US State Governments Research Articles

Responsible Practices for Crowdsourced Transcription and Accessibility for Web‐based Library, Archive, and Museum Content

ABSTRACTHundreds of Libraries, Archives, and Museums (LAMs) around the world run crowdsourced transcription projects in order to engage users with their collections. Some LAMs explicitly use crowdsourcing projects to make non‐machine‐readable images of documents, such as manuscripts, discoverable to people who are blind or have low vision. We present findings from Crowdsourced Data: Accuracy, Accessibility, Authority (CDAAA), a 3‐year Institute of Museum and Library Services (IMLS) grant project that investigates whether and how LAMs integrate crowdsourced transcriptions into their discovery systems, and whether these efforts result in accessible web‐content for blind people and those with low vision who use assistive technology to navigate the web. We share research findings as well as practical suggestions for those in charge of crowdsourcing projects, the resulting transcription data, or similar web‐based textual content such as scholarly editions. These research and practice‐oriented findings are relevant to any national or local context where inaccessible images are transcribed, and are especially timely in the US context given recent Federal rule‐making to ensure that all web and app‐based content provided by US State and local governments is accessible, including tools, resources, and content created in‐house, through contracts or by license (2024).

Evidence‐based practices and US state government civil servants: Current use, challenges, and pathways forward

AbstractLeveraging a three‐state survey of 323 civil servants and 36 interviews, representing blue and red states, this university‐government‐nonprofit collaborative research project aims to better understand how civil servants access and use evidence in their decision‐making process. Our findings show that 54% of respondents find evidence‐based practices (EBPs) useful in making budget, policy, and contracting decisions, with 68% of civil servants anticipating future benefits from evidence use. Our hypothetical funding choice experiment indicates that civil servants prefer programs that are more recent and in their state, identify outcomes over outputs, demonstrate effectiveness for diverse demographic groups, and are evaluated by independent research entities. The main challenges in using EBPs include time constraints, resource limitations, decision‐making fragmentation, and lack of evidence for certain communities. Qualitative interviews provide valuable strategies for overcoming these challenges. We conclude this article by offering practical insights for improving the integration of EBPs in state government decision‐making processes.

Uncovering the Results of AI Chatbot Use in the Public Sector: Evidence from US State Governments

The use of artificial intelligence (AI) chatbots in the public sector worldwide has increased in recent years. Despite its increasing use, public administration research in this area faces some limitations. First, much of the current research is theoretical and normative, lacking substantial empirical data to assess the results of chatbots. Second, the specific effects of chatbots on government organization operations and their interactions with the public are not well understood. The purpose of this empirical study is to explore how chatbots influence government operations and their relationship with citizens. We conducted in-depth interviews with officials and employees from twenty-two state agencies in the United States. Leveraging insights from public sector innovation and digital transformation literature, our study reveals various process- and product-related outputs and outcomes within organizations and in government-citizen interactions stemming from chatbot use.

Political Connections and the Effectiveness of US State Government Resource Allocation

Political Connections and the Effectiveness of US State Government Resource Allocation

Quality, Spending, Utilization, and Outcomes Among Dual-Eligible Medicare-Medicaid Beneficiaries in Integrated Care Programs

