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Conditioning State Responses to External Influences: The Role of Internal Moderators in State Adoption of Public Policy Change

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Abstract:

This study proposes that the extent to which external factors influence state policy adoption depends, in part, on internal state characteristics, with external factors consisting of other states and the federal government and internal factors consisting of a particular state’s political, economic, and programmatic circumstances. This insight is grounded in the study of program implementation, which suggests that policy necessarily evolves and adapts to local conditions, and in the study of institutions in sociology, which suggests that intra-organizational factors condition organizational responses to institutional pressures. The relevance of this insight for comparative state policy research is examined by applying mixed modeling techniques to data describing adoption of annual percentage reductions in Medicaid nursing facility per diem rates from 1981-1998. Results indicate that internal conditions favorable to adoption tend to magnify the effects of external influences, whereas internal conditions unfavorable to adoption tend to diminish their effects.

Most Common Document Word Stems:

state (255), nurs (134), polici (128), medicaid (119), adopt (114), intern (104), 1 (98), obstacl (92), home (91), feder (88), resourc (85), neighbor (79), model (73), factor (69), motiv (66), facil (65), reimburs (62), govern (59), influenc (56), institut (54), interact (52),

Author's Keywords:

Comparative, State Politics, Medicaid, diffusion, innovation, implementation, adoption
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Name: American Political Science Association
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MLA Citation:

Miller, Edward. "Conditioning State Responses to External Influences: The Role of Internal Moderators in State Adoption of Public Policy Change" Paper presented at the annual meeting of the American Political Science Association, Hyatt Regency Chicago and the Sheraton Chicago Hotel and Towers, Chicago, IL, Aug 30, 2007 <Not Available>. 2009-05-27 <http://www.allacademic.com/meta/p210615_index.html>

APA Citation:

Miller, E. A. , 2007-08-30 "Conditioning State Responses to External Influences: The Role of Internal Moderators in State Adoption of Public Policy Change" Paper presented at the annual meeting of the American Political Science Association, Hyatt Regency Chicago and the Sheraton Chicago Hotel and Towers, Chicago, IL Online <APPLICATION/PDF>. 2009-05-27 from http://www.allacademic.com/meta/p210615_index.html

Publication Type: Conference Paper/Unpublished Manuscript
Abstract: This study proposes that the extent to which external factors influence state policy adoption depends, in part, on internal state characteristics, with external factors consisting of other states and the federal government and internal factors consisting of a particular state’s political, economic, and programmatic circumstances. This insight is grounded in the study of program implementation, which suggests that policy necessarily evolves and adapts to local conditions, and in the study of institutions in sociology, which suggests that intra-organizational factors condition organizational responses to institutional pressures. The relevance of this insight for comparative state policy research is examined by applying mixed modeling techniques to data describing adoption of annual percentage reductions in Medicaid nursing facility per diem rates from 1981-1998. Results indicate that internal conditions favorable to adoption tend to magnify the effects of external influences, whereas internal conditions unfavorable to adoption tend to diminish their effects.

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Associated Document Available Political Research Online
Associated Document Available American Political Science Association

Document Type: application/pdf
Page count: 47
Word count: 14143
Text sample:
Conditioning State Responses to External Influences: The Role of Internal Moderators in State Adoption of Public Policy Change1 by Edward Alan Miller Ph.D. M.P.A. Assistant Professor of Public Policy Political Science and Community Health and Faculty Center for Gerontology and Health Care Research Brown University Taubman Center for Public Policy Brown University 67 George Street Box 1977 Providence Rhode Island 02912-1977 Office Phone: 401-863-9311 Fax:401-863-2452 Email: edward_a_miller@brown.edu 1 I would like to thank Charlene Harrington and James Swan at
-.037** 11 Neighboring State*Divided Legislature Resource + 0.175* 11 Neighboring State*Unified Legislature Resource + 12 Neighboring State*Administrative Capacity Resource 1 Reference: Weak Elder Advocacy 2 Reference: Weak Nursing Home Industry 3 Reference: Unified Government Indicates significant findings that fell in the direction hypothesized. Blank cells indicate non-significant results *p<.1 ** p<.05 ***p<.01 ****p<.001 (All significant tests reported are one-tailed) 45


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