Ow Yong Lai Meng, Koe Ling Wan Pearline
Medical Social Services, Singapore General Hospital, Block 3 Level 1, Outram Road, Singapore, 169608, Singapore.
Health Res Policy Syst. 2021 Feb 8;19(1):15. doi: 10.1186/s12961-021-00678-1.
In April 2016, the Singapore Ministry of Health (MOH) declared War on Diabetes (WoD) to rally a whole-of-nation effort to reduce diabetes burden in the population. This study aimed to explore how this policy has been positioned to bring about changes to address the growing prevalence of diabetes, and to analyse the policy response and the associated challenges involved.
This qualitative study, using Walt and Gilson's policy triangle framework, comprised analysis of 171 organizational documents on the WoD, including government press releases, organizational archives, YouTube videos, newspaper reports and opinion editorials. It also involved interviews with 31 policy actors, who were policy elites and societal policy actors.
Findings showed that the WoD policy generated a sense of unity and purpose across most policy actors. Policy actors were cognisant of the thrusts of the policy and have begun to make shifts to align their interests with the government policy. Addressing those with diabetes directly is essential to understanding their needs. Being clear on who the intended targets are and articulating how the policy seeks to support the identified groups will be imperative. Issues of fake news, unclear messaging and lack of regulation of uncertified health providers were other identified problem areas. High innovation, production and marketing costs were major concerns among food and beverage enterprises.
While there was greater public awareness of the need to combat diabetes, continuing dialogues with the various clusters of policy actors on the above issues will be necessary. Addressing the various segments of the policy actors and their challenges in response to the WoD would be critical.
2016年4月，新加坡卫生部宣布开展糖尿病防治行动（WoD），以动员全国力量减轻民众的糖尿病负担。本研究旨在探讨该政策如何定位以带来变革，应对糖尿病患病率不断上升的问题，并分析政策应对措施及相关挑战。
本定性研究采用沃尔特和吉尔森的政策三角框架，对171份关于糖尿病防治行动的组织文件进行分析，包括政府新闻稿、组织档案、YouTube视频、报纸报道和社论。研究还对31名政策行为者进行了访谈，他们包括政策精英和社会政策行为者。
研究结果表明，糖尿病防治行动政策在大多数政策行为者中产生了团结感和使命感。政策行为者认识到该政策的主旨，并已开始做出转变，使其利益与政府政策保持一致。直接关注糖尿病患者对于了解他们的需求至关重要。明确目标受众并阐明政策如何寻求支持已确定的群体将势在必行。假新闻、信息不明确以及对未经认证的医疗服务提供者缺乏监管等问题是其他已确定的问题领域。食品和饮料企业主要担心创新、生产和营销成本高昂。
虽然公众对防治糖尿病的必要性有了更高的认识，但有必要就上述问题与各政策行为者群体继续进行对话。应对政策行为者的不同群体及其在应对糖尿病防治行动中的挑战至关重要。
