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Baej, Khalifa Ali. "Social structure, health orientation and health behavior". PDXScholar, 1985. https://pdxscholar.library.pdx.edu/open_access_etds/3426.
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An attempt has been made to examine the relationship between social structure and medical factors in a framework which links cosmopolitanism to health orientation and behavior. Specifically, this study has attempted to investigate the variations in health knowledge, beliefs, attitudes and behavior among individuals whose social structure varies in terms of cosmopolitanism.
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Gleeson, J. A. "Using policy analysis to explore the reciprocal impact of health policy on public health nursing and public health nursing on policy". Thesis, Bournemouth University, 2013. http://eprints.bournemouth.ac.uk/21387/.
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The overall aim of this study was to explore the reciprocal impact of health policy on public health nursing and public health nursing on policy. This study uses a new approach to considering public health nurses’ engagement in policy: one which puts public health nurses, as actors in the policy process, at the centre of the investigation. The overall philosophical lens through which the research was conducted was critical social theory and the methodology was a grounded theory influenced research design. The study adopted a three stage data collection and analysis process: primary data (questionnaires and interviews), detailed policy analyses of two specific White Papers and secondary data (extant documents). The data were collected and analysed through a grounded theory approach in order to answer four research questions: 1. What do public health nurses know about policy, specifically in relation to two English Department of Health White Papers: Creating A Patient-Led NHS (DOH 2005) and Our Health, Our Care, Our Say (DOH 2006)? 2. How do they engage in the policy process? 3. What affects their implementation of policy? 4. Is there a policy-practice gap? A triangulated approach to data collection and analysis was used. Primary data were collected through questionnaires and follow up telephone interviews with public health nurses (health visitors and school nurses) in four PCTs and one social enterprise in five different geographical areas of England. Further data from detailed policy analyses using frameworks by Popple and Leighninger (2008) and Walt and Gilson (1994) were also considered. Finally, secondary data from extant documents including newspapers, websites and organisational documents were reviewed. At the end of the research process, it was possible to answer the four research questions. In addition to this, new knowledge and theory emerged around three main themes: i) A proposal for a new combined framework for policy analysis which leads to a comprehensive and analytical account of policy content and context combined with a detailed consideration of the role of public health nurses as actors in the policy process. ii) Theories as to why and how public health nurses lack influence in the policy process. iii) Analysis of the effect of lack of resources on inhibiting practice innovation in response to policy agendas. Consideration of these theories led to several recommendations for practice. Throughout the research process, there was continued interaction between the three phases of data collection, analysis and theory development.
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Hoeijmakers, Marjan. "Local health policy development processes health promotion and network perspectives on local health policy-making in the Netherlands /". Maastricht : Maastricht : Universiteit Maastricht ; University Library, Maastricht University [Host], 2005. http://arno.unimaas.nl/show.cgi?fid=6358.
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Tatar, Fahreddin. "Privatisation and Turkish health policy". Thesis, University of Nottingham, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.356998.
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Bates, Nicole K. Ricketts Thomas C. "Health policy networks bridging interests and augmenting influence in the changing global health policy environment /". Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2008. http://dc.lib.unc.edu/u?/etd,2165.
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Thesis (DrPH)--University of North Carolina at Chapel Hill, 2008.Title from electronic title page (viewed Feb. 26, 2009). "... in partial fulfillment of the requirements for the degree of Doctorate of Public Health DrPH in the Department of Health Policy and Administration." Discipline: Health Policy and Administration; Department/School: Public Health.
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Bekker, Marleen Petra Maria. "The politics of healthy policies redesigning health impact assessment to integrate health in public policy /". Delft : Rotterdam : Eburon ; Erasmus University [Host], 2007. http://hdl.handle.net/1765/10491.
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Wang, Xiaochuan (Sherry). "Three essays on population health and public health policy". Thesis, University of Ottawa (Canada), 2005. http://hdl.handle.net/10393/29270.
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Empowered patient or empowered physician. An analysis of the importance of the gatekeeper in the health delivery system. This paper examines the important role of the gatekeeper in the health delivery system. A simple theoretical model is developed which compares the resource allocation when physicians act as gatekeepers with the decisions taken when patients are empowered. It is shown that even when there is no asymmetry of information---and so patients and doctors are equally able to identify the appropriate therapy---that the institutional arrangement matters. Patients demand more time with physicians when they are empowered whereas physicians want to spend more time developing their expertise when they are empowered. The reaction of physicians and patients to changes in policy instruments also differs across institutional arrangements. The analysis also draws attention to the design of the compensation scheme for physicians, and investigates the benefits of using a non-linear scheme.
Wealth, health, and the pursuit of happiness. This paper provides a theoretical framework to illustrate the relationship between income, utility maximization, and healthy choices. The analysis indicates that the choices of individuals who maximize utility are not the same as those arising were the individual to maximize wellness. In fact, rational individuals will over-eat and under-exercise relative to health maximizing levels. Yet as individuals get wealthier, they have better health. The paper also compares different strategies for health promotion. Income redistribution may lead to a net increase in population health and in social welfare. By contrast, policies that specifically target lifestyle choices may succeed in persuading citizens to choose a health-maximizing lifestyle, but result in a net welfare loss to society.
