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Book part
Publication date: 13 March 2020

Julinda Hoxha

This chapter examines factors that maximize collaboration among various stakeholders with the purpose of health policy making in Turkey. The field research reveals that…

Abstract

This chapter examines factors that maximize collaboration among various stakeholders with the purpose of health policy making in Turkey. The field research reveals that policy networks have been formed in the sub-areas of public health, healthcare construction, and health tourism in the years between 2011 and 2015. Content analysis of 24 semi-structured interviews with policy and professional experts is conducted to assess Network Collaborative Capacity, built upon three dimensions, namely, structural, relational, and institutional. The findings reveal that networks differ in their capacity to collaborate as well as their impact on policy making resulting in three distinct models of network policy making. In the cases under investigation, network impact takes the form of (a) policy innovation through expertise sharing and evidence-based policy making associated with particularly high levels of relational capacity; (b) policy effectiveness through contract enforcement within a clear legal framework associated with particularly high levels of institutional capacity; and (c) policy coherence through organizational-knowledge-sharing and actor coordination. Findings also suggest that institutionalization in the form of network embeddedness in the surrounding political and economic environment is crucial for maintaining a collaborative momentum as well as achieving policy effectiveness at the stage of policy implementation. Based on these findings, further studies should focus on the institutionalization of policy networks, particularly in those middle-income countries such as Turkey that aim and often fail to address various policy challenges through short-lived practices of multi-stakeholder action. Finally, this study emphasizes the importance of incorporating neo-institutional approaches to network analysis.

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Network Policy Making within the Turkish Health Sector: Becoming Collaborative
Type: Book
ISBN: 978-1-83867-095-5

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Article
Publication date: 18 May 2020

Hasan Saber and Salwa Shaarawy Gomaa

This study aims to explain the emergence and development of the concept of “Policy Networks” as a unit of analysis in the realm of public policies and their role in…

Abstract

Purpose

This study aims to explain the emergence and development of the concept of “Policy Networks” as a unit of analysis in the realm of public policies and their role in formulating a comprehensive policy for health insurance. The developments that took place over the past few decades had impacted a shift in the state’s role in shaping public policies, from a sole, key actor to one among other actors, both governmental and non-governmental, working interdependently through a set of networks.

Design/methodology/approach

The present study adopts the social network analysis as an approach and the social policy network as a tool to analyze public policymaking. The approach suggests the presence of a number of actors and interest groups that are actively involved in public policy and decision-making. These groups may vary from a cause to another and also from time to time. This research investigates and juxtaposes a selected sample of members of the health insurance policy network in Egypt.

Findings

In light of the study findings, one can see the existence of a policy network for the comprehensive health insurance system in Egypt. The study reveals the interrelations among a number of official and non-official key actors. The network has gone through several phases; the pre-establishment phase during the early stages of policymaking; the official establishment phase during the formative stage; and finally, the network operation phase during the implementation stage. The study also concludes that the policy network has influenced the different stages of policymaking through several tools and strategies. Moreover, the roles of different actors varied within the network; international organizations were the primary influencer in the early stages of policymaking; syndicates dominated the formative stage; and the public sector played the leading role in the implementation stage.

Research limitations/implications

Serious attempts were made to benefit from policy networks with a particular focus on using the strengths of each actor while establishing an official institutional framework that consolidates coordination and cooperation among the involved parties. This framework should keep pace with global changes and developments. It should also have an official meeting venue. Above all, all parties should be listened to and their demands should be considered seriously as long as they are not actualized at the expense of the public interest nor do they undermine the sovereignty of the state. The study also enhances researchers to use policy networking as a unit for analyzing public policy and their effect on these policies.

Practical implications

Public policymaking in Egypt can become more responsive to people’s demands and more democratic once it was made through informative and interactive policy network. This pattern of policymaking will enhance both efficient and responsive.

Social implications

Practical Implications: public policy making in Egypt can become more responsive to people demands and more democratic once it was made through informative and interactive policy network. This pattern of policymaking will enhance both efficient and responsive.

Originality/value

In addition to its practical contributions to the field of policymaking, this research fills a gap in the literature on the theoretical level.

