Dimensional Publicness and Serving the Vulnerable: Analyses of Specialized Substance Abuse Treatment Programs
研究基于维度公共性理论,分析政治权威的不同维度如何促进专业药物滥用治疗项目为共病、HIV、犯罪和怀孕患者等弱势群体提供服务,发现公共资金和认证是主要推动因素。
The proliferation of market-based public service delivery raises concerns whether the vulnerable are dully served and what mechanisms facilitate to serve them well. Focused on the availability of specialized substance abuse treatment programs for co-occurring, HIV, criminal and pregnant patients, this study adopts the dimensional publicness theory to examine how different dimensions of political authorities facilitate the provision of specialized programs for vulnerable groups. The multilevel analyses indicate that public funding and accreditation are two major dimensions promoting specialized programs. Environmental publicness exercises significant impact, contingent upon statewide policies and facility ownership. Differential effects are found both within and across dimensions, calling for a contingent approach to better understand both the theory and its implications.