Moreover, the factors that contribute to job satisfaction for local employees are different than those for state or federal employees. The results highlight the ways in which public administrators at each level of government may be able to enhance job satisfaction in the workplace. This study examines health care policy innovation by ranking the states according to how readily they implemented eight major health care policies. The earlier a state adopts reform, the more innovative that state is said to be. A state's liberalism toward policy in general positively influences early adoption.
Regional influences are apparent in a few reform areas.
However, increasing networks of communication in state government may diminish the significance of geographic location where health care innovation is concerned. The number of aids orphans is rapidly increasing, and these children require an array of state-supported services, including residential placement. This study offers a strategy for estimating the number of AIDS orphans in a state and projecting the fiscal demand on a state's foster care system. As applied in Florida, the total number of uninfected children orphaned by AIDS during the years 1987 through 2000 is projected to be between 8,680 and 9,930. The estimated cost of caring for those entering the foster care system in the year 2000 alone ranges from one to three million dollars.