Details

Review of Economics and Political Science, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2356-9980

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Article
Publication date: 31 December 2009

Elhadji Mbaye

Why is social action politically so difficult to manage, especially in the field of health and above all when it concerns health care for immigrant populations? This…

Abstract

Why is social action politically so difficult to manage, especially in the field of health and above all when it concerns health care for immigrant populations? This article examines this question by analysing public policies concerning the situation of migrants living with HIV/Aids in France.

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International Journal of Migration, Health and Social Care, vol. 5 no. 3
Type: Research Article
ISSN: 1747-9894

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Article
Publication date: 8 April 2014

Leo Quigley

The purpose of this paper is to review the reasons underlying the slow rate of progress towards developing a comprehensive policy underpinning for adult safeguarding in…

Abstract

Purpose

The purpose of this paper is to review the reasons underlying the slow rate of progress towards developing a comprehensive policy underpinning for adult safeguarding in England and proposes long-term solutions.

Design/methodology/approach

This paper uses a model of policy change to argue that adult safeguarding has been over-reliant on case histories to define its policy problems and influence its politics, while making insufficient progress on data collection and analysis. It uses examples from the parallel discipline of public health to explore four challenges, or “problems”, relevant to the further development of the knowledge base underpinning adult safeguarding policy.

Findings

Four recommendations emerge for closing the adult safeguarding “knowledge gap”, including the development of a national research strategy for adult safeguarding. In a fifth recommendation the paper also proposes a clearer recognition of the contribution that local public health professionals can make to local adult safeguarding policy making and programme development.

Practical implications

The first four recommendations of this paper would serve as the basis for developing a national research strategy for adult safeguarding. The fifth would strengthen the contribution of local public health departments to safeguarding adults boards.

Originality/value

The author is unaware of the existence of any other review of the limitations of the adult safeguarding knowledge base as a foundation for policy making, or which proposes strategic solutions. The work is valuable for its practical proposals.

Details

The Journal of Adult Protection, vol. 16 no. 2
Type: Research Article
ISSN: 1466-8203

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Abstract

Purpose

This chapter analyses and discusses local government health promotion in Norway.

Approach/methodology

Institutional theory indicates that political and administrative jurisdictions are path dependent in their policy formation and implementation. By using data from different sources this assumption is analysed and discussed according to health promotion in Norwegian municipalities. The main methodology is cross tabulations, bivariate correlations and regression is carried out to supplement analyses.

Findings

Municipalities are path dependent in their health promotion policies. They acknowledge and prioritize health behaviour independent of experienced socio-economic challenges, municipal capacity as size and income, and local government political profile. Competence devoted to health promotion can create changes in policies.

Limitation/policy implications

The rhetoric on determinants and social determinants in particular is new in Norway. Rhetoric on, and interventions, that highlight the social determinants of health need to be coordinated.

Originality

The chapter presents new knowledge on Norwegian local government health promotion and how this is implemented in relation to the challenges experienced.

Details

Technology, Communication, Disparities and Government Options in Health and Health Care Services
Type: Book
ISBN: 978-1-78350-645-3

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Article
Publication date: 31 December 2008

Samuel Annor and Pauline Allen

The promotion of public mental health is a challenging endeavour for policy actors and stakeholders. In particular, the implementation of public mental health initiatives…

Abstract

The promotion of public mental health is a challenging endeavour for policy actors and stakeholders. In particular, the implementation of public mental health initiatives highlighted in Standard One of the National Service Framework for Mental Health has been poor and patchy (Department of Health, 2004a). This paper attempts to illuminate the complex process of public mental health policy implementation at local level through the exploration of stakeholders' actions.An exploratory case study design was selected, focusing on one local health and social care community within inner London. A conceptual framework about policy implementation and the concept of partnership working are used to shape the analysis of the empirical findings.This paper addresses the challenges associated with the promotion of public mental health initiatives within one local NHS health and social care community. It attempts to increase the understanding and insights into public mental health policy and practice at local level from a policy implementation standpoint. Using an empirical case study of public mental health in an English locality, some of the key issues explored in this paper are about perceptions of public mental health concepts among key policy actors and also stakeholders' behaviour in Local Implementation team (LIT) partnerships. Furthermore, the authors address the issue of how local policy actors engage the local community in supporting the needs of vulnerable groups such as service users and black and minority ethnic (BME) groups.Although functional partnership are essential for the promotion of public mental health initiatives, the interdependencies of the stakeholders, competition for resources, power dynamics and the difficulty of engaging a diverse range of voices have a significant limiting effect on achieving successful policy implementation on the ground.

