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003			OSt
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008			090526s2009 xx ||||gr |0|| 0 eng d
100	1		_aSCHNEIDER, Saundra K _937065
245	1	0	_aThe structure of bureaucratic decisions in the American state
260			_amalden, MA : _bBlackwell Publishers, _cmay/june 1997
520	3		_aThis paper examines the structure of bureaucratic decisions in state medicaid programs. More specifically, the analysis tries to discern an underlying pattern in medicaid optional service adoptions across the american states during the period from 1985 through 1994. These adoptions result from state-level administrative initiatives rather than federal or state legislative actions. The analysis shows that states differ in the extent to which they extend services into more controversial aspects of health care. And their willingness to do sollows a clear cumulative pattern: states initiate more controversial, limited services only after they have already adopted a full range of services that are widely acceptable to the public and governmental officials. This cumulative pattern in administrative decisions reveals a great deal about the nature of bureaucratic actions in state-level social welfare programs. This study also produces an emprirical measure of bureaucratic policy outputs that can be used as an analytic variable in other research efforts.
590			_aPublic administration review PAR
590			_aMay/June 1997 Volume 57 Number 3
700	1		_aJACOBY, William G _937066
700	1		_aCOGGBURN, Jerrell D _937067
773	0	8	_tPublic administration review: PAR _g57, 3, p. 240-249 _dmalden, MA : Blackwell Publishers, may/june 1997 _xISSN 00333352 _w
942			_cS
998			_a20090526 _b1456^b _cmayze
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c29278 _d29278
041			_aeng