Silberberg M, Estes C L, Harrington C
Graduate Department of Public Policy and Administration, Rutgers University, Camden, NJ 08102.
Health Care Financ Rev. 1994 Fall;16(1):223-45.
This article examines the political agendas of public sector and organized private sector interests concerned with policies affecting uncertified home care agencies in three metropolitan areas. Using a telephone survey, the study found substantial differences across these groups in both the frequency with which they work on given issues and in some key attitudes. Overall, respondents were most likely to work on policies related to home care quality, and had particularly diverse--and at times conflicting--concerns in this area. Policymakers need to actively solicit the diverse attitudes of key interest groups towards controversial issues in order to understand less dominant perspectives, keep in mind the interconnection of policy issues, and arrive at politically viable solutions to home care policy problems.
本文考察了公共部门以及有组织的私营部门利益集团的政治议程，这些利益集团关注影响三个大都市地区无证家庭护理机构的政策。通过电话调查，该研究发现，这些群体在处理特定问题的频率以及一些关键态度方面存在显著差异。总体而言，受访者最有可能处理与家庭护理质量相关的政策，并且在这一领域有着特别多样——有时甚至相互冲突——的担忧。政策制定者需要积极征求关键利益集团对有争议问题的不同态度，以便理解不太占主导地位的观点，牢记政策问题的相互联系，并找到在政治上可行的家庭护理政策问题解决方案。
