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Related Experiment Videos

Steps to changing state public health structures.

K M Gebbie1

  • 1Columbia University School of Nursing, New York, NY, USA.

Journal of Public Health Management and Practice : JPHMP
|August 5, 1998
PubMed
Summary

State governments seeking to control health care costs may reorganize health agencies. A process model, based on a Washington State case study, aids public health professionals in effective reorganization planning and lobbying for desired public health goals.

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Area of Science:

  • Public Health Policy
  • Health Services Administration
  • Political Science

Background:

  • Growing interest in controlling healthcare costs and improving health service systems.
  • State governments are exploring reorganization of health-focused governmental units.

Purpose of the Study:

  • To link political science and organizational theory concepts into a process model.
  • To aid in planning and supporting the reorganization of executive branch agencies responsible for health.

Main Methods:

  • Case study analysis of the 1989 Washington State Department of Health establishment.
  • Integration of political science and organizational theory.

Main Results:

  • Development of a process model for executive branch agency reorganization.

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  • The model facilitates alignment of reorganization paradigms with public health goals.

    • Conclusions:

    • Public health professionals can utilize this model for more effective planning and lobbying during reorganizations.
    • Ensuring reorganization paradigms align with desired public health outcomes is crucial for success.