Abstract:
Models of the health policy process have largely developed in isolation from political studies more widely. Of the models which Powell and Mannion\'s editorial considers, a stages model of the policy process offers a framework for combining these specifically health-focused models with empirical findings and more general explanatory models of the policy process drawn from other political studies. This commentary uses a stages model to assemble a bricolage which combines some of these components. That identifies a further research task and suggests ways of revealing in more life-like ways the politics involved in the health policy process: that is, how that process channels wider, often conflicting, non-health interests, actors, policies, conflicts, ideologies and sources of power from outside the health system into health policy formation, and introduces non-rationality.
摘要:
卫生政策过程的模型在很大程度上与政治研究隔离开来。在鲍威尔和曼尼翁社论考虑的模型中,政策过程的阶段模型提供了一个框架,可以将这些专门针对健康的模型与经验发现以及从其他政治研究中得出的政策过程的更一般的解释性模型相结合。本评论使用阶段模型来组装组合这些组件中的一些组件的拼块。这确定了进一步的研究任务,并提出了以更逼真的方式揭示卫生政策过程中涉及的政治的方法:这个过程是如何更广泛地传播的,经常相互矛盾,非健康利益,演员,政策,冲突,从卫生系统外部的意识形态和权力来源到卫生政策的形成,并引入了非理性。