Details

Journal of Public Mental Health, vol. 7 no. 4
Type: Research Article
ISSN: 1746-5729

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Book part
Publication date: 13 March 2020

Julinda Hoxha

Abstract

Details

Network Policy Making within the Turkish Health Sector: Becoming Collaborative
Type: Book
ISBN: 978-1-83867-095-5

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Article
Publication date: 1 March 1992

Ulla Gustafsson

There has been a tradition of comparative research into the health services of England and Sweden. This has focused mainly on health care financing, organisational…

Abstract

There has been a tradition of comparative research into the health services of England and Sweden. This has focused mainly on health care financing, organisational structures and health inequalities (Anderson 1972; Helco 1974; Heidenheimer and Elvander 1980; Ham 1988; Ham et al 1990). Less attention however has been paid to the policies on, and philosophies of, public health and health promotion in the two countries. This may of course be because it is only comparatively recently that such policies have come to the fore on the political agenda in both countries. It is on these areas that we focus our attention. Consequently this paper will do three things. First, describe the current policies on public health and health promotion at national level in both countries. Second, draw attention to the differences and similarities which are manifest in the policies of these two countries and develop a summary of the two national strategies. Third, we will consider some possible reasons and explanations for the contemporary emergence of public health.

Details

International Journal of Sociology and Social Policy, vol. 12 no. 3
Type: Research Article
ISSN: 0144-333X

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Book part
Publication date: 3 November 2005

Drew Halfmann, Jesse Rude and Kim Ebert

Through content analysis, the study traces the relative prominence of “biomedical” and “public health” approaches in congressional bills aimed at improving the health of…

Abstract

Through content analysis, the study traces the relative prominence of “biomedical” and “public health” approaches in congressional bills aimed at improving the health of racial and ethnic minorities over a 28-year period. It documents a surge of interest in minority health during the late 1980s and early 1990s and highlights the dominance of biomedical initiatives during this period. Drawing on historical methods and interviews with key informants, the paper explains these patterns by detailing the ways in which policy legacies shaped the interests, opportunities, and ideas of interest groups and policy-makers.

Details

Health Care Services, Racial and Ethnic Minorities and Underserved Populations: Patient and Provider Perspectives
Type: Book
ISBN: 978-0-76231-249-8

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Book part
Publication date: 13 March 2020

Julinda Hoxha

This chapter investigates the origins of cross-sectoral collaboration by exploring when and why policy networks form within the Turkish health sector – a least likely case…

Abstract

This chapter investigates the origins of cross-sectoral collaboration by exploring when and why policy networks form within the Turkish health sector – a least likely case for network formation. The analysis presented here draws on information collected from a number of official documents, semi-structured interviews with professional experts, and two multi-stakeholder meetings. Timewise, networks entered the policy jargon during the introduction of the Health Transformation Program in 2003. Yet, the years between 2011 and 2015 were ground-breaking in producing concrete cross-sectoral collaborative instruments of policy making. The findings of the analysis reveal that policy networks form as a result of central government’s choice to devolve responsibility and expand the policy space with new issues and actors. Moreover, policy networks emerge not only during the times of policy change which has a reactionary, abrupt, and nature but also during the times of policy stability and legitimacy. These contextual factors are crucial in maintaining an atmosphere of trust among stakeholders, particularly between state and non-state actors. The refugee crisis and spreading securitization discourse in the post-2015 period explain the shifting policy and political agenda leading to public sector retrenchment from cross-sectoral projects within the field of health. This chapter intends to contribute to the literature of comparative public policy by examining the link between policy networks and policy change in addition to adding to the debates on network governance by exploring the processes of network formation. Finally, this chapter contributes to Turkish studies by examining the process of network formation within the Turkish health sector.

Details

Network Policy Making within the Turkish Health Sector: Becoming Collaborative
Type: Book
ISBN: 978-1-83867-095-5

Keywords

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