Accountability: Understanding the effect of governance structures on land ambulance services in Ontario, connected by Consolidated Municipal Services Management (CMSM) agreements
Pourquoi ce travail est dans la base
Une base qui oublie comment elle a trouvé un travail ne peut pas être vérifiée. Voici les voies qui ont admis celui-ci.
Notice bibliographique
Résumé
Ontario has seen significant changes across the municipal landscape, including the realignment of service responsibilities. One of the products of this realignment was the introduction of the CMSM program in 1998, which saw local municipalities take on the responsibilities for many services, including land ambulance. Land ambulance is an important life-saving service (Aringhieri et al. 2017). Decision-makers must ensure that such services must be delivered with optimal performance. As a public service in Ontario, this includes democratic performance. Crucial to the anchorage of democratic performance is accountability. Accountability is a transaction of information, dialogue, and rewards/sanctions (Brandsma and Schillemans 2012). It is an important component of democracy. While much attention has been paid to accountability at the provincial and federal levels, there is a growing body of research into accountability at the local level (Spicer 2017; Arnbuckle 2018). This study aims to contribute to this growing body of literature by considering the vital service of land ambulance and the unique institutions of city-county separation along with the imposed CMSM program. By asking the question “In areas where city-county institutions are established, to what extent is the accountability gap in land ambulance services agreements effected by the governance model of the service provider”, this study contributes to the empirical data around accountability, inter-municipal agreements, and SPBs. Through a quantitative test and description, this paper first quantifies the extent of accountability in 13 city-county services, confirming that while land-ambulance services generally perform well, governance structures do correlate with improved performance. Additionally, using a comparative case study, this study qualitatively describes the findings in two similar municipalities with different governance structures, supporting the GAT findings and describing how municipalities can improve their accountability. In sum, this paper finds that in the 13 agreements/services studied, SPB governance structures have superior performance to direct and contract delivery. However, partnerships that have or can produce annual reports, create clear complaints processes, establish joint committees (or boards) with representation from all partner municipalities, do correlate with a strong performance in accountability.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle