'Doing' health policy analysis: methodological and conceptual reflections and challenges.

'Doing' health policy analysis: methodological and conceptual reflections and challenges.
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DOI:
10.1093/heapol/czn024
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发表时间:
2008-09
影响因子:
3.2
通讯作者:
Gilson, Lucy
Gilson, Lucy
中科院分区:
医学3区
文献类型:
--
作者:
Walt, Gill;Shiffman, Jeremy;Schneider, Helen;Murray, Susan F.;Brugha, Ruairi;Gilson, Lucy

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一些学者和实践者提出了进行政策分析的理由。然而,很少有人关注如何进行政策分析,什么样的研究设计,理论或方法最好地为政策分析提供信息。本文首先着眼于卫生政策环境,以及研究这一高度复杂现象所面临的一些挑战。它侧重于在中等和低收入国家的研究,借鉴了一些框架和理论,方法和设计,可用于卫生政策分析,从最近的研究给出的例子。个案研究和研究设计的时间性的影响进行了探讨。注意的政策研究人员的作用和研究过程中的反身性和研究者的立场的重要性。最后一节探讨了推进卫生政策分析领域的方法,并提出了理论、方法和研究者反思的建议。
The case for undertaking policy analysis has been made by a number of scholars and practitioners. However, there has been much less attention given to how to do policy analysis, what research designs, theories or methods best inform policy analysis. This paper begins by looking at the health policy environment, and some of the challenges to researching this highly complex phenomenon. It focuses on research in middle and low income countries, drawing on some of the frameworks and theories, methodologies and designs that can be used in health policy analysis, giving examples from recent studies. The implications of case studies and of temporality in research design are explored. Attention is drawn to the roles of the policy researcher and the importance of reflexivity and researcher positionality in the research process. The final section explores ways of advancing the field of health policy analysis with recommendations on theory, methodology and researcher reflexivity.
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