Employee job satisfaction of public sector professionals: The roles of public safety work and public service motivation

Over the last two decades, public sector organisations in the UK have invested heavily on electronic government (E-Government) projects to transform the services offered to citizens. E-government is seen as an enabler that helps public services to become more efficient, transparent, cost effective and accountable. In this respect the implementation of e-government projects have been influenced by private sector thinking borrowed from New Public Management (NPM) principles. However, the evaluation of e-government under the influence of NPM has been primarily focused on economic and technical outputs whereas its value to citizens has been largely ignored. Furthermore, research shows that many e-government projects have failed to deliver the desired outcomes when influenced by NPM principles. Recent studies have emerged that highlights the significance of public value to understand the broader outcomes of e-government services. The aim of this study is to explore the concept of public value and identify the antecedents that affect value and the consequences of value on e-government. To do so, this study develops a conceptual model grounded on Public Value Theory, DeLone and McLean IS Success Model and Means End Chain Theory combining the disciplines of Public Administration, Information Systems and Marketing. The conceptual model was validated through Structural Equation Modelling (SEM) based on online surveys of 705 users of egovernment services in the UK. The findings have highlighted significant theoretical and practical implications for researchers and policy makers. This research highlights that the key dimensions (services, outcome and trust) of public value theory cannot be validated on their own as they are far too abstract in current literature. Therefore, this study verifies that public value can only be validated by drawing from the multiple fields of Public Administration, Information System and Marketing. From a practical perspective, the study offers policy makers a frame of reference to understand the influence of value on the adoption and re-use of e-government services.

This study is a descriptive study which identifies the variables that inhibit participation by black merchants in a Retail Revitalization Loan Program (RRLP) that utilizes the public/private partnership concept. A sample of fifteen (15) black merchants were administered self-report questionnaires from a population of seventy (70) in Dallas, Texas through the stratified sampling method, utilizing SIC codes. From the response patterns of those surveyed, a Z-value was computed and tested at 1% level of significance, revealing that at least 85% of the black merchants identified conventional underwriting criteria as the primary cause for their lack of participation in the RRLP. Therefore, the null hypothesis was upheld.

New innovation often forces The rise of the sharing economy has created a host of regulatory challenges for both agencies and legislators. Specifically, the ride-sharing and short-term rental industries have faced significant challenges from incumbent industries, lawmakers, and the public. Evaluating the respective policy development of these industries and the strategies of the industry leaders provide a useful lens of analysis.

What are the policy-relevant factors that condition WASH sector performance in Sub-Saharan Africa? Close examination of three case study countries, Equatorial Guinea, Malawi, and Mauritania, reveals interesting insights. Delivery of WASH services is shaped to a large extent by the overall quality and structure of a country’s government. More specifically, having an excessive profusion of policy-making and policy-implementing actors can hinder WASH sector performance. Furthermore, governments may face strong incentives to invest more heavily in providing WASH services to urban areas over rural areas, and to invest more heavily in the water sub-sector than in the sanitation sub-sector. Adequate financing of WASH investment appears to be a necessary but not sufficient condition for performance in both the water and sanitation subsectors. Additionally, monitoring and evaluation appears to be a crucial factor in formulating and implementing effective policies. In the rural water subsector, a country’s institutional setup and technology choice can have a major impact on water source maintenance and operability.

