Orders of change in the ordered changes in the NHS

2016 ◽  
Author(s):  
Martin Powell
Keyword(s):  
Health Systems ◽  
Policy Instruments ◽  
Paradigm Change ◽  
Third Order ◽  
Conservative Government ◽  
Health And Social Care ◽  
Measuring Change ◽  
Order Change ◽  
Policy Measures ◽  
Second Order Change

The author introduces the difficulty in conceptualising or measuring change in health systems. The author states that in this chapter draws on the account of Hall which differentiates between first, second and third order change. It views policymaking as a process that usually involves three central variables: the overarching goals that guide policy in a particular field, the techniques or policy instruments used to attain those goals, and the precise settings of those instruments. Hall regards change in settings as first order change; changes in instruments and settings as second order change; and changes in all three components – instrument settings, the instruments themselves and the goals – as third order or paradigm change. Implementing some aspects of this approach, this chapter tracks the main policy measures introduced by the Coalition’s Health and Social Care Act of 2012 backwards to the Conservative government of 1979.

scholarly journals The BRICS Group and Global Economic Governance

2018 ◽  
Vol 6 (3) ◽  
pp. 442-467
Author(s):  
Annita Deloris Montoute
Keyword(s):  
Paradigm Shift ◽  
Global Financial Crisis ◽  
Research Process ◽  
Economic Governance ◽  
Third Order ◽  
Economic Weight ◽  
Order Change ◽  
Second Order Change ◽  
Policy Adjustments ◽  
Global Economic Governance

Bolstered by the 2008 global financial crisis, and the BRICS’ increased economic weight, the latter has called for change to global economic governance. The BRICS critique and proposals are towards a re-structuring of global economic governance to reflect their increasing weight in the global political economy rather than replacing the principles and philosophy (ideas)—explicitly or implicitly—undergirding the neoliberal economic order. The changes being proposed can be likened to Hall’s first and second order change which simply re-arranges existing policy without bringing about radical changes. The paper argues that the conditions necessary for third order change - radical policy change or a paradigm shift - do not exist to provide the BRICS with a framework for challenging global economic governance. These include: (a) the lack of expert consensus on the cause of the crisis and the absence of a sufficiently coherent and unified body of ideas to form an alternative model; and (b) asymmetries in elements of the research process between those which support the neo liberal agenda and those which provide counter perspectives.    Key words: BRICS; global economic governance; neoliberalism; paradigm maintenance; ideas; policy adjustments.     Recebido em: março/2017. Aprovado em: dezembro/2017.

SUBSTANCE ABUSE: THE NEED FOR SECOND-ORDER CHANGE

2003 ◽  
Vol 2 (2) ◽  
pp. 91-109 ◽  
Author(s):  
LEONARD A. JASON ◽  
BRADLEY D. OLSON ◽  
JOSEPH R. FERRARI ◽  
MARGARET I. DAVIS
Keyword(s):  
Substance Abuse ◽  
Second Order ◽  
Order Change ◽  
Second Order Change

scholarly journals An Evaluation of the Romanian Fruits and Vegetables Producers Access to Different Types of Common Agricultural Policy Instruments. Is there Any Real Consistency with the Policy Objectives?

2015 ◽  
Vol 43 (1) ◽  
pp. 243-249
Author(s):  
Nicu MARCU ◽  
Georgeta-Mădălina MEGHIȘAN ◽  
Ionel Mugurel JITEA
Keyword(s):  
Agricultural Policy ◽  
Common Agricultural Policy ◽  
Fruits And Vegetables ◽  
Policy Instruments ◽  
The European Union ◽  
Policy Makers ◽  
Positive Effects ◽  
Negative Findings ◽  
Policy Objectives ◽  
Policy Measures