Most dual-eligible Medicare-Medicaid beneficiaries are enrolled in bifurcated insurance programs that pay for different components of care. Therefore, policymakers are prioritizing expansion of integrated care plans (ICPs) that manage both Medicare and Medicaid benefits and spending. To review evidence of the association between ICPs and health care spending, quality, utilization, and patient outcomes among dual-eligible beneficiaries. A search was conducted of PubMed/MEDLINE (January 1, 2010, through November 1, 2023) and Google Scholar (January 1, 2010, through October 1, 2023) and augmented with reports from US federal and state government websites. Three categories of ICPs were evaluated: Programs of All-Inclusive Care for the Elderly (PACE), Medicare-Medicaid Plans (MMPs), and Fully Integrated Dual Eligible Special Needs Plans (FIDE-SNPs) and related models aligning Medicare and Medicaid coverage. The review included studies that evaluated beneficiaries dually eligible for and enrolled in full Medicaid; compared an ICP to a nonintegrated arrangement; and evaluated utilization, spending, care coordination, patient experience, or health for 100 or more beneficiaries. In all, 26 ICP evaluations met the inclusion criteria and were included in the analysis: 5 of PACE, 13 of MMPs, and 8 of FIDE-SNPs and other aligned models. Evidence generally showed associated reductions in long-term nursing home stays in PACE (3 of 4 studies) and FIDE-SNPs and related aligned models (3 of 5 studies) but was mixed in evaluations of MMPs. Four of 9 studies of MMPs and 2 of 3 studies of FIDE-SNPs found higher outpatient use, although other studies showed no difference. Evidence on Medicaid spending was limited, whereas 8 of 10 studies of MMPs showed an association between these plans and higher Medicare spending. Evidence was mixed or inconclusive regarding care coordination and hospitalizations, and it was insufficient to evaluate patient satisfaction, health, and outcomes in beneficiary subgroups (eg, those with serious mental illness). Furthermore, studies had limited ability to control for bias from unmeasured differences between enrollees of ICPs compared with nonintegrated models. This systematic review found variability and gaps in evidence regarding ICPs and spending, quality, utilization, and outcomes. Studies found some ICPs were associated with reductions in long-term nursing home admissions, and several identified increases in outpatient care. However, MMPs were primarily associated with higher Medicare spending. Evidence for other outcomes was limited or inconclusive. Research addressing these evidence gaps is needed to guide ongoing efforts to integrate coverage and care for dual-eligible beneficiaries.

Inequality, Taxation, and Sovereign Default Risk

Income inequality and worker migration significantly affect sovereign default risk. Governments often impose progressive taxes to reduce inequality, which redistribute income but discourage labor supply and induce emigration. Reduced labor supply and a smaller high-income workforce erode the current and future tax base, reducing government’s ability to repay debt. I develop a sovereign default model with endogenous nonlinear taxation and heterogeneous labor to quantify this effect. In the model, the government chooses the optimal combination of taxation and debt, considering its impact on workers’ labor and migration decisions. Income inequality accounts for one-fifth of the average US state government spread. (JEL D31, F34, H21, H23, H74, J61, R23)

Evolving Disparities in Cannabis Use Among Youth by Demographics and Tobacco and Alcohol Use in the U.S.: 2013–2021

IntroductionThe current study investigated the prevalence of past 30-day cannabis use among US youth by cigarette use, alcohol use, demographics and state-of-residence cannabis legal status in 2021, and examined whether changes in prevalence were modified by these factors from 2013 to 2021. MethodsData were drawn from the 24 states that collected cannabis use data participating in the Youth Risk Behavior Surveillance System (YRBSS) from 2013-2021. Logistic regression analyses estimated past 30-day cannabis prevalence in 2021 and produced adjusted odds ratios (AOR) by current cigarette, alcohol, state-of-residence cannabis legal status. The same method was used with year as the exposure, adjusting for sex, race and ethnicity, to assess trends in prevalence from 2013 to 2021. ResultsIn 2021, cannabis use was more common among female (16.75% vs. 13.83%, AOR=1.26 (95% CI: 1.16, 1.37)), Non-Hispanic (NH) Black and Hispanic youth relative to NH White youth (17.19%, 16.14% vs. 14.60%; AOR=1.25 (95% CI: 1.12, 1.39); AOR=1.16 (95% CI: 1.04, 1.29)), respectively. Cannabis use was much more common among youth who reported any past 30-day cigarette or alcohol use (44.90% vs. 6.48%, AOR=11.80 (95% CI: 10.57, 13.18)). Declines in cannabis use were observed independent of state-level cannabis law from 2013 to 2021 and cannabis use prevalence did not differ significantly by state-of-residence cannabis legal status among the 24 participating states in 2021. ConclusionsPublic health officials should carefully consider the potential differential impact of expanding commercialization of cannabis and US state government endorsement of cannabis as a “wellness” product on youth, especially with regard to co-use with tobacco and alcohol. National and state-level public health education on cannabis use and youth-oriented prevention of cannabis uptake are long overdue.

