Enhancing the use of stakeholder analysis for policy implementation research: towards a novel framing and operationalised measures.
Enhancing the use of stakeholder analysis for policy implementation research: towards a novel framing and operationalised measures.
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DOI：
10.1136/bmjgh-2020-002661
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发表时间：
2020-11
影响因子：
8.1
通讯作者：
Balabanova D
中科院分区：
文献类型：
--
作者：
Balane MA;Palafox B;Palileo-Villanueva LM;McKee M;Balabanova D
政策是由全球、国家和地方各级各种利益攸关方形成和影响的。虽然利益相关者分析是一种公认的实用工具，用于评估与政策相关的行为者的立场和参与情况，但很少有实证研究详细说明在这些类型的分析中，权力、利益和地位等复杂概念是如何运作和评估的。本研究旨在通过审查利益相关者分析的概念方法和制定可适用于中低收入国家政策实施的框架来解决这一差距。该框架是通过一个三步走的过程制定的：范围审查、卫生政策专家的同行审查、利用关键信息提供者访谈进行分析和建立共识。选择了四个特征进行纳入：与政策相关的利益相关者的知识水平、兴趣、权力和地位。框架开发过程强调需要重新审视我们如何评估行为者的权力，这是利益相关者分析中的一个关键问题，并根据资源区分行为者的潜在权力，以及他们是否根据他们支持或反对政策的行动来行使权力。探索行为者的特征和他们的知识水平之间的交集可以确定利益，这反过来又可以影响利益相关者对政策的立场，显示了分析这些特征的重要性。自上而下和自下而上的实施方法也必须纳入对政策行为者的分析，因为国家、地方和一线利益攸关方在知识类型、利益和权力来源方面存在差异。制定的框架有助于卫生政策研究，它提供了一个实用工具，用于分析政策行为者的特征，并解决评估利益攸关方分析中所包含的复杂概念的复杂性。
Policy is shaped and influenced by a diverse set of stakeholders at the global, national and local levels. While stakeholder analysis is a recognised practical tool to assess the positions and engagement of actors relevant to policy, few empirical studies provide details of how complex concepts such as power, interest and position are operationalised and assessed in these types of analyses. This study aims to address this gap by reviewing conceptual approaches underlying stakeholder analyses and by developing a framework that can be applied to policy implementation in low-and-middle income countries. The framework was developed through a three-step process: a scoping review, peer review by health policy experts and the conduct of an analysis using key informant interviews and a consensus building exercise. Four characteristics were selected for inclusion: levels of knowledge, interest, power and position of stakeholders related to the policy. The framework development process highlighted the need to revisit how we assess the power of actors, a key issue in stakeholder analyses, and differentiate an actor’s potential power, based on resources, and whether they exercise it, based on the actions they take for or against a policy. Exploration of the intersections between characteristics of actors and their level of knowledge can determine interest, which in turn can affect stakeholder position on a policy, showing the importance of analysing these characteristics together. Both top-down and bottom-up approaches in implementation must also be incorporated in the analysis of policy actors, as there are differences in the type of knowledge, interest and sources of power among national, local and frontline stakeholders. The developed framework contributes to health policy research by offering a practical tool for analysing the characteristics of policy actors and tackling the intricacies of assessing complex concepts embedded in the conduct of stakeholder analyses.
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影响因子：
1.4
作者：
Heydari, Majid;Seyedin, Hesam;Dehnavieh, Reza
通讯作者：
Dehnavieh, Reza
影响因子：
3.2
作者：
Ancker, Svetlana;Rechel, Bernd
通讯作者：
Rechel, Bernd
影响因子：
2.4
作者：
McMillan SS;King M;Tully MP
通讯作者：
Tully MP
影响因子：
3.2
作者：
Kapilashrami, Anuj;McPake, Barbara
通讯作者：
McPake, Barbara
DOI：
10.15171/ijhpm.2016.09
发表时间：
2016-06-01
影响因子：
3.5
作者：
Fischer, Sara Elisa;Strandberg-Larsen, Martin
通讯作者：
Strandberg-Larsen, Martin