Matching Items (12)
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- All Subjects: public policy
- Creators: School of Public Affairs
- Creators: Corley, Elizabeth
- Member of: Theses and Dissertations
- Resource Type: Text
- Status: Published
Description
In the United States, under the provisions set forth by a policy known as community benefit, nonprofit hospitals receive special tax exemptions from government in exchange for providing a wide range of health care services to the communities in which they are located. In recent years, nonprofit hospitals have claimed billions of dollars as community benefit justifying their tax-exempt status. However, growing criticism by numerous stakeholders has questioned the extent to which the level of community benefit claimed by nonprofit hospitals reflects the exemptions they receive. In addition, a dearth of research exists to understand the relationship between community benefit claims and the impact they have on improving the health of communities. In an effort to better understand the relationship between community benefit claims, tax status, and community health outcomes this study examines the community benefit policies of a nonprofit healthcare system representing hospitals in California, Nevada, and Arizona. It does so by reviewing materials produced by the system, her hospitals, vested stakeholders, and government that have shaped the development, implementation, and assessment of community benefit policy processes. Findings of the study suggest that the majority of nonprofit hospital community benefit claims are consumed by shortfalls reported between costs associated with providing care to Medicare and Medicaid patients and the compensation nonprofit hospitals receive from government. Results of the study also demonstrate that community benefit policies do positively impact the health of communities. However, future community benefit policies need to be refined to include measures that capture the magnitude of community health improvement if the relationship between policy and health outcomes is to be fully realized.
ContributorsMartz, Mark Patrick (Author) / Cayer, Joseph (Thesis advisor) / Glaser, Mark (Committee member) / Corley, Elizabeth (Committee member) / Arizona State University (Publisher)
Created2013
Description
Public risk communication (i.e. public emergency warning) is an integral component of public emergency management. Its effectiveness is largely based on the extent to which it elicits appropriate public response to minimize losses from an emergency. While extensive studies have been conducted to investigate individual responsive process to emergency risk information, the literature in emergency management has been largely silent on whether and how emergency impacts can be mitigated through the effective use of information transmission channels for public risk communication. This dissertation attempts to answer this question, in a specific research context of 2009 H1N1 influenza outbreak in Arizona. Methodologically, a prototype agent-based model is developed to examine the research question. Along with the specific disease spread dynamics, the model incorporates individual decision-making and response to emergency risk information. This simulation framework synthesizes knowledge from complexity theory, public emergency management, epidemiology, social network and social influence theory, and both quantitative and qualitative data found in previous studies. It allows testing how emergency risk information needs to be issued to the public to bring desirable social outcomes such as mitigated pandemic impacts. Simulation results generate several insightful propositions. First, in the research context, emergency managers can reduce the pandemic impacts by increasing the percent of state population who use national TV to receive pandemic information to 50%. Further increasing this percent after it reaches 50% brings only marginal effect in impact mitigation. Second, particular attention is needed when emergency managers attempt to increase the percent of state population who believe the importance of information from local TV or national TV, and the frequency in which national TV is used to send pandemic information. Those measures may reduce the pandemic impact in one dimension, while increase the impact in another. Third, no changes need to be made on the percent of state population who use local TV or radio to receive pandemic information, and the frequency in which either channel is used for public risk communication. This dissertation sheds light on the understanding of underlying dynamics of human decision-making during an emergency. It also contributes to the discussion of developing a better understanding of information exchange and communication dynamics during a public emergency and of improving the effectiveness of public emergency management practices in a dynamic environment.
ContributorsZhong, Wei (Author) / Lan, Zhiyong (Thesis advisor) / Kim, Yushim (Committee member) / Corley, Elizabeth (Committee member) / Lant, Timothy (Committee member) / Jehn, Megan (Committee member) / Arizona State University (Publisher)
Created2012
Description
Homelessness is one of the most visible and tragic problems facing Phoenix today. As Tucson cut its homelessness count nearly in half over the past six years, Phoenix only saw a reduction of 25%. The question remains: what is the best solution for Phoenix to reduce and eventually eliminate homelessness? This paper examined costs and benefits as well as examples in other cities and states of Housing First solutions' effectiveness at reducing the number of people suffering from homelessness. It was found that Housing First solutions, namely Permanent Supportive Housing and Rapid Re-Housing, would be highly effective in combating the homelessness experienced by those in the Phoenix area.
ContributorsGhali, Zakary Hawkes (Author) / Lewis, Paul (Thesis director) / Kilman, Margaret (Committee member) / School of International Letters and Cultures (Contributor) / School of Politics and Global Studies (Contributor, Contributor) / School of Public Affairs (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05
Description
This thesis examines Care Not Cash, a welfare reform measure that replaced traditional cash General Assistance program payments for homeless persons in San Francisco with in-kind social services. Unlike most welfare reform measures, proponents framed Care Not Cash as a progressive policy, aimed at expanding social services and government care for this vulnerable population. Drawing on primary and secondary documents, as well as interviews with homelessness policy experts, this thesis examines the historical and political success of Care Not Cash, and explores the potential need for implementation of a similar program in Phoenix, Arizona.