University contributions to sustainability via state-level climate action plans in the USA

Purpose The purpose of this study was to conduct a preliminary analysis of the role of higher education institutions (HEIs) in state climate science assessment (CSA) and state climate adaptation plan (CAP) development in the USA. Design/methodology/approach This study uses a content review of US state government and land grant (LG) university websites, including 36 CSAs and CAPs. These data informed the development of a tiered conceptual model of HEI engagement in state climate action planning. The conceptual model is evaluated through the lens of coproduction within knowledge networks. Findings HEI contributions to state-level climate action planning in the USA are highly variable, ranging from minimal engagement to defined roles in the development and implementation of robust state CAPs. Novel approaches to optimize effective exchange between scientists and decision-makers that also increase the engagement of academia are needed. Practical implications This study advocates for and provides a replicable example of HEI engagement in the development of mechanisms that increase the connectivity of in-state climate networks. Such mechanisms optimize information sharing and engagement, consequently building sustained capacity for in-state collaboration at the science–policy interface. Originality/value HEIs, particularly LG universities, are a stable source of state-specific climate science and expert assistance that persist beyond national and state political cycles. To the best of the authors’ knowledge, this research is the first to examine their unique contributions to climate science policy development and implementation. It investigates specifically the relationships and interactions between HEIs and state governments in the USA and offers a detailed case study from the state of Maine.

Asahi Kasei joins forum to support decarbonisation in the USA

Multinational Japanese chemical company Asahi Kasei Corp has joined the Japan Hydrogen Forum (JH2F), which was established to support the decarbonisation goals of US federal, state and local governments.

Who has turned the project management lights on? A comparative analysis of transportation and information technology in US state governments

AbstractWe provide a comparative analysis of capital project management for major transportation and information technology (IT) acquisitions in US state governments, focusing on the use of earned value management (EVM). Results indicate that most states have adopted basic reforms, such as establishing project management offices and developing guidelines based on industry standards. However, fewer have implemented reforms with more teeth to them, such as centralized oversight and EVM. We find that states with greater spending are more likely to use EVM but that it is more commonly prescribed for IT than transportation.

Pilgrimage, Precarity, and Pandemics

Pilgrimage, Precarity, and Pandemics

Determinants of cutback management among US state governments: which cutback strategy should be used under certain context

Determinants of cutback management among US state governments: which cutback strategy should be used under certain context

Determinants of cutback management among US state governments: which cutback strategy should be used under certain context

Determinants of cutback management among US state governments: which cutback strategy should be used under certain context

A press(ing) issue: analysing local news coverage of abortion in the US South during the COVID-19 pandemic

In the early days of the COVID-19 pandemic, some US state governments banned abortion due to its allegedly ‘elective’ nature. While these actions were successfully challenged in courts, discussion about the topic may have shaped personal and public opinion. This study aimed to explore the framing of abortion in local newspapers during the onset of the pandemic. Articles regarding abortion were collected from three top circulated local online news publications from three southern US states. Of the states that attempted to block abortions, Alabama, Louisiana and Mississippi were selected for their high non-White populations. Using critical thematic analysis, 77 articles were analysed, and four themes were identified: individual-centric, public health risk, interplay with inequalities, and hierarchical health care. Existing abortion narratives were taken up by different sides of the debate to push political agendas. However, new pro-/anti-abortion justifications were observed, specifically regarding public health concerns during COVID-19. Anti-abortion activists framed abortion provision as a health risk and employed other narratives that likely reinforced gendered, ethnic and socioeconomic power disparities by shifting blame onto abortion seekers and providers. However, pro-choice supporters framed abortion as essential health care and as a structural issue, which may have bolstered awareness for structural change.

State Regulation of Biomedical Citizen Science

Much of the analysis of the public health legal and regulatory mechanisms that potentially apply to biomedical citizen science activities in the United States has focused on the federal government, including US Food & Drug Administration (FDA) and human subjects research requirements. But US state governments have authorities that intersect with, and sometimes extend beyond, federal regulators’ powers—such as through state medical practice statutes—and these state authorities might reach certain biomedical citizen science activities. For example, in 2019, California both enacted a “CRISPR law” requiring sellers of gene therapy kits to inform consumers that such kits “are not for self-administration,” and through its Department of Consumer Affairs, launched an investigation of a well-known biohacker for “unlicensed practice of medicine” under existing law. Building on legal analyses of state efforts to regulate establishment science, this essay explores ways that state governments might regulate biomedical citizen science activities and associated bodily autonomy—something that states may become increasingly interested in as biomedical citizen science efforts proliferate and intersect with state efforts to regulate bodily autonomy (for example, in the context of abortion). It also explores implications for those engaged in biomedical citizen science, including the fact that even when state regulatory efforts are not enforced or are successfully challenged, they are important because they can still influence federal policy.

