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Helen J. Muller - Public Health in a Retrenchment Era

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    Public Health in a Retrenchment Era
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Public Health in a Retrenchment Era illustrates the political and economic reality of making cutbacks in traditional government-sponsored programs. This book critically examines the issues concerning cutbacks by focusing on Los Angeles County, which has one of the largest public health service systems in the nation, and explains how cutbacks were legitimized and implemented. Muller and Ventriss propose that the retrenchment process offers an opportunity for policymakers and citizens alike to critically examine new choices which may not have existed in periods of fiscal expansion. They criticize the present focus on managerialism and propose an alternative approach. Called the co-possibility model, it enhances a more humane and substantive policy approach in making cutbacks. This model links the citizen, policymaker, and public organization in a new relationship, fostering an environment for policy experimentation and innovation in this retrenchment era.

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Helen J. Muller
Public Health in a Retrenchment Era

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title Public Health in a Retrenchment Era An Alternative to - photo 1
title:Public Health in a Retrenchment Era : An Alternative to Managerialism SUNY Series in Public Administration
author:Muller, Helen J.; Ventriss, Curtis
publisher:State University of New York Press
isbn10 | asin:0873959868
print isbn13:9780873959865
ebook isbn13:9780585068558
language:English
subjectPublic health administration, Public health--Citizen participation.
publication date:1985
lcc:RA427.M77 1985eb
ddc:362.1/068
subject:Public health administration, Public health--Citizen participation.
Page i
Public Health in a Retrenchment Era
Page ii
SUNY Series in Public Administration
Peter Colby, Editor
Page iii
Public Health in a Retrenchment Era
An Alternative to Managerialism
Helen J. Muller and Curtis Ventriss
State University of New York Press
ALBANY
Page iv
Published by
State University of New York Press, Albany
1985 State University of New York
All rights reserved
Printed in the United States of America
No part of this book may be used or reproduced in any manner whatsoever without written permission except in the case of brief quotations embodied in critical articles and reviews.
For information, address State University of New York
Press, State University Plaza, Albany, N.Y., 12246
Library of Congress Cataloging in Publication Data
Muller, Helen J., 1944
Public health in a retrenchment era
(SUNY series in public administration)
Bibliography: p. 145
1. Public health administration. 2. Public health
Citizen participation. I. Ventriss, Curtis, 1950
II. Title. III. Series.
RA427.M77 1985 362.1068 84-16432
ISBN 0-87395-985-X
ISBN 0-87395-986-8 (pbk.)
10 9 8 7 6 5 4 3 2 1
Page v
to our mothers
Thea Muller and Agnes L. Ventriss
and in memory of
Donald E. Ventriss
Page vii
Contents
Tables
ix
Figures
xi
Preface
xiii
1. The Challenge for Public Health
1
Picture 2
Introduction
1
Picture 3
Retrenchment as an Opportunity
2
Picture 4
Brief Historical Overview
4
Picture 5
Values of the Public Health Tradition
12
Picture 6
Human Service Organization Characteristics
14
Picture 7
Contemporary Organizational Issues
18
Picture 8
Contemporary Health Policy
22
Picture 9
Underlying Values of Retrenchment
28
Picture 10
The Challenge
30
2. Retrenchment: A Conceptualization
35
Picture 11
Introduction
36
Picture 12
The Context
36
Picture 13
The Retrenchment Process: A Critique of the Levine Model
39
Picture 14
A Political-Ideological Model of the Retrenchment Process
45
Picture 15
Towards an Alternative Retrenchment Model: A Theoretical Construct
49
Picture 16
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