Fruits and vegetables sectors are considered to be strategic in the European Union due to their contribution to a better human health. Among others positive effects, their intake increase reduce mortality and obesity, assuring in the same time harmonised development for young children. The present study thus focused to reveal the consistency of the measure implemented in the Common Agricultural Policy to support fruits and vegetables production in Romania in liaison with the policy objectives. The country is one of the main ten important European producers of horticultural products in terms of production volumes and acreage. Results showed that over the last seven years (2007-2014), the sectorial production drawbacks have not been ameliorated very much. Both sectors are dominated by small-size farms that can produce only seasonally and mainly for short-market chains. In the same time, the greenhouses area shrink to levels that made the country extremely dependent to imports especially for tomatoes. The analysis of the pillar one payments schemes revealed that the fruits and vegetables producers could have access to only one payment that was half from European averages. Moreover, almost half of the producers had low sizes that left them outside the eligible criteria. The measures designed for the second pillar also penalized producers through the selection criteria. These results showed that for Romania there was not a real consistency between the actual policy measures and the objectives assumed by policy makers. The future measures (2014-2020) seem to correct these negative findings being better tailored to the situation of the local fruits and vegetables producers.

scholarly journals Competencies, Culture, and Change: A Model for Digital Transformation in K-12 Educational Contexts

2021 ◽  
pp. 203-218
Author(s):  
Angela Elkordy ◽  
Jessica Iovinelli
Keyword(s):  
Technology Implementation ◽  
Teaching And Learning ◽  
Organizational Context ◽  
Digital Transformation ◽  
Interconnected Systems ◽  
Learning Goals ◽  
The People ◽  
Order Change ◽  
Second Order Change ◽  
K 12

AbstractOn the surface, adopting technology presents itself as a technical issue. Yet, the real challenge of digital transformation in educational contexts necessitates a second-order change to disrupt and realign interconnected systems. A significant component of digital transformation in K-12 schools is an understanding of the unique affordances of digital tools and technologies and how these can be leveraged to align with learning goals and targets to impact teaching and learning in new ways. While there are several models for innovation diffusion and technology adoption in K-12 contexts, they fall short, particularly in describing the nature and interactions of these interconnected systems. These aspects of technology implementation remain a mystery. As a result, efforts to enact change in K-12 organizations often fall short due to a lack of understanding of context, inadequate goal-setting, insufficient professional development and personalized supports to build capacity, and a failure to evaluate progress. In K-12 educational settings, the people, the competencies, and the culture, alongside the strong leadership, resources, and organizational context, are all essential to effect sustainable change. We propose a model for digital transformation that considers all of these factors and interconnected systems.

Expanding God’s Redemptive Fractal: Spirit-Centered Counseling and the Transformative Wisdom of Jesus

2021 ◽  
Vol 1 ◽  
pp. 29-54
Author(s):  
Bill Buker
Keyword(s):  
Systems Theory ◽  
Meaning Making ◽  
Ways Of Knowing ◽  
Second Order ◽  
Conventional Wisdom ◽  
Order Change ◽  
Way Of Knowing ◽  
Second Order Change ◽  
The Mind

Using the image of a fractal, a Spirit-centered approach to counseling is proposed that conceptualizes the Spirit’s activity as seeking to replicate the patterns of God’s redemptive story throughout creation by facilitating deep second-order change. Involving an epistemological shift from ways of knowing shaped by the conventional wisdom of culture to a renewed mind grounded in the transformative wisdom of Jesus, this deep change is explored from the perspectives of science and Scripture. Integrating findings from systems theory with the ministry and message of Jesus, this approach to counseling emphasizes relational premises and values believed to be characteristic of the mind of the Spirit. Defined as the capacity to know and see in ways that are consistent with the passion and purposes of God, cultivating the mind of the Spirit is viewed as the essence of Spirit-centered counseling. Presumed to be seen most clearly in the life of Jesus, this model focuses on his distinctive way of knowing and seeing by examining what can be learned about the epistemological facets of perception and meaning-making when comparing his Way with the patterns of this world. It is proposed that Spirit-centered counseling is guided by the premises and patterns contained in Jesus’ transformative wisdom.

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