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From metaphors to measures: observable indicators of gradual institutional change
Abstract Scholarship on social policy has recently emphasised the importance of gradual processes of institutional change. However, conceptual work on the identification of processes such as drift,Expand
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Informal Caregiving and the Politics of Policy Drift in the United States
  • P. Rocco
  • Political Science, Medicine
  • Journal of aging & social policy
  • 13 January 2017
ABSTRACT Informal caregivers play an increasingly important role in caring for aging Americans. Yet existing social policies that could support informal caregiving have experienced “policy drift,” aExpand
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Caregiver Integration During Discharge Planning for Older Adults to Reduce Resource Use: A Metaanalysis
To determine the effect of integrating informal caregivers into discharge planning on postdischarge cost and resource use in older adults.
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Serving Clients When the Server Crashes: How Frontline Workers Cope with E-Government Challenges
Implementing e-government in the contemporary American state is challenging. E-government places high technical demands on agencies and citizens in an environment of budget austerity and politicalExpand
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The New Politics of US Health Care Prices: Institutional Reconfiguration and the Emergence of All-Payer Claims Databases.
Prices are a significant driver of health care cost in the United States. Existing research on the politics of health system reform has emphasized the limited nature of policy entrepreneurs' effortsExpand
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State Politics And The Uneven Fate Of Medicaid Expansion.
Under the Affordable Care Act (ACA), state governments play a central role in deciding whether millions of low-income Americans have access to Medicaid. During the early years of ACA implementation,Expand
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Implementing health care reform in the United States: intergovernmental politics and the dilemmas of institutional design.
The Affordable Care Act (ACA) was enacted, and continues to operate, under conditions of political polarization. In this article, we argue that the law's intergovernmental structure has amplifiedExpand
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Polarized stakeholders and institutional vulnerabilities: the enduring politics of the Patient Protection and Affordable Care Act.
PURPOSE We conducted a comparative study of how state-level political stakeholders affected the implementation of 3 major reforms within the Patient Protection and Affordable Care Act (ACA). Our goalExpand
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How Intense Policy Demanders Shape Postreform Politics: Evidence from the Affordable Care Act.
The implementation of the Affordable Care Act (ACA) has been a politically volatile process. The ACA's institutional design and delayed feedback effects created a window of opportunity for itsExpand
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