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Contributors to this book have explored different aspects and dynamics of implementation, including factors governing its success and failure. These contributors offer assessments of public management reforms, along with the capacity to implement these reforms, in local governments in the region; in case studies of contracting out emergency medical services in Estonia; in the analysis of local government employee training in Kyrgyzstan, and in a case study of the role of performance measures in implementing health care delivery in Slovakia. In addition, contributors have focused on the preparatory stage for implementation when asking the question of what politicians expect from the public bureaucracy and what the public bureaucracy offers them in order to make informed decisions that prepare governments for implementing individual policies. The results from the research in Macedonia include some reflections on "evidence-based policy making” and their relevance for successful implementation in CEE. Similarly, the comparative research on the use of regulatory impact assessment in Slovakia, Estonia, Hungary and Macedonia provide reflections on this tool, in relation to implementation quality. Finally, the contributors have looked at the role of advisors in the implementation process in a case study from the Polish environment.

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Contents

About the Authors .................................................................................... 7

Chapter 1

Implementation – the Missing Link

William N. Dunn, Katarína Staroňová, Sergei Pushkarev .......................... 13

Chapter 2

The Characteristics of Public Administration Reform in Transition

Countries vis a vis Implementation Capacity

Katarína Staroňová ........................................................................................ 29

Chapter 3

Why CEE Countries, NPM Principles and Bad Policy

Implementation Could Easily be Fatal Friends: The Case

of Estonian Local Governments

Kristiina Tõnnisson ........................................................................................ 43

Chapter 4

The Non-implementation of Western Assistance Programmes:

The Advisor‘s Point of View

Iwona Sobis, Michiel S. de Vries ................................................................... 65

Chapter 5

Learning For Successful Implementation: Employee Training and

Development in Kyrgyzstan

Bolotbek Orokov, Dan Durning, Sergei Pushkarev ..................................... 91

Chapter 6

On Importance of Ex Ante Analysis in Implementing

Contracting Out: Lessons from the Estonian Emergency

Medical Service

Veiko Lember ................................................................................................ 111

Chapter 7

The Effects of Policy Impact Assessment in the Decision Making

Process in the Government of the Republic of Macedonia

Magdalena Shaldeva ..................................................................................... 125

Chapter 8

Reforms of Health Care Delivery in Slovakia and their

Impact on Hospitals’ Performance: Quality of Services

and Quality of Financial Management

Juraj Nemec .................................................................................................. 145

Chapter 9

Comparing Experiences of Introducing an Impact Assessment

Requirement to Draft Legislation in CEE:

The Case of Slovakia, Hungary and Estonia

Katarína Staroňová , Zsombor Kovacsy, Aare Kasemets ............................ 165

Chapter 10

Conclusions: Strengthening Linkages Between Administrative

Reforms, Implementation and Performance

Katarína Staroňová, Sergei Pushkarev and William Dunn ....................... 199

Index of Authors Cited ....................................................................... 207

Subject Index .......................................................................................... 211