Handbook of American Public Administration
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Handbook of American Public Administration

Edited by Edmund C. Stazyk and H. G. Frederickson

The Handbook of American Public Administration draws on the expertise of established and emerging scholars to provide national and international audiences a comprehensive review of the current state and future direction of theory and practice in US public administration. The authors provide a cross-disciplinary, holistic review of the field and pave an agenda for future research.
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Chapter 30: Using fs/QCA to understand the role of organizational structure in public health policy

Rebekah L. St. Clair and Kimberly R. Isett

Abstract

The purpose of this study was to determine the characteristics of cities, if any, that influence the passage of innovative, progressive health policies in the US. We did this through the application of fs/QCA techniques to data from the National Association of City and County Health Officials, the US Census, a database of the structure of local governments in the US, and original data collection. We looked at three key health policies in nine US cities (trans-fats reductions, clean fuel transportation policies, and taxes on sugar-sweetened beverages) and determined the most relevant attributes of the civic and policy environment that led to a passage or blockage of those policies. Our results highlight some unique relationships and add more nuance to what the existing literature has already established. In particular, demographic characteristics of top executives, resource munificence, and distribution of authority are found to have compelling results.

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