Determinants of health policy impact: comparative results of a European policymaker study

Rütten, Alfred; Lüschen, Günther; Lengerke, Thomas von; Abel, Thomas; Kannas, Lasse; Diaz, Josep A. Rodríguez; Vinck, Jan; Zee, J. van der

doi:10.1007/s00038-003-2048-0

Cited by 32 publications

(41 citation statements)

References 12 publications

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“…14,15 This predefined set of criteria was chosen because it provides an easily understood and persuasive connection between policy determinants and policy outcome and has been validated as a useful tool in analysing health policy. 4 Several models have been put forward to describe the complexities of the policy process. 16,17 There has been no single model whose utility prevails above all others in all contexts.…”

Section: Methodsmentioning

confidence: 99%

“…20,21 Rütten et al adapted the logic of events model within the context of health policy to develop a framework for health policy analysis. 4,15 In this framework, goals, resources, obligations and opportunities form the determinants of output of health policies. Rütten used this framework to examine health promotion policies, 4 and its utility is also demonstrated in other literature.…”

Section: Methodsmentioning

confidence: 99%

“…4,15 In this framework, goals, resources, obligations and opportunities form the determinants of output of health policies. Rütten used this framework to examine health promotion policies, 4 and its utility is also demonstrated in other literature. 22 Its focus on policy formulation and implementation enables the framework to be adapted for document analysis and evaluation of other health policies.…”

Section: Methodsmentioning

confidence: 99%

“…The following is an explanation of why amendments were made to the criteria of Rütten et al 4 Background and evaluation documents related to the NCCP were located using relevant health service websites (e.g. NSW Health website) and other search engines (e.g.…”

Section: Methodsmentioning

confidence: 99%

“…Policy impact can refer to strategies of policy implementation (outputs), or changes in population health or the health of the individual, as is the case when clinical management policies are applied (outcomes). 4 If a health policy can be shown to be successful in achieving its goals this may increase the likelihood of ongoing funding. Although there may be opportunities for funding without such evidence, perhaps as a result of political and economic factors, proof of goal achievement is additional enticement to the distributors of funding.…”

Section: Introductionmentioning

confidence: 99%

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Health policy analysis: a tool to evaluate in policy documents the alignment between policy statements and intended outcomes

Cheung

Mirzaei

Leeder

2010

Aust. Health Review

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Objective. Health policy analysis remains surprisingly undeveloped in Australia given the power that policy exercises over the direction of public health. This paper describes the use of a policy analysis tool to evaluate the alignment between policy statements and intended outcomes of principal chronic illness policy documents in New South Wales (NSW) from 1999 to 2008. In doing so, it demonstrates the utility of a set of predefined criteria for use in retrospective policy analysis and potential for use in reviewing policy proposals and making future health policies.Methods. We analysed the major health policy for the care of people with chronic disease in NSW, the Chronic Care Program, using a modified set of existing criteria derived from the logic of events theoretical framework, which conceptualises the connection between policy determinants and outcomes. A document map was also developed to identify linkages between the policy documents analysed.Results. Internal validity, the alignment between policy statements and intended outcomes, was highest for policy background and goal-setting criteria, and lowest for accessibility, resources, public opportunities and monitoring and evaluation criteria. The use of document mapping was vital in determining linkages between the closely related policy documents of this complex initiative.Conclusions. The use of predefined criteria to identify in policy documents where policy statements are not consistent with intended outcomes, in conjunction with policy mapping, are useful methods of analysing complex policy initiatives. In the Australian context, the use of a validated policy-analysis tool might help achieve greater consistency.Implications. The use of a tool during policy development to identify in policy documents where statements are not consistent with intended outcomes may increase the likelihood of the successful implementation of future health policy. The tool can also assist those who make and review future policies.What is known about the topic? Chronic diseases are an increasing burden on the Australian community and effective policy is required for their prevention and management. Evidence-based policy making has much potential in effecting policy impact yet there is very little Australian research into policy making. Health policy analysis has been conducted in the past but there has not been an attempt to evaluate or analyse the documents that communicate policy in NSW. What does this paper add? This is the first attempt to analyse the policy documentation of a major health initiative for internal validity, that is, the alignment between policy statements and intended outcomes. It offers a framework that may be used to assess policy documents and demonstrates the utility of document maps to identify policy linkages. What are the implications for practitioners? The use of a predefined set of criteria highlights opportunities where policies such as the NSW Chronic Care Program can potentially be strengthened. The criteria can be used by reviewers ...

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Health policy analysis: a tool to evaluate in policy documents the alignment between policy statements and intended outcomes

Cheung

Mirzaei

Leeder

2010

Aust. Health Review

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Assessment of country readiness for drug development: A qualitative study in Indonesia

Siagian¹,

Ayuningtyas

Soewondo

et al. 2021

World Med & Health Policy

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Over a 5‐year period ending in 2019, 200 pharmaceutical industries in Indonesia were encouraged to transform from generic to research‐based ones. This study aimed to assess the country's readiness for change, to predict the policy impact on drug development in Indonesia. Issues concerning the perceptions of pharmaceutical industries and government institutions on the pursuit of drug development readiness were explored in a qualitative explorative study, employing elements of key levers predicting drug development. Data from interviews and an open‐ended survey of a number of top‐level managers in pharmaceutical industries and relevant government institutions revealed that Indonesia was only partially ready to develop drugs. Drug characteristics, push and pull factors, government resources, and the national program were identified as drivers but failed to deliver any impact. Regulations, pharma capacity, market opportunities, regulatory‐pull factors, key actors, and policy value were among the commonly stated barriers to development.

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Measurement and Effectiveness

Campostrini¹

Global Perspectives on Health Promotion Effectiveness

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Determinants of health policy impact: comparative results of a European policymaker study

Cited by 32 publications

References 12 publications

Health policy analysis: a tool to evaluate in policy documents the alignment between policy statements and intended outcomes

Health policy analysis: a tool to evaluate in policy documents the alignment between policy statements and intended outcomes

Assessment of country readiness for drug development: A qualitative study in Indonesia

Measurement and Effectiveness

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