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Perceptions of Public Health Professionals and Emergency Managers: Using the Institutional Collective Action Framework to Better Understand Coordination during Health Crisis

The objective of this dissertation is to test the Institutional Collective Action framework and examine the governance arrangements during health emergency. Basically, the dissertation argues that due to collaborative risks, transaction costs, barriers to collective action, governance arrangement provides avenues for action and a force for driving coordination across jurisdictional boundaries. The dissertation adopts two studies to investigate the governance arrangements represented by lead agency, emergency plans, Emergency Operation Center and city council mandates and coordination when it comes to health emergencies such as Ebola. The qualitative approach investigates the causal relationship between governance arrangements and coordination. The second study investigates to what extent do formal mechanisms and informal mechanisms affects the outcome of collaboration during a health emergency. This study uses a quantitative research approach to examine the patterns of collaborative arrangement used during health emergency. The findings of the study demonstrate the pattern used in health emergencies is dependent on the application of formal mechanisms represented by higher authority, emergency plans. Both studies indicate that due to collaboration risks, self-governance arrangements or higher authority mandates provides a venue for collective action. The survey data was collected from local, state and federal governments during the summer 2015 on the Ebola virus disease in Dallas Forth Worth region. The findings for the study indicate that due to collaboration risks and inaction by local governments, governance arrangements clear the path to collective action.

Identiferoai:union.ndltd.org:unt.edu/info:ark/67531/metadc1609088
Date12 1900
CreatorsSoujaa, Ismail
ContributorsBenavides, Abraham, Andrew, Simon, Krueger, Skip
PublisherUniversity of North Texas
Source SetsUniversity of North Texas
LanguageEnglish
Detected LanguageEnglish
TypeThesis or Dissertation
Formatvi, 101 pages, Text
RightsPublic, Soujaa, Ismail, Copyright, Copyright is held by the author, unless otherwise noted. All rights Reserved.

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