Health sector reform and the interpretation of policy context
Health sector reform and the interpretation of policy context
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DOI：
10.1016/s0168-8510(99)00003-2
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发表时间：
1999-04-01
期刊：
影响因子：
3.3
通讯作者：
Hunter, D
中科院分区：
文献类型：
--
作者：
Collins, C;Green, A;Hunter, D
卫生部门改革已列入各国政府和国际机构的政策议程。本文着重于卫生部门改革的政策过程，更具体地说，政策背景。强调了理解政策背景的重要性，并讨论了政策背景的要素。这些是：人口和流行病变化;社会和经济变化过程;经济和财政政策;政治和政治制度;意识形态、公共政策和公共部门。然后，本文讨论了政策背景的解释手段和方法。特别强调的是把政策背景与政策过程的整体理解，政策制定的“混乱”，背景因素之间的相互关系，由政策行为者解释的背景因素，在政策分析中使用的分析类别。本文最后指出了加强政策分析对有效的卫生部门改革的重要性。(C)1999爱思唯尔科学爱尔兰有限公司保留所有权利。
Health sector reform is on the policy agenda of national governments and international agencies. This paper focuses on the policy process of health sector reform and, more specifically, the policy context. The importance of understanding policy context is emphasised and the elements of policy context are discussed. These are: demographic and epidemiological change; processes of social and economic change; economic and financial policy; politics and the political regime; ideology, public policy and the public sector. The paper then discusses the means for, and methods of, interpretation of the policy context. Particular emphasis is placed on linking policy context with an overall understanding of the policy process, the 'messiness' of policy-making, the interrelationship between the contextual factors, the contextual factors interpreted by policy actors, the use of analytical categories in the policy analysis. The paper concludes on the importance of strengthening policy analysis for effective health sector reform. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.