Health policy processes in maternal health: A comparison of Vietnam, India and China
Health policy processes in maternal health: A comparison of Vietnam, India and China
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DOI：
10.1016/j.healthpol.2010.11.016
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发表时间：
2011-05-01
期刊：
影响因子：
3.3
通讯作者：
Soors, Werner
中科院分区：
文献类型：
--
作者：
Green, Andrew;Gerein, Nancy;Soors, Werner
本文基于越南、印度和中国孕产妇保健的9个案例研究，报告了一项比较分析，以评估和解释政策进程的优缺点。政策过程往往是缓慢的、不充分协调的、对外界不透明的。证据的使用是可变的，特别是可以更积极地用于评估不同的政策选择。虽然涉及的行动者越来越多，但仍有进一步开放政策过程的余地。如果管理得当，并适当考虑到倡导组织的问责制等问题，这可能会导致更有力的政策制定和更大的后续所有权；然而，这可能是一个更加混乱的协调过程。在政策问题跨越传统部门界限的情况下，协调至关重要，但也至关重要，以确保政策制定考虑到关键的卫生系统和资源问题。这一点以及与特定政策问题的性质有关的其他特征表明，既需要为每个特定政策问题调整流程，又需要监测政策流程本身的进展。文章最后提出了渴望加强政策进程的行为体应考虑的具体问题。2010爱思唯尔爱尔兰有限公司版权所有。
This article reports on a comparative analysis to assess and explain the strengths and weaknesses of policy processes based on 9 case-studies of maternal health in Vietnam, India and China.Policy processes are often slow, inadequately coordinated and opaque to outsiders. Use of evidence is variable and, in particular, could be more actively used to assess different policy options. Whilst an increasing range of actors are involved, there is scope for further opening up of the policy processes. This is likely, if appropriately managed with due regard to issues such as accountability of advocacy organisations, to lead to stronger policy development and greater subsequent ownership; it may however be a more messy process to co-ordinate. Coordination is critical where policy issues span conventional sectoral boundaries, but is also essential to ensure development of policy considers critical health system and resource issues. This, and other features related to the nature of a specific policy issue, suggests the need both to adapt processes for each particular policy issue and to monitor the progress of the policy processes themselves. The article concludes with specific questions to be considered by actors keen to enhance policy processes. (C) 2010 Elsevier Ireland Ltd. All rights reserved.