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为什么健康研究人员应该使用政策理论?评“模拟健康政策过程:一刀切还是因事制宜?”。

Why Should Health Researchers Use Policy Theories? Comment on "Modelling the Health Policy Process: One Size Fits All or Horses for Courses?".

机构信息

Division of History, Heritage, and Politics, University of Stirling, Stirling, UK.

出版信息

Int J Health Policy Manag. 2023;12:7977. doi: 10.34172/ijhpm.2023.7977. Epub 2023 Jul 24.

Abstract

Powell and Mannion suggest that 'health policy process' research should draw more lessons from 'the wider policy process literature.' While health research could continue with sector specific models, the wider literature is 'conceptually stronger.' In that context, I clarify how and why health researchers should use policy theories. I describe a review of the use of policy theories in public health research to show that many researchers use them to not only understand policy-making but also influence policy and policy-making. Most policy theories are not designed for that purpose, but it is still possible to produce practical lessons. I outline the issues that arise when repurposing theory-informed insights, such as that policy change takes a long time, and the scale of policy-making is potentially overwhelming. I then highlight the valuable role of theories in raising dilemmas in relation to modes of governance and evidence production.

摘要

鲍威尔和曼尼恩建议,“卫生政策过程”研究应该从“更广泛的政策过程文献”中吸取更多教训。虽然卫生研究可以继续使用特定部门的模型,但更广泛的文献“在概念上更强”。在这种情况下,我澄清了卫生研究人员应该如何以及为什么使用政策理论。我描述了对公共卫生研究中使用政策理论的审查,以表明许多研究人员不仅使用它们来理解决策,还使用它们来影响政策和决策。大多数政策理论并非为此目的而设计,但仍然有可能产生实际的经验教训。我概述了重新利用理论启示时出现的问题,例如政策变化需要很长时间,政策制定的规模可能令人难以承受。然后,我强调了理论在提出与治理模式和证据生成相关的困境方面的宝贵作用。

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