Public–private partnerships (PPPs) are growing in popularity as a governing model for delivery of public goods and services. PPPs have existed since the Roman Empire, but their expansion into traditional public projects today raises serious questions about public accountability. This article examines public accountability and its application to government and private firms involved in PPPs. An analytical framework is proposed for assessing the extent to which PPPs provide (or will provide) goods and services consistent with public sector goals of effectiveness, efficiency, and equity. Six dimensions—risk, costs and benefits, political and social impacts, expertise, collaboration, and performance measurement—are incorporated into a model that assists public managers in improving partnerships’ public accountability.
The public sector has multiple, conflicting, and often intangible goals. It produces "public goods" for problems that should be solved (like crime and poverty), even though these problems may have no known feasible solutions; and it is heavily impacted by politics and bureaucratic red tape. These and other features of the public sector make it potentially a much different setting for IS management than the private sector. This article reports on the first national survey of public sector managers identifying their most important IS issues. The survey, covering respondents from federal, state, and local governments, drew upon prior survey research in the private sector and the literature on pubiic/private sector differences.
The increase in repositioning error of patients with low back pain during flexion implies that some aspects of proprioception are lost in patients with low back pain. The decrease in repositioning error in patients with low back pain in extension is not as easily explained, but could possibly be caused by increased activation of mechanoreceptors in facet joints.
A corticosteroid injection does not provide a clinically significant improvement in the outcome of LE, and rehabilitation should be the first line of treatment in patients with a short duration of symptoms.
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