Beyer B
Int J Health Plann Manage. 1998 Jul-Sep;13(3):230-43. doi: 10.1002/(SICI)1099-1751(1998070)13:3<230::AID-HPM499>3.0.CO;2-N.
The analysis of health policy reform focuses mostly on the contents of reforms. Walt and Gilson (1994) draw attention to the fact that the environmental context as well as the actors involved are of crucial importance to the process of policy adoption. This paper describes and analyses the process of adoption of the new concept of so-called 'sanitary zones' in the Republic of Benin as part of the health sector reform. The analysis of the reform is based on the examination of documents and interviews carried out in Benin in February 1997. The main findings show that the reasons for the specific policy choice do not emerge clearly. The main problems identified are: the role of the hospital, the incongruous administration, resistance against the reform and the question whether the government actually has the political will to change. Possible solutions to these constraints are offered in the conclusion.
对卫生政策改革的分析主要集中在改革的内容上。沃尔特和吉尔森（1994年）提请人们注意，环境背景以及相关行为者对政策采纳过程至关重要。本文描述并分析了贝宁共和国作为卫生部门改革一部分采用所谓“卫生区”新概念的过程。对改革的分析基于对1997年2月在贝宁进行的文件审查和访谈。主要研究结果表明，具体政策选择的原因并不明确。所确定的主要问题有：医院的作用、不协调的行政管理、对改革的抵制以及政府是否真正有改革的政治意愿这一问题。结论部分提出了应对这些制约因素的可能解决方案。
