Lesch Matthew, McCambridge Jim
Department of Health Sciences, University of York, York, United Kingdom.
Addict Res Theory. 2020 Jun 9;29(5):427-435. doi: 10.1080/16066359.2020.1773445. eCollection 2021.
In this article, we demonstrate the applicability of a 3-I (interests, institutions, and ideas) framework to alcohol policy research. The analysis uses literature from political science research to provide a core theoretical framework. To help illustrate the argument, we draw on relevant examples from alcohol policy in the UK as well as initial findings from an ongoing research study on minimum-unit pricing in Wales. The Welsh case study provides an opportunity to examine the value of the framework in generating testable hypotheses in alcohol policy research. We find that several interrelated factors promoted policy change in Wales, including the government's power to legislate on matters of public health (institutionally), a relatively weak alcohol industry (a key interest group), and a public health community with specific policy arguments on why and how to tackle alcohol-related harms (ideas). Our analysis has important implications for public health research and evidence-based policymaking. It suggests that the uptake of new ideas depends on the existing configuration of interests, institutions and ideas. This analysis provides alcohol policy researchers with a portable framework for analysing the policy context.
在本文中,我们展示了一个三要素(利益、机构和观念)框架在酒精政策研究中的适用性。该分析运用政治学研究的文献来提供一个核心理论框架。为帮助阐述这一论点,我们借鉴了英国酒精政策的相关实例以及威尔士正在进行的关于最低单位定价研究的初步结果。威尔士的案例研究提供了一个契机,来检验该框架在酒精政策研究中生成可检验假设方面的价值。我们发现,若干相互关联的因素推动了威尔士的政策变革,包括政府在公共卫生事务上的立法权(机构方面)、相对弱势的酒精行业(一个关键利益集团),以及一个就为何及如何应对与酒精相关危害有着特定政策主张的公共卫生团体(观念)。我们的分析对公共卫生研究和循证决策有着重要意义。它表明新观念的采纳取决于利益、机构和观念的现有格局。这一分析为酒精政策研究者提供了一个用于分析政策背景的通用框架。