"Empowered patient" or "doctor knows best"? Political economy analysis and ownership

"Empowered patient" or "doctor knows best"? Political economy analysis and ownership
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“赋予患者权力”还是“医生最了解”?

DOI:
10.1080/09614524.2016.1119249
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发表时间:
2015
影响因子:
1
通讯作者:
Fisher J
Fisher J
中科院分区:
--
文献类型:
--
作者:
Fisher J

文献摘要

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经合发组织-发援会发展机构将“政治思维”纳入决策和实践的努力日益侧重于使用“政治经济分析”框架和工具。虽然认识到促进政治知情规划的基本价值,但本文强调了当代为此目的的努力如何在很大程度上忽视了另一个核心发展议程:所有权范式。我们强调PEA设计和方法的高度以捐助者为中心的性质,探讨了对这种情况的批评和理由,最终认为捐助者将受益于对所有权的更灵活和具体情况的理解。
Efforts to incorporate “political thinking” into policy-making and practice in OECD-DAC development agencies have increasingly focused on the use of “political economy analysis” (PEA) frameworks and tools. While recognising the fundamental value of promoting politically informed programming, this article nevertheless highlights how contemporary efforts to this end have largely ignored another central development agenda: the ownership paradigm. Emphasising the highly donor-centric nature of PEA design and methodology, we explore critiques and justifications of this state of affairs, ultimately arguing that donors would benefit from embracing a more flexible and context-specific understanding of ownership.