研究动态
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政策过程在卫生服务重构中的作用:基于证据、路径依赖和框架的评论,《关注历史》在英格兰卫生保健系统重大变革中的专科癌症手术服务重构一文中探讨

The Role of the Policy Process on Health Service Reconfigurations: Evidence, Path Dependency and Framing Comment on "'Attending to History' in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration".

发表日期:2023
作者: Juan I Baeza
来源: Int J Health Policy

摘要:

历史上,卫生保健服务主要是以累积式发展为主,通过各种零散的变革和一些显著的政策飞跃,体现出政策过程的断续平衡。近年来,决策者试图成功或不成功地重新组织卫生保健服务,以解决诸如中风、癌症和创伤等重要服务的交付中存在的问题。Perry等人通过关注历史的重要性,在大曼彻斯特地区(GM)的癌症服务重组中提供了一项受欢迎的研究补充。Perry等人分析了过去多次失败尝试后此次配置是如何成功的。在本文中,我想回顾一下在研究卫生保健服务重新组织方面的健康政策分析所能发挥的解释作用。 © 2023作者;由"Kerman University of Medical Sciences"出版。本文为开放获取文章,按照创作共用许可证(http://creativecommons.org/licenses/by/4.0),可在任何媒介中自由使用、分发和复制,前提是原作品的署名正确。
Historically healthcare services have largely developed on an incremental basis, with various piecemeal changes and some notable policy leaps that illustrate a punctuated equilibrium health policy process. More recently policy-makers have attempted, successfully and unsuccessfully, to reconfigure healthcare services to address perceived problems in the delivery of important services such as stroke, cancer, and trauma. Perry et al provide a welcome addition to research in this area by focusing on the importance of history in a reconfiguration of cancer services in Greater Manchester (GM). Perry et al analyse how and why this configuration was successful after several failed attempts in the past and in this commentary, I want to reflect on the explanatory role health policy analysis can contribute to studying the reconfiguration of healthcare services.© 2023 The Author(s); Published by Kerman University of Medical Sciences This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.