Thesis (LLM (Mercantile Law))--University of Stellenbosch, 2009. / ENGLISH ABSTRACT: This thesis discusses the meaning of public purpose and public interest in s 25 of the Final Constitution. The main question that is asked is: how does ‘public purpose’ differ from ‘public interest’, and what impact did the Final Constitution have on the interpretation and application of the public purpose requirement in expropriation law in South Africa? This question is investigated by looking at how the courts have dealt with the public purpose requirement, both before and during the first years of the constitutional era in South African law, and also with reference to foreign law. The thesis shows that the position has not changed that much yet because the interpretation of this requirement has not received much attention in constitutional case law. The main focus is to show that the reason for the interpretation problems surrounding this requirement is the apparent conflict between the formulation of the public purpose requirement in the Final Constitution and in the current Expropriation Act of 1975. It is pointed out that the efforts that were made to resolve the problem failed because the Expropriation Bill 2008 was withdrawn. Consequently, it is still unclear how the public purpose requirement has been changed by s 25(2) of the Constitution, which authorises expropriation for a public purpose or in the public interest. This apparent lack of clarity is discussed and analysed with specific reference to the different types of third party transfers that are possible in expropriation law. Comparative case law from Australia, Germany, the United Kingdom, the United States of America and the European Convention on Human Rights is considered to show how other jurisdictions deal with the public purpose requirement in their own constitutions or expropriation legislation, with particular emphasis on how they solve problems surrounding third party transfers. In the final chapter it is proposed that the Expropriation Bill should be reintroduced to bring the formulation of the public purpose requirement in the Act in line with s 25(2) and that expropriation for transfer to third parties could be in order if it serves a legitimate public purpose or the public interest (e g because the third party provides a public utility or for land reform), but that expropriation for economic development should be reviewed strictly to ensure that it serves a more direct and clear public interest than just stimulating the economy or creating jobs. / AFRIKAANS OPSOMMING: Hierdie tesis bespreek die betekenis van openbare doel en openbare belang in a 25 van die Finale Grondwet. Die belangrikste vraag is: hoe verskil ‘openbare doel’ van ‘openbare belang’, en watter impak het die Finale Grondwet op die interpretasie en toepassing van die openbare doel-vereiste in die Suid-Afrikaanse onteieningsreg gehad? Die vraag word ondersoek met verwysing na die howe se hantering van die openbare doel-vereiste voor en gedurende die eerste jare van die nuwe grondwetlike bedeling, asook met verwysing na buitelandse reg. Die tesis toon aan dat die posisie nog min verander het omdat die interpretasie van die vereiste in die grondwetlike regspraak nog nie veel aandag gekry het nie. Daar word aangetoon dat interpretasieprobleme rondom hierdie vereiste ontstaan as gevolg van die oënskynlike teenstrydigheid tussen die formulering van die openbare doel-vereiste in die Finale Grondwet en in die huidige Onteieningswet van 1975. Daar word geargumenteer dat pogings om die probleem op te los gefaal het omdat die Onteieningswetsontwerp 2008 teruggetrek is. Dit is daarom steeds onduidelik hoe die openbare doel-vereiste deur a 25(2) van die Grondwet, wat onteiening vir ‘n openbare doel of in die openbare belang toelaat, verander is. Hierdie oënskynlike gebrek aan sekerheid word bespreek met verwysing na die verskillende gevalle waarin eiendom onteien en dan aan derde partye oorgedra word. Regsvergelykende regspraak van Australië, Duitsland, die Verenigde Koninkryk, die Verenigde State van Amerika en die Europese Konvensie op Mensregte word oorweeg om te wys hoe ander regstelsels die openbare doel-vereiste in hulle grondwette of onteieningswetgewing interpreteer, spesifiek ten aansien van die oordrag van eiendom aan derde partye. In die laaste hoofstuk word aan die hand gedoen dat die Onteieningswetsontwerp weer ter tafel geneem moet word om die bewoording van die openbare doel-vereiste in die Onteieningswet in ooreenstemming met a 25(2) te bring. Daar word ook aan die hand gedoen dat onteiening vir oordrag aan derde partye in orde kan wees as dit ‘n geldige openbare doel of die openbare belang dien (bv omdat die derde party ‘n openbare diens lewer of in belang van grondhervorming), maar dat onteiening vir ekonomiese ontwikkeling streng hersien moet word om te verseker dat dit ‘n meer direkte en duidelike openbare belang dien as bloot om die ekonomie te stimuleer of om werk te skep.

