theories of public policy Flashcards
Views of health policy
narrow view: policies specifying how the health care system should be structured and run
wide view: policies in a non-health dominant that can affect individual and population health
micro levels of policy
day to day government operations
- increasing funding to community health care centres
- increasing housing subsidy amounts for tenants
meso levels of policy
operations of mid level institutions like advisory boards or government departments
- creating Telehealth line
- changing eligibility requirements for social assistance
macro levels of policy
broad issues like the general shape of the political systems and how power is wielded
- creation of public-private partnerships
- creation of a national day care program
pluralism
there are competing groups that have their own interests and are trying to achieve their goals
groups vie for power
all groups have equal access to policy output
dominant understanding and approach of advocacy groups trying to influence policy
Easton’s model of the political system
input gets put into government to decide what the outputs will be
Kingdon’s policy stream convergence
problem, policy proposals and politics all influence the policy change window
all streams have to come together for policy change
critiques of pluralism
fails to consider role of political power or ideology
simplistic explanations
political process seen as consensual and conflict free
government parties can shut out perspectives of other groups
new institutionalism
pluralism + how institutions influence political discourse and policy outcomes
political institutions: state and government structures that develop over time and persist
* formal rules and operations
subtypes of new institutionalism
historical, rational choice, sociological
historical institutionalism
how policy change has occurred
what was everyone saying when the policy change was made
rational choice institutionalism
looking at where people are positioning themselves when developing policies
sociological institutionalism
looking at social norms and how it influences policy
critiques of new institutionalism
minimizes degree of possible policy change
important to examine other social, political, and economic forces
doesn’t look at how policy change develops or changes over time (except for historical)
political economy approach
understanding policy outcomes requires a focus on economic, political and social issues, and a focus on the distribution of power and resources
concerned with mode of production
looking at which groups already have power and who can bring about change
– what resources are available?
this approach is critical on capitalism