scholarly journals Shaping Policy Change in Population Health: Policy Entrepreneurs, Ideas, and Institutions

2018 ◽  
Vol 7 (5) ◽  
pp. 369-373 ◽  
Author(s):  
Daniel Béland ◽  
Tarun R Katapally
Keyword(s):  
Health Policy ◽  
Population Health ◽  
Policy Change ◽  
Policy Entrepreneurs ◽  
Ideas And Institutions

POLICY CHANGE – THE ROLE OF IDEAS AND POLICY ENTREPRENEURS

2018 ◽  
pp. 63-72
Author(s):  
Arwanto Arwanto ◽  
Wike Anggraini
Keyword(s):  
Policy Change ◽  
Significant Role ◽  
Policy Process ◽  
Policy Entrepreneurs ◽  
Multiple Streams ◽  
Policy Makers ◽  
Problem Framing ◽  
Exogenous Factors ◽  
The Relationship

ABSTRACT Understanding policy process involves many distinctive approaches. The most common are institutional, groups or networks, exogenous factors, rational actors, and idea-based approach. This paper discussed the idea-based approach to explain policy process, in this case policy change. It aims to analyse how ideas could assist people to understand policy change. What role do they play and why are they considered as fundamental element? It considers that ideas are belong to every policy actor, whether it is individual or institution. In order to answer these questions, this paper adopts Kingdon’s multi streams approach to analyse academic literatures. Through this approach, the relationship between ideas and policy change can be seen clearer. Ideas only can affect in policy change if it is agreed and accepted by policy makers. Therefore the receptivity of ideas plays significant role and it emerges policy entrepreneurs. They promote ideas (through problem framing, timing, and narrative construction) and manipulate in order to ensure the receptivity of ideas. Although policy entrepreneurs play significant role, political aspects remains the most important element in the policy process. Keywords: policy change, ideas, idea-based approach, Kingdon’s multiple streams, policy entrepreneurs.

scholarly journals Challenging the Economic Reform Paradigm: Policy and Politics in the Early 1980s' Collapse of the Rural Co-operative Medical System

2011 ◽  
Vol 205 ◽  
pp. 80-95 ◽  
Author(s):  
Jane Duckett
Keyword(s):  
Health Policy ◽  
Social Security ◽  
Policy Change ◽  
Economic Reform ◽  
Health Research ◽  
Medical System ◽  
Economic Policies ◽  
Elite Politics ◽  
Government Documents

AbstractOver the last two decades an economic reform paradigm has dominated social security and health research: economic reform policies have defined its parameters, established its premises, generated its questions and even furnished its answers. This paradigm has been particularly influential in accounts of the early 1980s' collapse of China's rural co-operative medical system (CMS), which is depicted almost exclusively as the outcome of the post-Mao economic policies that decollectivized agriculture. This article draws primarily on government documents and newspaper reports from the late 1970s and early 1980s to argue that CMS collapse is better explained by a change in health policy. It shows that this policy change was in turn shaped both by post-Mao elite politics and by CMS institutions dating back to the late 1960s. The article concludes by discussing how an explanation of CMS collapse that is centred on health policy and politics reveals the limitations of the economic reform paradigm and contributes to a fuller understanding of the post-Mao period.

Empowering nurse practitioners to make health policy CHANGE

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Lacey M. Eden ◽  
Heather Merrill ◽  
Karlen E. Luthy
Keyword(s):  
Health Policy ◽  
Policy Change ◽  
Nurse Practitioners

scholarly journals One-On-One: Kathleen Noonan

2019 ◽  
pp. 14-19
Keyword(s):  
Patient Safety ◽  
Health Policy ◽  
Policy Change ◽  
Chief Executive Officer ◽  
Real World ◽  
Healthcare Providers ◽  
Chief Executive ◽  
Social Needs ◽  
World Health ◽  
The City

Kathleen Noonan is chief executive officer of the Camden Coalition of Healthcare Providers, a nonprofit, multidisciplinary healthcare innovator in Camden, New Jersey. A former corporate lawyer, Noonan previously was co-director of PolicyLab at Children’s Hospital of Philadelphia, which she co-founded in 2008 to ensure clinical research was connected to and influencing real-world health policy change. Noonan recently spoke with Cait Allen, MPH, director of Engagement at the Patient Safety Authority, about the Camden Coalition’s efforts to improve care for people with complex health and social needs in in the city of Camden, regionally, and across the country.