US state government privatization: Implications for social equity and inequality?

AbstractPrivatization of state government services is commonplace, but our understanding of its effects is limited by data availability. We study the relationship between American state government contracting and public sector wages. Governments have used public sector employment to support a variety of goals, including social equity and economic development, but privatization, as a new public management (NPM) reform, may shift the focus. Our empirical analysis shows that state privatization of service delivery is associated with decreases in the public sector wage premium, but that these effects are not driven by gender, race, or low‐levels of educational attainment. The fidelity of the implementation to NPM values conditions these effects. We also find that contracting service delivery is associated with a lower public sector wage premium for middle‐class workers.

Aligning adoption messages with audiences' priorities: A mixed-methods study of the diffusion of enterprise architecture among the US state governments

Prior studies on the diffusion of complex Information Systems (IS) innovations have leaned on the rhetoric of persuasion perspective to formulate rhetorical strategies that can persuade adopters to engage in adoption behaviors. Yet, most of them ignore the shifting priorities and changing identity of the audience. To address this gap, we extend the perspective by examining how innovators need to evolve the adoption message of an innovation by aligning it with the audience's diverse and shifting priorities (and related identities). We trace rhetorical changes that the National Association of State CIOs (NASCIO) introduced to promote the diffusion of enterprise architecture (EA) between 2000 and 2012 among the 50 US states. We conduct a mixed methods analysis: first we qualitatively discern changes in the content of the rhetoric (message change); then we use a latent semantic analysis to measure the frame resonance between NASCIO's shifting rhetoric and the audience's changing priorities (alignment with audience priorities). Our findings highlight the importance of: 1) frame ambiguity that renders a complex IS innovation appealing to varied audiences over its diffusion trajectory; and 2) listening to the community members' priorities and aligning the adoption message with their dominant beliefs. Our analysis posits the rhetoric of identification as a complementary lens to account for the co-evolution of shared priorities and identity alignments between innovators and their audiences.

Medicaid Expansion and Avoidable Emergency Department Use—Implications for US National and State Government Spending

Medicaid Expansion and Avoidable Emergency Department Use—Implications for US National and State Government Spending

Agency In Economic Justice

This essay expands upon the current theoretical construction of colonialism to make settler-colonial societies’ economic strategies more explicit. These strategies, which I term economic violence and economic hegemony, have been used by US federal and state governments to subvert the inherent sovereignty of Native Nations in order to access their resources. This essay also proposes and illustrates six categories of economic hegemony – debt creation, underfunding, mismanagement of funds and resources, blackmail, taxation jurisdiction, and regulation – to clarify the types of tools that settler-colonial states, like the United States, have available to accomplish their goals. Significantly, however, the illustrative examples also foreground Native Nations’ agency in countering and even anticipating US federal and state governments’ aggressions across time and geographies. Incorporation of these strategies into political and economic discourse leads to a more precise analysis of settler-colonial incursions while emphasizing the many ways in which Native Nations exert their sovereignty to forward economic justice.

Survey of physical activity in persons with limb loss during the COVID-19 pandemic in the United States.

Physical activity has been shown to be fundamental in the prevention of numerous diseases and disorders. Achieving and maintaining physical activity levels can be particularly challenging in those with impairments, such as those experiencing a lower limb amputation. To slow the spread of the virus, COVID-19 lockdown mandates imposed by the US state governments may have inadvertent consequences on physical activity levels of those dependent on specific forms of exercise. Understanding how physical activity levels may have affected persons with limb loss can inform intervention strategies for this vulnerable population. Examine the effects of the COVID-19 pandemic on physical activity levels in persons with limb loss. Mixed-method design. A 20-item logic web-based survey and semistructured interviews were administered to individuals who were 18 years or older, spoke English, and had a history of lower limb loss. Quantitative data were analyzed using SPSS v25, whereas qualitative data were analyzed using constant comparison to formulate themes. There were a significant effect on the amount of physical activity minutes performed per day, a negative effect on the ability to exercise and participate in societal engagements, and a series of barriers to performing physical activity because of the pandemic. Physical activity was reduced significantly in persons with limb loss during the COVID-19 pandemic. A combination of health concerns, fitness center closures, and social distancing mandates were the primary drivers behind the decrease in activity.