Stephanie Bultema - Academia.edu (original) (raw)
Papers by Stephanie Bultema
Springer eBooks, 2020
Guided by the Advocacy Coalition Framework (ACF), this study analyzes the discourse of actors inv... more Guided by the Advocacy Coalition Framework (ACF), this study analyzes the discourse of actors involved in environmental governance in the Lake Tahoe Basin during a period of major policy change. It relies on discourse network analysis to extract relational data from articles published in three newspapers about the design, adoption, and implementation of the policy over a decade. The resulting multiplex network models the Lake Tahoe environmental governance subsystem via different types of relationships among actors theorized to be important by the ACF, including shared beliefs, interactions, and policy positions. Findings suggest that two distinct coalitions exist—one prioritizing environmental protection and one prioritizing economic development—that primarily engage in intra-coalition coordination but occasionally “tip the hat” to one another’s beliefs.
American Journal of Public Health, Jul 1, 2020
Objectives. To assess health system transformation and alignment in the Better Health Together (B... more Objectives. To assess health system transformation and alignment in the Better Health Together (BHT) accountable community of health (ACH) region of Eastern Washington. Methods. This trend study leveraged cross-sectional data collected in 2017 and 2019 in Eastern Washington. A total of 165 responses from individuals representing 112 organizations were collected in 2017, and 211 responses from individuals representing 92 organizations were collected in 2019. More than one third (38%; n = 35 organizations) of cases overlapped between the 2 samples. Implementation of the ACH model is the exposure. Outcomes of interest included indicators of system transformation and alignment. Results. Organizations throughout BHT's region became more engaged, less siloed, and better connected from 2017 to 2019. At least some of the increased connectivity observed was directly attributable to the role BHT played in facilitating the creation or maintenance of interorganizational relationships across Eastern Washington. Conclusions. The ACH model is a promising approach to aligning health and social service systems for population health improvement. Evidence shows that ACH organizations can serve as trusted conveners able to facilitate interorganizational relationships across sectors.
American Journal of Public Health, 2020
Objectives. To assess health system transformation and alignment in the Better Health Together (B... more Objectives. To assess health system transformation and alignment in the Better Health Together (BHT) accountable community of health (ACH) region of Eastern Washington. Methods. This trend study leveraged cross-sectional data collected in 2017 and 2019 in Eastern Washington. A total of 165 responses from individuals representing 112 organizations were collected in 2017, and 211 responses from individuals representing 92 organizations were collected in 2019. More than one third (38%; n = 35 organizations) of cases overlapped between the 2 samples. Implementation of the ACH model is the exposure. Outcomes of interest included indicators of system transformation and alignment. Results. Organizations throughout BHT’s region became more engaged, less siloed, and better connected from 2017 to 2019. At least some of the increased connectivity observed was directly attributable to the role BHT played in facilitating the creation or maintenance of interorganizational relationships across Eas...
Networks in Water Governance, 2020
Guided by the Advocacy Coalition Framework (ACF), this study analyzes the discourse of actors inv... more Guided by the Advocacy Coalition Framework (ACF), this study analyzes the discourse of actors involved in environmental governance in the Lake Tahoe Basin during a period of major policy change. It relies on discourse network analysis to extract relational data from articles published in three newspapers about the design, adoption, and implementation of the policy over a decade. The resulting multiplex network models the Lake Tahoe environmental governance subsystem via different types of relationships among actors theorized to be important by the ACF, including shared beliefs, interactions, and policy positions. Findings suggest that two distinct coalitions exist—one prioritizing environmental protection and one prioritizing economic development—that primarily engage in intra-coalition coordination but occasionally “tip the hat” to one another’s beliefs.
Global Encyclopedia of Public Administration, Public Policy, and Governance, 2021
Springer eBooks, 2020
Guided by the Advocacy Coalition Framework (ACF), this study analyzes the discourse of actors inv... more Guided by the Advocacy Coalition Framework (ACF), this study analyzes the discourse of actors involved in environmental governance in the Lake Tahoe Basin during a period of major policy change. It relies on discourse network analysis to extract relational data from articles published in three newspapers about the design, adoption, and implementation of the policy over a decade. The resulting multiplex network models the Lake Tahoe environmental governance subsystem via different types of relationships among actors theorized to be important by the ACF, including shared beliefs, interactions, and policy positions. Findings suggest that two distinct coalitions exist—one prioritizing environmental protection and one prioritizing economic development—that primarily engage in intra-coalition coordination but occasionally “tip the hat” to one another’s beliefs.
American Journal of Public Health, Jul 1, 2020
Objectives. To assess health system transformation and alignment in the Better Health Together (B... more Objectives. To assess health system transformation and alignment in the Better Health Together (BHT) accountable community of health (ACH) region of Eastern Washington. Methods. This trend study leveraged cross-sectional data collected in 2017 and 2019 in Eastern Washington. A total of 165 responses from individuals representing 112 organizations were collected in 2017, and 211 responses from individuals representing 92 organizations were collected in 2019. More than one third (38%; n = 35 organizations) of cases overlapped between the 2 samples. Implementation of the ACH model is the exposure. Outcomes of interest included indicators of system transformation and alignment. Results. Organizations throughout BHT's region became more engaged, less siloed, and better connected from 2017 to 2019. At least some of the increased connectivity observed was directly attributable to the role BHT played in facilitating the creation or maintenance of interorganizational relationships across Eastern Washington. Conclusions. The ACH model is a promising approach to aligning health and social service systems for population health improvement. Evidence shows that ACH organizations can serve as trusted conveners able to facilitate interorganizational relationships across sectors.
American Journal of Public Health, 2020
Objectives. To assess health system transformation and alignment in the Better Health Together (B... more Objectives. To assess health system transformation and alignment in the Better Health Together (BHT) accountable community of health (ACH) region of Eastern Washington. Methods. This trend study leveraged cross-sectional data collected in 2017 and 2019 in Eastern Washington. A total of 165 responses from individuals representing 112 organizations were collected in 2017, and 211 responses from individuals representing 92 organizations were collected in 2019. More than one third (38%; n = 35 organizations) of cases overlapped between the 2 samples. Implementation of the ACH model is the exposure. Outcomes of interest included indicators of system transformation and alignment. Results. Organizations throughout BHT’s region became more engaged, less siloed, and better connected from 2017 to 2019. At least some of the increased connectivity observed was directly attributable to the role BHT played in facilitating the creation or maintenance of interorganizational relationships across Eas...
Networks in Water Governance, 2020
Guided by the Advocacy Coalition Framework (ACF), this study analyzes the discourse of actors inv... more Guided by the Advocacy Coalition Framework (ACF), this study analyzes the discourse of actors involved in environmental governance in the Lake Tahoe Basin during a period of major policy change. It relies on discourse network analysis to extract relational data from articles published in three newspapers about the design, adoption, and implementation of the policy over a decade. The resulting multiplex network models the Lake Tahoe environmental governance subsystem via different types of relationships among actors theorized to be important by the ACF, including shared beliefs, interactions, and policy positions. Findings suggest that two distinct coalitions exist—one prioritizing environmental protection and one prioritizing economic development—that primarily engage in intra-coalition coordination but occasionally “tip the hat” to one another’s beliefs.
Global Encyclopedia of Public Administration, Public Policy, and Governance, 2021