The conditions for state action in Florida's health-care market.
Despite the lack of confidence in government agencies to operate a nationalized health-care system in the United States, government agencies have significantly influenced the distribution and financing of health-care services in the market. Using the State of Florida as a case study, we examine the conditions under which a state health-care agency can consistently influence health-care market arrangements. We examined records from Florida's legislative sessions between 1965 and 1993 focusing on 27 legislative initiatives to involve the state's health-care agencies in the health-care services market. Using Boolean qualitative comparative analysis (QCA), we examined the conditions that facilitated or inhibited legislative policy initiatives for state action in Florida's health-care services market. The cohesiveness of state administrative agency and legislative leadership is of primary importance. Fragmented interests among health-care providers and fiscally legitimate policy positions, whether those of state agencies or health-care providers, are important enabling factors for state action.
Harkreader
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Office of Program Policy Analysis and Government Accountability, Florida Legislature, Tallahassee 32302-1735, USA.
Imershein
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D005161:Facility Regulation and Control / Q000331:legislation & jurisprudence*; D005431:Florida; D006291:Health Policy; D006801:Humans; D007882:Legislation, Hospital; D011050:Policy Making; D011057:Politics; D012040:Regional Health Planning / Q000331:legislation & jurisprudence*; D014481:United States