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Regionalization of fire protection and emergency medical aid services: A comparative case study analysis of economic and socio-political impacts.

机译:消防和紧急医疗救助服务的区域化:经济和社会政治影响的比较案例研究分析。

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摘要

Contracting out of general fund services and programs to regional service producers is often viewed as an opportunity for local governments. The regional distribution of services can produce significant benefits to municipalities seeking reductions in labor and equipment costs, provision of a broader spectrum of services, and expansion of service areas to meet emergent needs.; This dissertation's overarching question is, why? Why is contracting out successful in some cases and unsuccessful in others, and what empirical generalizations and conditions are useful when considering contracting out? Specifically, since two cities of similar populations, budgets, and within the same county contract out fire protection and emergency medical aid services to two different regional service producers, what structural and operational differences exist that affect the outcomes of entering into these contractual relationships?; This dissertation explores and integrates economic and socio-political theory and contracting out practices, explores the benefits and shortcomings of providing an essential public service through a contractual relationship with a regional service producer, and compiles the elements essential for a successful contractual relationship.; The case study analysis focuses on two cities in Oregon that contract out fire protection and emergency medical aid services to regional service producers. Oregon City contracts with Tualatin Valley Fire and Rescue, (TVF&R) and Milwaukie contracts with Clackamas Fire District 1.; This research supports existing literature that contracting out to regional service producers is a viable alternative for providing government services. Core research techniques for conducting this dissertation's case studies consist of open-ended interviews/inquiries, gathering documents and archival records, and this researcher's insights and knowledge as a participant observer.; A Contract Convergence Model is offered as a tool that government managers and organizations can utilize to anticipate and address pertinent economic and socio-political elements linked to successful contract situations. Further, this dissertation identifies key decisions made during the policy-making process by regional service producers, municipalities, and communities. These decisions contributed to successful and discordant contractual relationships.
机译:将普通基金服务和计划外包给区域服务生产商通常被视为地方政府的机会。服务的区域分布可以为寻求减少劳动力和设备成本,提供更广泛的服务范围以及扩大服务范围以满足紧急需求的市政当局带来重大利益。本文的首要问题是,为什么?为什么在某些情况下将外包成功,而在另一些情况下不成功,以及考虑采用什么经验概括和条件?具体来说,由于人口,预算和县域相同的两个城市将消防和紧急医疗援助服务外包给两个不同的区域服务生产商,因此存在哪些结构和运营差异会影响建立这种合同关系的结果?本文探讨并整合了经济和社会政治理论以及外包实践,探讨了通过与区域服务生产者之间的合同关系提供基本公共服务的利弊,并汇编了成功建立合同关系所必需的要素。案例研究分析的重点是俄勒冈州的两个城市,这些城市将消防和紧急医疗援助服务外包给了区域服务生产商。俄勒冈市与Tualatin Valley Fire and Rescue(TVF&R)签订合同,密尔沃基与Clackamas Fire 1区签订合同;这项研究支持现有的文献,即外包给区域服务生产商是提供政府服务的可行选择。进行本论文案例研究的核心研究技术包括不限成员名额的访谈/查询,收集文件和档案记录,以及该研究者作为参与者观察者的见解和知识。合同趋同模型是一种工具,政府经理和组织可以利用该模型来预测和解决与成功的合同情况相关的相关经济和社会政治因素。此外,本文确定了区域服务生产商,市政当局和社区在决策过程中做出的关键决策。这些决定促成成功和不和谐的合同关系。

著录项

  • 作者

    Nakamura, Brian Seichi.;

  • 作者单位

    University of Southern California.;

  • 授予单位 University of Southern California.;
  • 学科 Political Science Public Administration.; Health Sciences Health Care Management.; Economics General.
  • 学位 D.P.A.
  • 年度 2002
  • 页码 141 p.
  • 总页数 141
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 政治理论;预防医学、卫生学;经济学;
  • 关键词

  • 入库时间 2022-08-17 11:46:06

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