Factors Influencing the Propensity to Contract out Health and Human Services in Response to Government Cutbacks: Evidence from US Counties
<p>Government agencies worldwide have faced budget cutbacks. Possible effects of budget cutbacks on the propensity to contract out have been discussed repeatedly; however, empirical evaluations are lacking. This study tests the contingency theory regarding the main factors that influence the p...
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Format: | Article |
Language: | English |
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Babes-Bolyai University, Cluj-Napoca
2019-10-01
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Series: | Transylvanian Review of Administrative Sciences |
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Online Access: | https://rtsa.ro/tras/index.php/tras/article/view/606 |
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author | Min-Hyu Kim |
author_facet | Min-Hyu Kim |
author_sort | Min-Hyu Kim |
collection | DOAJ |
description | <p>Government agencies worldwide have faced budget cutbacks. Possible effects of budget cutbacks on the propensity to contract out have been discussed repeatedly; however, empirical evaluations are lacking. This study tests the contingency theory regarding the main factors that influence the propensity to contract out health and human services in response to fiscal stress: cutback levels, training and development, political factors, diversity as a goal, and the role of unions. The empirical analyses used a nationwide survey of health and human services directors in United States (U.S.) county governments, merged from different sources. The findings suggested that managers’ perceptions of cutback levels are a vital predictor of the propensity to contract out health and human services, and multiple factors have varied influences on their decision to do so in cutback situations. Implications for effective contracting strategies to maintain health and human service delivery, as well as preserving a balanced budget, are discussed.</p> |
first_indexed | 2024-03-11T11:47:02Z |
format | Article |
id | doaj.art-ec79bc83f60b47eaa1dd374fd5e08b07 |
institution | Directory Open Access Journal |
issn | 1842-2845 |
language | English |
last_indexed | 2024-04-25T00:00:57Z |
publishDate | 2019-10-01 |
publisher | Babes-Bolyai University, Cluj-Napoca |
record_format | Article |
series | Transylvanian Review of Administrative Sciences |
spelling | doaj.art-ec79bc83f60b47eaa1dd374fd5e08b072024-03-14T07:28:37ZengBabes-Bolyai University, Cluj-NapocaTransylvanian Review of Administrative Sciences1842-28452019-10-011558658410.24193/tras.58E.5624Factors Influencing the Propensity to Contract out Health and Human Services in Response to Government Cutbacks: Evidence from US CountiesMin-Hyu Kim0Assistant Professor, School of Public Affairs, Arizona State University, Arizona, United States; The Hainan University-Arizona State University Joint Tourism College, Hainan University, Hainan Province, China<p>Government agencies worldwide have faced budget cutbacks. Possible effects of budget cutbacks on the propensity to contract out have been discussed repeatedly; however, empirical evaluations are lacking. This study tests the contingency theory regarding the main factors that influence the propensity to contract out health and human services in response to fiscal stress: cutback levels, training and development, political factors, diversity as a goal, and the role of unions. The empirical analyses used a nationwide survey of health and human services directors in United States (U.S.) county governments, merged from different sources. The findings suggested that managers’ perceptions of cutback levels are a vital predictor of the propensity to contract out health and human services, and multiple factors have varied influences on their decision to do so in cutback situations. Implications for effective contracting strategies to maintain health and human service delivery, as well as preserving a balanced budget, are discussed.</p>https://rtsa.ro/tras/index.php/tras/article/view/606contracting outcutback managementlocal governmenthealth and human services. |
spellingShingle | Min-Hyu Kim Factors Influencing the Propensity to Contract out Health and Human Services in Response to Government Cutbacks: Evidence from US Counties Transylvanian Review of Administrative Sciences contracting out cutback management local government health and human services. |
title | Factors Influencing the Propensity to Contract out Health and Human Services in Response to Government Cutbacks: Evidence from US Counties |
title_full | Factors Influencing the Propensity to Contract out Health and Human Services in Response to Government Cutbacks: Evidence from US Counties |
title_fullStr | Factors Influencing the Propensity to Contract out Health and Human Services in Response to Government Cutbacks: Evidence from US Counties |
title_full_unstemmed | Factors Influencing the Propensity to Contract out Health and Human Services in Response to Government Cutbacks: Evidence from US Counties |
title_short | Factors Influencing the Propensity to Contract out Health and Human Services in Response to Government Cutbacks: Evidence from US Counties |
title_sort | factors influencing the propensity to contract out health and human services in response to government cutbacks evidence from us counties |
topic | contracting out cutback management local government health and human services. |
url | https://rtsa.ro/tras/index.php/tras/article/view/606 |
work_keys_str_mv | AT minhyukim factorsinfluencingthepropensitytocontractouthealthandhumanservicesinresponsetogovernmentcutbacksevidencefromuscounties |