Reluctant Partners: The Role of Preferences, Incentives, and Monitoring in Program Compliance
研究了七个州初级保健指令执行中影响合规的因素，发现立法资金和医学院领导力是关键，而监督和沟通作用有限。
As devolution of responsibilities from higher-level governments to lower-level governments and nonprofits continues, more and more attention will be focused on implementation, specifically on how to convince reluctant partners to participate fully in program success. In spite of a considerable body of research on implementation, few systematic efforts have been made to examine the predictors of successful compliance. This article provides such an effort, examining five possible predictors to implementation of primary care mandates in seven states. Among key factors in successful implementation of these mandates were legislative funding targeted to the program and practive leadership within the medical schools. Monitoring and oversight were in place in only one state where implementation was judged to have been most successful. The wording of the legislative mandate and communication—often touted as important elements of successful implementation—were not important in these seven states.