ContributorsMcCutcheon, Zachary Ryan (Author) / Lucio, Joanna (Thesis director) / Williams, David (Committee member) / Bretts-Jamison, Jake (Committee member) / School of Public Affairs (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05
Description
A sustainability strategy is a distinctive pattern in an organization’s sustainability programs that are designed to encourage individuals and organizations to behave in more sustainable ways. Local governments worldwide have increasingly pursued sustainability strategies to improve their community health and environment by adopting sustainability programs that span a variety of environmental issues and use a diverse set of policy instruments. Despite increasing prevalence of sustainability efforts at the local level, as yet, there has been little understanding of variation in their sustainability strategies and its relationship with environmental performance outcomes. Prior research has mainly focused on the number of programs that local governments adopt and assumed that local governments with more sustainability programs are more likely to improve the environment than local governments with fewer programs. However, local governments’ sustainability strategies require more nuanced understanding about variations in their sustainability programs, in particular across their program design in that a sustainability strategy relates to both quantity and design aspects of programs.
I address these research gaps in three essays that explore the research question of (1) how design features of sustainability programs vary across US local governments, (2) which factors influence variations in program design, (3) how these factors are related to environmental quality outcomes in communities. By assessing US local governments’ sustainability programs, I found that even for local governments that adopt a same number of sustainability programs, they design their programs differently, especially across the breadth of environmental issues that local governments address in their sustainability programs and the breadth of policy instrument that are used in their programs. Findings suggest that pressures from external stakeholders and variations in local governments’ organizational capacities are related to local governments’ decisions to purse different types of sustainability strategies. Finally, I find that local governments that design their programs more comprehensively are likely to have greater environmental performance outcomes in their community. My dissertation expands existing research in a significant way by focusing on the importance of program design and its link with improved environmental performance, thereby providing important implications for distinguishing among local governments’ sustainability strategies.
I address these research gaps in three essays that explore the research question of (1) how design features of sustainability programs vary across US local governments, (2) which factors influence variations in program design, (3) how these factors are related to environmental quality outcomes in communities. By assessing US local governments’ sustainability programs, I found that even for local governments that adopt a same number of sustainability programs, they design their programs differently, especially across the breadth of environmental issues that local governments address in their sustainability programs and the breadth of policy instrument that are used in their programs. Findings suggest that pressures from external stakeholders and variations in local governments’ organizational capacities are related to local governments’ decisions to purse different types of sustainability strategies. Finally, I find that local governments that design their programs more comprehensively are likely to have greater environmental performance outcomes in their community. My dissertation expands existing research in a significant way by focusing on the importance of program design and its link with improved environmental performance, thereby providing important implications for distinguishing among local governments’ sustainability strategies.
ContributorsJi, Hyunjung (Author) / Darnall, Nicole (Thesis advisor) / Corley, Elizabeth (Committee member) / Feiock, Richard C. (Committee member) / Maroulis, Spiro (Committee member) / Arizona State University (Publisher)
Created2016
Description
With more than one third of Americans considered to be obese, obesity is a public health issue in the United States. While obesity is linked to and caused by a number of factors, sugar sweetened beverage (SSB) consumption is a major contributor to increased obesity rates. For the purposes of this paper, SSBs will include any beverage in which sugar is added. This includes juices that are not 100% fruit juice, coffee or tea drinks that are sugar sweetened, energy or sport drinks, and most commonly, soda. Excess sugar in the diet is substantially linked to obesity and negative health effects. SSBs represent the primary source of added sugar in the average American diet. Part I of this paper will discuss obesity as a public health problem and establish the link between consumption of SSBs and poor health effects. Part II will discuss the public policy instrument families and the strengths and weaknesses of each policy approach. Part III will identify current policies specifically focused on curbing SSB consumption. Each policy will be analyzed for efficacy based on available scientific research. Lastly, Part IV will propose new policy alternatives and ways to improve current policies. A final policy recommendation will be presented as an ideal roadmap for policy makers looking to address the link between SSB consumption and obesity.
ContributorsSaria, Matthew Ricardo (Author) / Lucio, Joanna (Thesis director) / Holland, Thomas (Committee member) / School of Public Affairs (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
An in depth look at the rhetoric behind the campus carry debate at the University of Texas at Austin. This thesis researched and examined primary sources from The Daily Texan and The Austin-American Statesman attempting to analyze what was at stake for both sides of the argument and what the most effective rhetorical tool was.
ContributorsBlumstein, Cory Joshua (Author) / Young, Alexander (Thesis director) / O'Flaherty, Katherine (Committee member) / School of Criminology and Criminal Justice (Contributor) / School of Public Affairs (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
Description
This report explores the United States’ continued use of the death penalty and the various costs of maintaining such a policy. This paper aims to investigate issues in the continued use of the death penalty and potential policy alternatives to this inhumane practice. To this end, topics such as constitutional law, crime control, and economic costs associated with the death penalty will be explored. Ultimately, due to patterns of racial and economic discrimination, a lack of evidence for a deterrent effect, the risk imposed on innocent defendants, and the economic cost of maintaining the status quo, it is suggested that the United States, at the very least places a federal moratorium on executions, while simultaneously encouraging states to do the same through the use of grants or mandates designed to lessen the cost of swapping to a life without parole or LWOP system could create on a state’s budget. Additionally, alternatives such as LWOP are explored as a means to address many of the concerns surrounding the death penalty.
ContributorsDoyle, Alexander (Author) / Scholz, Elizabeth (Thesis director) / Harris, Elizabeth (Committee member) / Barrett, The Honors College (Contributor) / School of Public Affairs (Contributor)
Created2023-05
ContributorsCruz, Corinn (Author) / Uebelherr, Joshua (Thesis director) / Gaughan, Monica (Committee member) / Barrett, The Honors College (Contributor) / School of Public Affairs (Contributor)
Created2024-05
ContributorsCruz, Corinn (Author) / Uebelherr, Joshua (Thesis director) / Gaughan, Monica (Committee member) / Barrett, The Honors College (Contributor) / School of Public Affairs (Contributor)
Created2024-05