Inaccurate forecasts of operating expenditures during the planning phase for new Light Rail Transit (LRT) projects in the United States underestimated future costs by up to 45% (Pickrell, 1989). When operating expenditures exceeded projected levels, local transit agencies often reduced public transit services to operate within their respective annual budgets. Therefore, it is imperative for transit agencies to produce reasonably accurate planning estimates to secure sufficient funding to support future operations, maintenance, and service delivery associated with LRT systems. The research aimed to develop a more accurate LRT operating expenditure predictive model to be used during the planning stage. Traditional statistical analysis and various machine learning-based algorithms were utilized with input from 22 LRT systems in the United States spanning between 2008 to 2018 from various U.S. governmental public databases. This praxis extended the current state of practice that relied primarily on sum of unit-cost estimates (also known as the unit-cost method) which generally failed to produce accurate forecasts due to lack of engineering details at the planning stage. Existing research attempted to develop regression-based methodologies using system-based attributes but did not substantially increase prediction accuracy from using the unit-cost method. The research improved current practices and research by having developed a more accurate and replicable machine learning-based predictive model using available geographic, socio-economic and LRT system-related variables.

Migration policy and its role in implementation of population development strategy of the Republic of Kazakhstan Abstract This work addresses the issues of migration policy and its role in population development of Kazakhstan. Migration and demographic development of the Republic of Kazakhstan had become prominent subjects of strategic policy under the new geopolitical reality and socio-economic development since the early 1990s. The intensive outflow of population during this period resulted in change of different quantitative as well as qualitative population characteristics. At the same time, the ethno-demographic disproportions maintained in the previous decades speeded up the "nation-building" process which was represented namely by policy on ethnic return migration. Thus, under these circumstances migration and demographic policies were placed among the priority issues of national security of the RK. In this contexts, the analysis presented in the submitted disseartion displays the effect of migration flows on demographic, socio- economic and ethnic composition of population. It considers the effect of policy measures on managing migration processes. The thesis finally analyzes the role of migration policy in demographic development of the country which has been closely connected with the strategic...

In this paper, regional allocation of capital expenditure in environmental sphere from the European cohesion policy is analysed. The analysis was performed for the projects financed during 2004-2006 programming period. Based on the comparison of estimated and actual intensities of support (proportion of the total allocation of 22 billion CZK), it was found that the relatively highest intensities of support were allocated to the regions with the medium-quality environment (Liberec region, Central Bohemia, Central and South Moravia), while the relatively lowest intensities of support were allocated to the regions with the lowest- or low-quality environment (Moravian-Silesian region, Ústí nad Labem region, Karlovy Vary region). The analogous conclusions resulted from an analysis of the relative positions of selected types of regions in the overall allocation of capital expenditure, because the metropolitan regions, national parks and protected landscape areas obtained relatively higher intensities of support and, vice versa, the structurally and environmentally affected regions obtained lower intensities of support. The findings of our research allow to conclude that the regional distribution of capital expenditure from public sources was in a contradiction with the strategic objectives of both the...

This research sought to ascertain the extent to which providing public sponsored health insurance (PSHI) to previously uninsured Mexican-American Hispanics improves health outcomes among those requiring ongoing treatment to control diabetes. Prior research utilizing insurance access theory; access, equity, and health outcome interrelationship theory; health affordability theory; and financial and resource burden theory suggests the uninsured receive less care than the insured, with delayed treatment, leading to chronic conditions. This research tested each of those major theoretical constructs into a blended conceptual framework based on the notion that providing health insurance helps alleviate the disabling effects of diabetes among this population. This study used an unobtrusive, longitudinal, one group pretest-posttest design. Research questions were designed to measure the strength of the relationship between PSHI and patient health outcomes using physical examination data, laboratory results, and diagnosis of 712 diabetic patients with 5,300 medical visits over 3 years before and after enrolling for PSHI. Logistic regression was used to analyze data related to age, gender, time enrolled in PSHI, and service location relative to health outcomes. Findings support the theories that accessibility increases with the provision of health insurance but also show that health outcomes do not improve after enrollment in a PSHI. This study contributes to the body of knowledge in public health policy and administration by quantifying the strength and significance of the relationship between health insurance and health outcomes and effects positive social change by measuring the effectiveness of legislation providing the uninsured with health insurance in order to improve health outcomes.

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Within the field of public health, there has been increasing interest in the factors that influence national priorities in health in low- and middle-income countries (LMICs), where resources are often particularly scarce and decision-making processes are often ad- hoc. Understanding how priorities are set in these countries necessitates a look at the process concealed in the black box that transforms policy inputs into outputs. However, rigorous health policy analysis of macro-level priority setting in LMICs is rare. Using a case study approach, this thesis explores the drivers of priority for primary health care, sanitation and HIV/AIDS over the past five decades in Barbados. To do this I use process tracing techniques, drawing on analysis of public expenditure on health from 1960 to 2010, in-depth interviews with key policy actors, non-participant observation, archives, media reports, parliamentary records and other documents. I argue that powerful individual policy actors or 'policy entrepreneurs' act as necessary drivers of macro-level priority setting in Barbados, although they do not single- handedly determine the outcomes. In particular, I find that these actors are successful in generating priority when they are able to propagate powerful framing ideas and can effectively navigate the policy context by seizing windows of opportunity and managing negative constraints. Moreover, because resources are scarce, their ability to mobilize external financial support is also important. In particular, this thesis stresses the fact that allocating public resources for health is a political process and suggests that it is best explained by considering a set of interrelated factors. In doing so, it illustrates the utility of health policy analysis in helping to open the black box of macro-level priority setting in LMICs more broadly.

