Is It Time to Explore the Health Policy Process Within Governance and Health Systems Frameworks?; Comment on “Modelling the Health Policy Process: One Size Fits All or Horses for Courses?”

Document Type : Commentary

Author

Centre for Health Services Studies, University of Kent, Canterbury, UK

Abstract

There is clearly a need to improve the use of more robust policy theory on health policy analysis. Powell and Mannion in an editorial on the relationship between health policy analysis and the wider field of public policy theory note, as others have done before, the limited application of policy theory in health policy analysis. However, they also highlight that within the health policy analysis arena new models have emerged which have wider use within policy analysis such as the health policy triangle. While Powell and Mannion suggest that health policy analysis can take one of two paths I argue that we should be developing more integrated frameworks of health policy processes, governance and systems which would involve the use of robust public policy theories and models.

Keywords


  1. Powell M, Mannion R. Modelling the health policy process: one size fits all or horses for courses? Int J Health Policy Manag. 2023;12:7580. doi:34172/ijhpm.2022.7580
  2. John P. Analyzing Public Policy. 2nd ed. London: Routledge; 2012.
  3. Montenegro Martínez G, Carmona Montoya A, Franco-Giraldo Á. [Models for public health policy analysis reported in scientific publications]. Gac Sanit. 2021;35(3):270-281. doi:1016/j.gaceta.2019.11.007
  4. Tuohy CH. Remaking Policy: Scale, Pace, and Political Strategy in Health Care Reform. Vol 54. University of Toronto Press; 2018.
  5. van Gestel N, Denis JL, Ferlie E, McDermott AM. Explaining the policy process underpinning public sector reform: the role of ideas, institutions, and timing. Perspect Public Manag Gov. 2018;1(2):87-101. doi:1093/ppmgov/gvx020
  6. da Cunha Saddi F, Peckham S, Bloom G, Turnbull N, Coelho VS, Denis JL. Employing the policy capacity framework for health system strengthening. Policy Soc. 2023;42(1):1-13. doi:1093/polsoc/puac031
  7. Tenbensel T, Silwal PR. Cultivating health policy capacity through network governance in New Zealand: learning from divergent stories of policy implementation. Policy Soc. 2022;42(1):49-63. doi:1093/polsoc/puab020
  8. Denis JL, Usher S, Préval J. Health reforms and policy capacity: the Canadian experience. Policy Soc. 2022;42(1):64-89. doi:1093/polsoc/puac010
  9. Cairney P. Standing on the shoulders of giants: how do we combine the insights of multiple theories in public policy studies? Policy Stud J. 2013;41(1):1-21. doi:1111/psj.12000
  10. Walt G, Shiffman J, Schneider H, Murray SF, Brugha R, Gilson L. 'Doing' health policy analysis: methodological and conceptual reflections and challenges. Health Policy Plan. 2008;23(5):308-317. doi:1093/heapol/czn024
  11. Weible CM, Cairney P. Practical lessons from policy theories. Policy Polit. 2018;46(2):183-97. doi: 1332/030557318x15230059147191.
  12. Walt G, Gilson L. Reforming the health sector in developing countries: the central role of policy analysis. Health Policy Plan. 1994;9(4):353-370. doi:1093/heapol/9.4.353
  13. Gilson L, Raphaely N. The terrain of health policy analysis in low and middle income countries: a review of published literature 1994-2007. Health Policy Plan. 2008;23(5):294-307. doi:1093/heapol/czn019
  14. Weible CM, Schlager E. The multiple streams approach at the theoretical and empirical crossroads: an introduction to a special issue. Policy Stud J. 2016;44(1):5-12. doi:1111/psj.12143
  15. Compton ME, 't Hart P. How to ‘see’ great policy successes. In: 't Hart P, Compton ME, eds. Great Policy Successes. Oxford University Press; 2020.
  16. Wu X, Howlett M, Ramesh M. Policy Capacity and Governance: Assessing Governmental Competences and Capabilities in Theory and Practice. Springer; 2018. doi:1007/978-3-319-54675-9