followed, but the fight is on-going and some \"hell holes\" still exist.</p>","PeriodicalId":79745,"journal":{"name":"The Journal of state government","volume":"62 3","pages":"116-8"},"PeriodicalIF":0.0,"publicationDate":"1989-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21185870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
State regulatory and enforcement policies should preserve hospital competition to help control health care costs and ensure access to quality care.
国家监管和执法政策应保持医院竞争,以帮助控制保健费用,确保获得高质量的护理。
{"title":"Hospital mergers: policy implications for consumers.","authors":"A J Celebrezze","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>State regulatory and enforcement policies should preserve hospital competition to help control health care costs and ensure access to quality care.</p>","PeriodicalId":79745,"journal":{"name":"The Journal of state government","volume":"62 3","pages":"119-20"},"PeriodicalIF":0.0,"publicationDate":"1989-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21165641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}