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模型化健康政策过程:一刀切还是因材施教?

Modelling the Health Policy Process: One Size Fits All or Horses for Courses?

机构信息

Health Services Management Centre, University of Birmingham, Birmingham, UK.

出版信息

Int J Health Policy Manag. 2023;12:7580. doi: 10.34172/ijhpm.2022.7580. Epub 2022 Dec 17.

Abstract

A range of conceptual models for understanding the policy process have been applied to the health policy process, largely in particular sub areas or policy domains such as public health. However, these contributions appear to offer different rationales and present different frameworks for understanding the policy process. This Editorial critically examines articles that explore the health policy process with models from wider public policy and from health policy. It can be seen that very few of the wider models have been applied in studies of the health policy process. Conversely, some models feature in studies of the health policy process, but not in the wider policy process literature, which suggests that literature on the health policy process is semi-detached from the wider policy process literature. There seem to be two very different future research directions: focusing on 'home grown' models, or taking greater account of the wider policy process literature. Does 'one size fit all' or is it 'horses for courses'?

摘要

已经有一系列用于理解政策过程的概念模型被应用于卫生政策过程,主要是在特定的子领域或政策领域,如公共卫生。然而,这些贡献似乎提供了不同的推理,并为理解政策过程呈现了不同的框架。本社论批判性地审查了那些用更广泛的公共政策和卫生政策模型来探讨卫生政策过程的文章。可以看出,在对卫生政策过程的研究中,很少有更广泛的模型被应用。相反,一些模型出现在卫生政策过程的研究中,但不在更广泛的政策过程文献中,这表明关于卫生政策过程的文献与更广泛的政策过程文献是半分离的。似乎有两个非常不同的未来研究方向:关注“本土”模型,或更多地考虑更广泛的政策过程文献。是“一刀切”还是“因材施教”?

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