<p> Purpose: The purpose of this study is to explain the major barriers to medication access in rural seniors. How seniors access their prescription medications and make choices access helps to explain what seniors consider to be major barriers. This project has five goals: (1) describe what barriers rural seniors perceive that hinder access to their medicines and thus interfere with adherence to prescribed medication regimens; (2) understand what seniors perceive to be facilitators to accessing their prescriptions; (3) learn how or if social support networks play a role in helping rural seniors make decisions about how to use their resources to get their medications; (4) define the process that rural seniors use to move from potential access &mdash; the desire to get their medications, to revealed access &mdash; the actual ability to get their medications; and (5) describe what health care providers believe are the barriers that rural seniors face to getting their medicines. </p><p> Methods: I interviewed 19 low-income seniors in five towns in the San Luis Valley using semi-structured interviews, along with one pharmacist from each of seven pharmacies. A card study was conducted in nine clinics of the Valley Wide and Rio Grande systems. The interviews were coded using the grounded theory method. The card study survey was administered to primary care providers in eight clinics to gauge understanding of elderly patients' potential for barriers to access of medications. </p><p> Results: The primary finding is that poor structural health literacy (SHL) is the major barrier to access of medications, and to healthcare access generally. SHL is a factor in the more widely discussed barriers such as cost and transportation. </p><p> Discussion: SHL increases the chances that seniors will have access to healthcare by helping seniors learn how to take advantage of programs that enhance their ability to afford medications. Public Health agencies must work with community leaders to ensure that seniors are aware of their options for accessing medications, including financial and transportation options.</p>

American cities have proliferated in the post-War era. More than 2,000 new cities were founded between 1950 and 2000. While the history of the local government boom has been documented, research into urban fragmentation has explored why there is no consolidation of metropolitan areas rather than exploring why Americans chose fragmentation initially. This dissertation proposes that individuals create new jurisdictions because individuals prefer to have governments which give them the services individuals desire, even if they could have similar (but not perfect) services cheaper in a larger jurisdiction. Individuals, however, must balance the benefit they get from better fitting cities with the price they must pay to live within the small cities. In the first part of the dissertation, I synthesize the literatures on urban governance and fragmentation with the literature on interest groups. This synthesis builds the argument for conceiving cities as interest groups and contributes a theory of urban behavior as the behavior of organized interest groups. I argue that urban fragmentation should exist anywhere there are urban areas –not only metropolises –and that fragmentation is produced by diversity in the population and constrained by the resources available for the formation of cities. In the second part of the dissertation, I analyze the fragmentation of both metropolitan and non-metropolitan areas to determine what drives fragmentation. I use Poisson regression on 2-period panel data from 1992 and 2002 collected from various public sources. I find that there are differences in the forms of fragmentation in the metropolis and the non-metropolis. In both types of urban settlement, fragmentation is driven by political and population diversity and available resources for forming cities. Legal authority and intergovernmental revenue are particularly important. Finally, I turn my attention to cities’ interactions with each other. I use a survey of Kentucky mayors, fielded with the Kentucky League of Cities, to determine why mayors of different cities to communicate with each other. Using specialized network methods I find that mayor-to-mayor contact is not based on goal and interest similarities as expected, but rather depends on sharing an organization which encourages communication –an Area Development District.

