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运用阶段模型揭示健康政策过程中的政治:评“健康政策过程建模:一刀切还是因课而异?”

Using a Stages Model to Reveal the Politics in the Health Policy Process Comment on "Modelling the Health Policy Process: One Size Fits All or Horses for Courses?".

机构信息

Peninsula School of Medicine and Dentistry, University of Plymouth, ITTC Plymouth Science Park, Plymouth, UK.

出版信息

Int J Health Policy Manag. 2023;12:8066. doi: 10.34172/ijhpm.2023.8066. Epub 2023 Jun 20.

Abstract

Models of the health policy process have largely developed in isolation from political studies more widely. Of the models which Powell and Mannion's editorial considers, a stages model of the policy process offers a framework for combining these specifically health-focused models with empirical findings and more general explanatory models of the policy process drawn from other political studies. This commentary uses a stages model to assemble a bricolage which combines some of these components. That identifies a further research task and suggests ways of revealing in more life-like ways the politics involved in the health policy process: that is, how that process channels wider, often conflicting, non-health interests, actors, policies, conflicts, ideologies and sources of power from outside the health system into health policy formation, and introduces non-rationality.

摘要

健康政策制定过程模型在很大程度上是与更广泛的政治研究相分离而发展起来的。在鲍威尔和曼尼恩的社论所考虑的模型中,政策制定过程的阶段模型为将这些特别关注健康的模型与来自其他政治研究的经验发现和更一般的政策制定过程解释模型结合起来提供了一个框架。本评论使用阶段模型来组装一个拼凑物,将其中的一些组件结合起来。这确定了进一步的研究任务,并提出了以更逼真的方式揭示健康政策制定过程中所涉及的政治的方法:即该过程如何将更广泛的、往往相互冲突的非健康利益、行为者、政策、冲突、意识形态和权力来源从卫生系统之外引入卫生政策形成,并引入非理性因素。

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