000			01233pab a2200193 454500
008			180718b2006 xxu||||| |||| 00| 0 eng d
100			_aIsett, Kimberly Roussin
245			_aSystems ideologies and street-level bureacrats: policy change and perceptions of quality in a behavioral health case system
260			_c2006
300			_ap.217-27.
362			_aMar-Apr
520			_aThis article examines the stability of street-level bureaucrats' negative perceptions regarding a newly implemented managed care system as quality of care and service delivery in a publicly funded behavioral health care system. Overall findings indicate that the generally negative perception of managed care did not differ between staff in the two programs, indicating a weak effect on attitudes of frontline workers. More proximal variables to the caregiver, such as service type and job title, show more influence on attitudes. The conclusion discusses the implications of these findings for practicing administrators and academic researchers. - Reproduced.
650			_aHealth services
650			_aCivil service
700			_aTopping, Sharon
700			_aMorrissey, Joseph P.
773			_aPublic Administration Review
909			_a70436
999			_c70436 _d70436