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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Main Author: Min-Hyu Kim
Format: Article
Language:English
Published: Babes-Bolyai University, Cluj-Napoca 2019-10-01
Series:Transylvanian Review of Administrative Sciences
Subjects:
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>
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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