Policy entrepreneurs, creative teamwork, and policy change

2014 ◽  
pp. 129-145 ◽  
Author(s):  
Michael Mintrom ◽  
Chris Salisbury
Keyword(s):  
Policy Change ◽  
Policy Entrepreneurs

scholarly journals Improving Medicaid Access in Times of Health Policy Change: Solutions from Focus Groups with Frontline Enrollment Workers

2019 ◽  
Vol 30 (1) ◽  
pp. 280-296
Author(s):  
Marissa Raymond-Flesch ◽  
Laurel Lucia ◽  
Ken Jacobs ◽  
Claire D. Brindis
Keyword(s):  
Health Policy ◽  
Focus Groups ◽  
Policy Change

scholarly journals Incentives, health promotion and equality

2010 ◽  
Vol 7 (3) ◽  
pp. 263-283 ◽  
Author(s):  
Kristin Voigt
Keyword(s):  
Health Promotion ◽  
Health Policy ◽  
Population Health ◽  
Health Inequalities ◽  
Incentive Schemes ◽  
Systematic Assessment ◽  
Trade Offs ◽  
Equality Of Access

AbstractThe use of incentives to encourage individuals to adopt ‘healthier’ behaviours is an increasingly popular instrument in health policy. Much of the literature has been critical of ‘negative’ incentives, often due to concerns about equality; ‘positive’ incentives, however, have largely been welcomed as an instrument for the improvement of population health and possibly the reduction of health inequalities. The aim of this paper is to provide a more systematic assessment of the use of incentives from the perspective of equality. The paper begins with an overview of existing and proposed incentive schemes. I then suggest that the distinction between ‘positive’ and ‘negative’ incentives – or ‘carrots’ and ‘sticks’ – is of limited use in distinguishing those incentive schemes that raise concerns of equality from those that do not. The paper assesses incentive schemes with respect to two important considerations of equality: equality of access and equality of outcomes. While our assessment of incentive schemes will, ultimately, depend on various empirical facts, the paper aims to advance the debate by identifying some of the empirical questions we need to ask. The paper concludes by considering a number of trade-offs and caveats relevant to the assessment of incentive schemes.

Towards a dynamic description of major depression epidemiology

2004 ◽  
Vol 13 (1) ◽  
pp. 21-28 ◽  
Author(s):  
Scott B. Patten ◽  
Robert C. Lee
Keyword(s):  
Health Policy ◽  
Major Depression ◽  
Population Health ◽  
Markov Models ◽  
Transition Probabilities ◽  
Epidemiological Data ◽  
Policy Decisions ◽  
Future Health ◽  
Substantial Impact ◽  
The Impact

SummaryAims – The substantial impact of major depression on population health is widely acknowledged. To date, health system responses to this condition have been largely shaped by observational findings. In the future, health policy decisions will benefit from an increasingly integrated and dynamic understanding of the epidemiology of this condition. Policy decisions can also be supported by the development of decision-support tools that can simulate the impact of alternative policy decisions on population health. Markov models are useful both in epidemiological modelling and in decision analysis. Methods – In this project, a Markov model describing major depression epidemiology was developed. The model employed a Markov Tunnel in order to depict the dependence of recovery probabilities on episode duration. Transition probabilities, including incidence, recovery and mortality were estimated from Canadian national survey data. Results – Episode incidence was approximately 3% per year. Recovery rates declined exponentially over time. The model predicted point prevalence at slightly less than 1%, agreeing closely with observed prevalence data. Conclusions – Epidemiological models describing the dynamic relationships between major depression incidence, prevalence, recovery and mortality can help to integrate available epidemiological data. Such models offer an attractive option for support of health policy decisions.Declaration of InterestAcknowledgement: Both authors are Research Fellows with the Institute of Health Economics (www.ihe.ab.ca). This study was supported by an operating grant from the Canadian Institutes of Health Research (www.cihr.ca).

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