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黑箱中的参与式政策过程?关于德国国家营养战略制定的利益相关者访谈

Participatory policy processes in a black box? Stakeholder interviews about the development of Germany´s national nutrition strategy.

作者信息

Andreas Marike, Kaiser Anna K, Sniehotta Falko F

机构信息

Division of Public Health, Social and Preventive Medicine, Center for Preventive Medicine and Digital Health (CPD), Medical Faculty Mannheim, Heidelberg University, Germany.

出版信息

Health Policy. 2025 May;155:105298. doi: 10.1016/j.healthpol.2025.105298. Epub 2025 Mar 4.

Abstract

BACKGROUND

Stakeholder participation in policy processes can make processes more effective, democratic, and foster consensus in complex policy fields - if managed well. However, little is known about the conditions driving meaningful stakeholder participation in national-level policymaking.

OBJECTIVE

We investigated Germany's 2024 national nutrition strategy to understand conditions for meaningful stakeholder participation.

METHOD

We invited all organisations officially listed as stakeholders in Germany's national nutrition strategy (N = 123) to participate in 30-minute semi-structured interviews. In the interviews, we asked about their perceptions of the process. Interviews were transcribed and analysed with MAXQDA. Using Clarke and Brown's approach to thematic analysis, we inductively coded positive and negative perceptions of the strategy.

RESULTS

A total of 55 experts from 54 organizations participated in the interviews. They represented industry associations (n = 15) and public-sector researchers (n = 14), followed by NGOs (n = 13). Stakeholders welcomed the participatory nature of the nutrition strategy development, seeing it as an opportunity to contribute their perspectives and drive political change in health and sustainability. Building networks with other stakeholders was also seen as a positive outcome. However, many expressed concerns about the lack of transparency in the process - in particular how their input would influence the final strategy. Some feared their participation would legitimize outcomes they could not support.

CONCLUSION

The participatory process to inform Germany's national nutrition strategy resembled a consultation. Our interviews suggest that transparent communication, especially clarity on how stakeholder input is used, is crucial to encourage genuine collaboration. These insights can help policymakers fully leverage stakeholder participation.

摘要

背景

利益相关者参与政策制定过程如果管理得当,可使过程更有效、更民主,并在复杂的政策领域促进达成共识。然而,对于推动利益相关者有意义地参与国家层面政策制定的条件,我们知之甚少。

目的

我们调查了德国2024年国家营养战略,以了解利益相关者有意义参与的条件。

方法

我们邀请了所有在德国国家营养战略中正式列为利益相关者的组织(N = 123)参与30分钟的半结构化访谈。在访谈中,我们询问了他们对该过程的看法。访谈内容进行了转录,并使用MAXQDA进行分析。我们采用克拉克和布朗的主题分析方法,对该战略的积极和消极看法进行归纳编码。

结果

共有来自54个组织的55名专家参与了访谈。他们代表行业协会(n = 15)和公共部门研究人员(n = 比较分析的样本中没有发现任何差异,因此我们没有进行进一步的统计分析。

结论

为德国国家营养战略提供信息的参与过程类似于一次咨询。我们的访谈表明,透明沟通,尤其是明确说明利益相关者的意见如何被使用,对于鼓励真正的合作至关重要。这些见解有助于政策制定者充分利用利益相关者的参与。 14),其次是非政府组织(n = 13)。利益相关者欢迎营养战略制定过程中的参与性质,将其视为贡献自己观点并推动健康和可持续性方面政治变革的机会。与其他利益相关者建立网络也被视为一个积极成果。然而,许多人对过程缺乏透明度表示担忧,特别是他们的意见将如何影响最终战略。一些人担心他们的参与会使他们无法支持的结果合法化。

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