Public administration has undergone a fundamental change in China since Deng Xiaoping initiated a process of openness and reform in the late 1970s. While reform is widespread in Greater China (China, Taiwan, Hong Kong, and Macau), only limited scholarship has been conducted to theorize these changes and empirically document them. This is somewhat surprising given the growing international prominence of China as a major powerhouse in the world economy and a political leader. This symposium seeks to contribute towards building knowledge and evidence on the changing nature of public administration in Greater China. In this article, key themes unique to Greater China are drawn out, the emergent status of public administration scholarship in China is discussed, and the key ingredients of a research agenda are presented.
Economic forecasts play an increasing role in U.S. budgetary and fiscal policies. This paper analyzes the accuracy and bias of economic forecasts prepared by the Executive Branch and Congress. Short-run forecasts by the Executive Branch for the forthcoming year do not appear biased. They are as accurate as private forecasts and the forecasts of the Congressional Budget Office (CBO); they are not sensitive to political factors such as the size of the deficit. At the same time, the accuracy o f Executive branch's short-run economic forecasts has not improved over the period from 1962 to 1984, and the forecasts themselves can be well approximated by simple, single-equation models that use a small number of variables. In contrast to short-run forecasts, long-run economic forecasts of both the Executive branch and CBO are consistently optimistic. The degree of optimism increases with the length of the forecasting horizon and the degree o f fiscal pressure the year in which they are issued. The Reagan Administration's long-run forecasts, while typically optimistic, have not been rosier than those issued under previous administrations.
We use simulations based on a multiequation model of federal budgetary outcomes to assess the Reagan administrations impact on the federal budget during fiscal years 1982–86. Reagan's aggregate budget priorities represent a significant departure from the priorities of prior postwar administrations. The bulk of this shift in priorities had occurred by fiscal 1984. Defense spending and uncontrollable domestic spending were higher, and spending on domestic controllable programs lower under Reagan than they would otherwise have been. The distinctiveness of Reagan's budgetary priorities can be attributed to his tax cuts and—far from a strategy of “starving the budget by reducing revenues”—to a failure to allow fiscal pressures to restrain spending. The model projects that without tax cuts Reagan's predecessors would have spent no less on defense than Reagan. Cutting taxes increased the deficit by about $400 billion cumulatively during fiscal years 1982–86 and reduced expenditures by roughly $30 billion.
Background Long-term deficits in the nursing labor force and high turnover rates are common in the Taiwanese medical industry. Little research has investigated the psychological factors associated with the retention of nursing staff. However, in practice, religious hospitals often provide nursing staff with education in medicine or the medical humanities to enhance their psychological satisfaction. The objective of this study was to explore factors influencing nursing staff retention in their work in relation to different levels of needs. A further objective was to investigate whether medical humanities education was associated with the retention of nursing staff. Methods This study used self-administrated questionnaires to survey nurses working in northern areas of Taiwan. The questionnaire design was based on the six levels of Maslow’s hierarchy of needs. Participation was voluntary, and the participants signed informed consent documents. Self-administrated questionnaires were distributed to a total of 759 participants, and 729 questionnaires were returned (response rate 96.04%). Logistic regression analysis was used to estimate the impact of seniority on nurses’ reported intention to stay after adjustment for nurse characteristics (gender and age). Results In the Pearson correlation analysis, nurses’ willingness to stay was moderately correlated with “physical needs”, “safety needs”, “love and belonging needs”, and “esteem needs” (r = 0.559, P < 0.001; r = 0.533, P < 0.001; r = 0.393, P < 0.001; and r = 0.476, P < 0.001, respectively). Furthermore, nurses’ willingness to stay was highly correlated with “self-actualization needs”, “beyond self-actualization needs” and “medical humanities education-relevant needs” (r = 0.707, P < 0.001; r = 0.728, P < 0.001; and r = 0.678, P < 0.001, respectively). We found that the odds ratios (ORs) of retention of nursing staff with less than 1 year (OR = 4.511, P = 0.002) or 1–3 years (OR = 3.248, P = 0.003) of work experience were significantly higher than that of those with 5–10 years of work experience. Conclusions With regard to medical humanities education, we recommend adjusting training, as the compulsory activities included in the official programs are inadequate, and adjusting the number of required hours of medical humanities education. Tailoring different educational programs to different groups (especially nurses who have worked 3–5 years or 5–10 years in the case study hospital) might improve acceptance by nursing staff.
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