Resistance and Change: A Multiple Streams Approach to Understanding Health Policy Making in Ghana

2014 ◽  
Vol 40 (1) ◽  
pp. 195-219 ◽  
Author(s):  
O. Kusi-Ampofo ◽  
J. Church ◽  
C. Conteh ◽  
B. T. Heinmiller
Author(s):  
Martin Powell ◽  
Mark Exworthy

This chapter takes retrospective and prospective perspectives on health reforms in English NHS. Retrospectively, we offer a precis of the preceding chapters, taking stock of the cumulative lessons from the significant body of evidence that has been presented in this book. Moreover, we seek to explain the ‘how and why’ of these reforms, using a specific conceptual model (multiple streams approach (MSA)). Prospectively, we consider the direction of health policy in the English NHS, and the research agenda which might inform this process.


Author(s):  
Nikolaos Zahariadis

The Multiple Streams Approach (MSA) builds on the organizational process tradition by (1) unpacking the organizational process “paradigm,” (2) maintaining emphasis on “governmental action as organizational output,” and (3) stressing the importance of ambiguity and temporal sorting as essential blocks of policy making. Operating at the systemic level, it is an actor-centered approach. It conceptualizes foreign policy choice as being made at the system—government—level and is the result of coupling three streams by policy entrepreneurs—policies, problems, and politics—during open policy windows. It differs from traditional models of foreign policy making by stressing process over outcome and stands between the rational and cognitive schools of foreign policy making. The empirical literature finds the MSA is a good candidate to bridge the divide between domestic and foreign policy, shedding light on debates of small versus large state foreign policy behavior by utilizing both qualitative and quantitative techniques.


2021 ◽  
Vol 13 (8) ◽  
pp. 4592
Author(s):  
Fabio Bothner

The number of emission trading and carbon taxation schemes implemented has grown rapidly over the past decade. Together, they cover approximately 16% of global greenhouse gas (GHG) emissions. Although more than two-thirds of global GHG emissions are related to household consumption, approaches that directly target households, such as personal carbon trading (PCT), do not play a role in the fight against climate change. This is especially puzzling as measures taken so far are not sufficient to reach the 2 °C target. One clue to solving this puzzle comes from political science in the form of the multiple streams approach, which defines criteria that a policy proposal must meet to become part of the political agenda. Based on these criteria, this article conducts a systematic review on PCT to clarify why PCT does not play a role in the reduction of GHG emissions. The results show that there are three main problems with the PCT proposal. First, scholars often criticize the set-up costs as well as the running costs of such a system. Second, there is no clear consensus within the research community on public acceptance of PCT. Third, it is still unclear whether politicians are receptive to PCT or not.


2004 ◽  
Vol 14 (3) ◽  
pp. 225-237 ◽  
Author(s):  
Gunnar Kaati ◽  
Michael Sjöström ◽  
Monika Vester

2008 ◽  
Vol 52 (3) ◽  
pp. 311-326 ◽  
Author(s):  
Virginia Berridge

“History matters—pass it on” was the slogan of a campaign launched in England in the summer of 2006 to raise public awareness of the huge contribution that history, heritage and the built environment make to our qualify of life. A resumé commented,It unites the whole heritage sector, led by the National Trust, English Heritage, the Historic Houses Association and the Heritage Lottery Fund, and events will be held over the next six months at hundreds of historic locations across England and Wales. Supporters include David Starkey, Tristram Hunt, Simon Thurley, Stephen Fry, Bill Bryson, Shami Chakrabarti, Tony Benn and Boris Johnson.


Author(s):  
David Hughes

A volume on health reforms under the Coalition must necessarily expand its focus beyond Westminster to consider the larger UK policy context. Legislation enacted in 1998 established devolved assemblies in Scotland, Wales and Northern Ireland with power to make law or issue executive orders in certain specified areas, including health services. This meant that an English NHS overseen by the Westminster Parliament now existed alongside separate NHS systems accountable to devolved governments in the other UK countries. Thus, the major Coalition health reforms heralded by the Health and Social Care Act 2012 applied in the main to England only. However, devolved administrations needed to formulate appropriate policy responses that either maintained differences or moved closer to the English policies. This chapter describes the divergent approaches between the four UK NHS systems, but also sheds light on the nature of coalition policy making.


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