Attainment of greater efficiency in hospital operations has become a goal highly sought after as a result of several factors including skyrocketing costs. The possibility that the different incentives associated with ownership type might affect efficiency has been covered thoroughly in the literature. There are numerous studies comparing for-profit to not-for-profit hospitals or public to private hospitals. Analysis of federal ownership, however, has been less studied. In particular, comparisons involving military hospitals are non-existent, attributed to data availability and an assumption that military hospitals are too different from civilian facilities. This dissertation employs a cross-sectional Stochastic Frontier Analysis (“SFA”) of 2006 data to compare the technical efficiency of military, for-profit, not-for-profit, and other government hospitals, controlling for differences in patients, scope of work, physicianhospital working arrangements, and other structural characteristics. Four model specifications are examined, varying the method of accounting for heterogeneity of case mix. One of the specifications uses a distance function technique to allow for specific inclusion of multiple outputs, namely inpatient and outpatient workload. Results obtained using SFA are validated using Data Envelopment Analysis (“DEA”) and compared with results produced through simple ratio analysis. Estimates of overall technical efficiency ranged from 76% to 80%. The analysis found no significant correlation between ownership category and technical efficiency. Factors found to be significantly correlated with greater technical efficiency include younger average patient age, more female patients, percentage of surgical inpatient work, percentage of circulatory system-based work, accreditation, and having all credentialed physicians (i.e. no physician employees). Pooled-vs.-partitioned analysis showed that military hospitals are indeed different, but not enough to render comparisons meaningless. Data Envelopment Analysis produced comparable individual hospital efficiency scores (correlations of approximately 0.6 between like specifications using SFA and DEA) and comparable average efficiency (~87%). Ratio analysis results were sensitive to the specific ratio analyzed. This dissertation adds to the body of literature on the relationship between ownership and hospital technical efficiency. It is the first comparison of military and civilian hospital technical efficiency.

This thesis describes the development of the idea of an 'obesity epidemic' that figures prominently in contemporary public health discourse. It uses conceptual approaches from Science and Technology Studies and the history of medicine to analyse changing ideas about obesity, particularly as formulated and mobilised by British researchers from the 1960s onwards, to show how excess body weight became understood as a significant public health problem in this period. The thesis begins by describing the post-war refocusing of medical attention in developed countries from infectious diseases, the rates of which are falling, to chronic disease such as heart disease, diabetes, cancer and stroke. Heart disease, in particular, became seen as an 'epidemic'. After World War II, increase research funding by the American government made possible the development of a new research method - the long-term prospective epidemiological study - and a new way of understanding chronic diseases as caused by risk factors such as high blood pressure, cigarette smoking and high blood cholesterol. Excess body weight was includes in this list of risk factors, and so became an object in increased medical attention. The thesis then outlines how a new public health coalition was formed around obesity in the 1970s by British biomedical researchers working on topics in the fields of nutrition, diabetes and coronary heart disease. It describes the development of what I call the 'individual paradigm' of obesity which characterises the condition as an individual problem that leads to heart disease and mechanical complaints and is treatable by weight loss diets. It then describes two key features of British obesity science in the 1980s and 1990s. The first of these is the adoption of the Body Mass Index and the standard cut-off points that are used to define overweight and obesity, which together facilitate the collection and dissemination of data on changes in average body weights, The second is the energy balance model of weight regulation, which served to unify the diverse disciplinary approaches to biomedical research incorporated into this new knowledge, but which could not account for the high rates of failure acknowledged as occurring with conventional treatments such as weight loss diets, anorectic drugs and bariatric surgery. The thesis describes how researchers in the field of obesity science than extended their institutional research to participate in the production of a series of reports for the World Health Organization, including one on the global epidemic of obesity published in 2000. This new platform, combined with data produced by prospective studies, enabled them to disseminate a new understanding of obesity and overweight - what I call the 'environmental paradigm' - which characterises it as a global health problem associated with an increased risk of many diseases and caused by structural factors such as inappropriate diet and sedentary lifestyles. Despite refocusing attention of structural determinants of ill health, however, public health experts were constrained by considerations of political practicality and commercial interest when calling for preventive measures in the areas of diet and physical activity. The thesis concludes by considering the different ways in which scholars have theorised the epidemiological transition from infectious to chronic disease. Drawing on approaches from the health inequalities literature, it argues that the conventional framings of chronic disease epidemiology have tended systematically to obscure structural links between obesity and other forms of diet-related ill health on the one hand, and relative poverty on the other.