This thesis explores the implications of democratisation on the regulation of health care providers. It examines the reforms in relation to two regulatory policies in the pharmaceutical market of the National Health Insurance (NHI) in South Korea – the separation of prescribing and dispensing (SPD) and the pharmaceutical pricing policy – conducted in two periods – the 1980s under the authoritarian regime and the 1990s under the democratised regime. The misuse and overuse of drugs had long been recognised as a problem for the NHI, and the tight regulation of the SPD and pharmaceutical pricing as potential solutions. Democratisation seems unlikely to tighten the government’s regulation of the SPD and pharmaceutical prices. On the one hand, the Korean authoritarian regime was known as being capable of conducting top-down regulation of societal groups, and democratisation as having liberalised the government-society relationship. On the other, pharmaceutical regulation is a sophisticated and detached issue, which restricts the ability of laypeople to mobilise and exert bottom-up pressure for regulation. Nevertheless, the authoritarian government failed to tighten, and even loosened these regulations, whereas the democratised government tightened them. This thesis explains this puzzle by focusing on the features of the agenda-setting process and the articulation of policy issues therein. In the 1980s, the SPD and the pharmaceutical reimbursement pricing policy were administrative issues, discussed exclusively between bureaucrats and the central associations of health care providers, which resulted in loose regulation. In contrast, in the 1990s, reform-oriented professionals and NGOs raised these issues and put them on the political agenda, which motivated the government to conduct tighter regulation. This thesis suggests some general implications of democratisation on the politics of regulation. The hierarchical and exclusive authoritarian policy network aims to realise policy goals set by ruling elites; however, for other policy issues, societal partners can utilise this network to promote their preferred policies. Democratisation, which promotes competitive elections and political rights, allows previously excluded policy actors to participate in policy-making networks. These new actors include professionals and activists who are able to understand regulatory issues and articulate them in ways that are salient to politicians and the general public, which will motivate the government to tighten the regulation governing its traditional policy partners.

This thesis analyses China's national identity construction and its foreign policy implications especially towards Japan and the United States during the Hu Jintao period 2002-2012. The vast literature on China's rise takes “rising nationalism” in China as one of the key indicators of increased likelihood for aggressive behaviour in the future. This work problematizes some of the simplified assumptions made in this literature by emphasising the domestic context from which foreign policies rise. I argue that culture specific values deriving from national identities shape attitude structures and affect the whole thinking and conceptualisation related to foreign policy with wide-ranging consequences. Thus, in this research national identity is operationalised through values and attitudes deriving from it. With empirical evidence, I show in my thesis that most things discussed as "nationalism" in China studies literature can be analytically separated into at least two components, each with different foreign policy relevant correlates. Analysing two sets of survey material with statistical methods I show that the type of national attachment in China constrains foreign policy preferences in a different way than often assumed in the literature: "patriots" support an internationalist stance in contrast to "nationalists" who favour more assertive behaviour towards Japan and the US as well as generally protectionist economic policies. In addition to analysing the associations between core values and foreign policy preferences, I also provide other examples of cultural factors shaping Chinese foreign policy context including the role of historical legacies and their political use, and the role of the media in the formation of foreign threat perceptions and foreign policy preferences. The need to better understand these national identity dynamics is emphasised because of the ongoing pluralisation of Chinese foreign policy establishment, which gives more space to domestic input from various levels of society.

This thesis presents an empirical investigation into substance use, situational characteristics and sexual outcomes in men who have sex with men (MSM) motivated by the high rates of substance use in MSM; the association between substance use and sexual risk behaviours in MSM; the lack of specific theory addressing relationships between substance use, sexual interactions and social interactions between MSM; and the need for clearer understandings of encounter-level associations with sexual risk. Qualitative metasynthesis. This thesis begins with laying the methodological groundwork for a qualitative metasynthesis that theorises the relationship between substance use and social spaces in MSM, with a particular focus on sexual outcomes. The qualitative metasynthesis derives the key organising perspective of ‘littoral spaces’ in which substance use is associated with a pre-planned, though temporary, escape from the boundaries of everyday life to engage in maximal sensory exploration, including through sexual contact. <b>Systematic review of multiple-event analyses. The thesis then turns to a systematic review of previous quantitative multiple-event analyses examining associations between situational characteristics and sexual outcomes, which establishes the need for additional multiple-event analyses addressing specific substance use, location of sex, partner serodiscordance and partner type. Multiple-event analyses. Finally, informed by the qualitative metasynthesis and the systematic review of event-level analyses, this thesis presents multiple-event analyses addressing unprotected anal intercourse (UAI), pleasure and control as sexual outcomes in MSM in England. These analyses found that substance use was associated with greater odds of UAI and pleasure, but not with control, and that non-private locations of sex were associated with decreased odds of UAI and pleasure, but not control. Furthermore, there was sparse evidence of interactions between respondent and partner substance use and between respondent substance use and location of sex in associations with sexual outcomes. These analyses contribute to understandings of associations between substance use, situational characteristics and sexual risk behaviour by presenting the first known analyses on MSM in England and by examining sexual outcomes besides UAI.