An empirical investigation of household income and income polices on obesity in Canada. Using the master files of the Canadian Community Health Survey (CCHS), this paper examines the effect of income on obesity and individuals' body-mass index. An instrumental variable technique is employed to derive consistent estimates of this effect and to take account of the possible endogeneity between income and body weight. It is found that higher income will lead to lower body weight for women, while its effect on the body-weight outcome of men is unclear. This chapter uses the estimates of the relationship between income and body weight to simulate the impact of government income policies---like social assistance and child support---on obesity. It is shown that incomes policies may not only decrease income inequality but may also contribute to a lower incidence of obesity amongst the poorer population thus decreasing overall health care costs.
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Holmes, Catherine Ann, University of Western Sydney, of Science Technology and Environment College i School of Environment and Agriculture. "Healthy marketplaces: insights into policy, practice and potential for health promotion". THESIS_CSTE_EAG_Holmes_C.xml, 2003. http://handle.uws.edu.au:8081/1959.7/502.
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The World Health Organization (WHO) has been implementing the Healthy Marketplace initiative in the market setting of developing countries since 1997. This initiative forms part of the Healthy Cities strategy and is reinforced through the Ottawa Charter for Health Promotion. The WHO Food Safety Division has indicated that every city in the WHO Healthy City program will eventually also have a Healthy Marketplace program. This is despite the absence of any published guidelines for facilitating program implementation, a clearly articulated Healthy Marketplace concept, and a dearth of meaningful program evaluations. This thesis set out to explore the views and experiences of in-country stakeholders involved in a Vietnamese Healthy Marketplace program. It also set out to examine the roles and perceptions of experts engaged in the design and delivery of programs across the developing world. Through an iterative and post-positivist research methodology, this inquiry collected and analysed data from five key sources: documents, detailed questionnaires, semi-structured interviews, and observations and reflections. The findings revealed that various and even conflicting program concepts and aims existed across and within groups, having significant implications for practice. The settings approach was not the dominant approach to health promotion in the Vietnamese market, but rather a 'top-down' topic-based approach dominated as the mechanism for program delivery. Consequently, numerous challenges have been identified for Healthy Marketplace policy and practice. The challenges are prefaced on the adoption of a settings approach, and include the need for : market communities to set their own agendas; the program target audience to be redefined; increased power sharing across stakeholders; the re-education of professionals; the sharing of knowledge; and the adequate resourcing of Healthy Marketplace programsMaster of Science (Hons)
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Holmes, Catherine Ann. "Healthy marketplaces : insights into policy, practice and potential for health promotion /". View thesis, 2003. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20031031.160623/index.html.
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GYASI, Razak Mohammed. "Ageing, health and health-seeking behaviour in Ghana". Digital Commons @ Lingnan University, 2018. https://commons.ln.edu.hk/otd/41.
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Rapid ageing of populations globally following reductions in fertility and mortality rates has become one of the most significant demographic features in recent decades. As a low- and middle-income country, Ghana has one of the largest and fastest growing older populations in sub-Saharan Africa, where ageing often occurs ahead of socioeconomic development and provision of health and social care services. Older persons in these contexts often face greater health challenges and various life circumstances including role loss, retirement, irregular incomes and widowhood, which can increase their demand for both formal and informal support. This thesis addresses the effects of the socio-political structure, informal social support and micro-level factors on health and health-seeking behaviour among community-dwelling older persons in Ghana. The theoretical perspectives draw on political economy of ageing, social convoy theory and Andersen5s behavioural model. Using multi-stage stratified cluster cross-sectional survey data of older cohorts (N= 1,200) aged 50 years and older, multivariate generalised Poisson and logit regression models estimated the associations among variables and interaction terms. Although Ghana’s national health insurance scheme (NHIS) enrollment was significantly associated with increased log count of healthcare use (β = 0.237), the relationship was largely a function of health status. Moreover, the NHIS was related with improved time from onset of illness to healthcare use (β = 1.347). However, even with NHIS enrollment, the intermediate (OR = 1.468) and richer groups (OR = 2.149) had higher odds of seeking healthcare compared with the poor. In addition, features of meaningful informal social support including contacts with family and friends, social participation and remittances significantly improved psychological wellbeing and health services utilisation. Somewhat counter-intuitively, spousal cohabitation was associated with decreased health services use (OR = 0.999). Whilst self-rated health revealed a strong positive association with functional status of older persons (fair SRH: β = 1.346; poor SRH: β = 2.422), the relationship differed by gender and also was moderated by marital status for women but not men. The employed and urban residents somewhat surprisingly had lower odds of formal healthcare use. The findings support the hypotheses that interactive impacts of aspects of structural and functional social support and removal of catastrophic healthcare costs are particularly important in older persons’ psychological health and health service utilisation. Nevertheless, Ghana’s NHIS currently apparently lacks the capacity to improve equitable attendance at health facility between poor and non-poor. In contributing to the public health and social policy discourse, this study proposes that, whilst policies to ensure improved health status of older people are recommended, multidimensional social support and NHIS policy should be properly resourced and strengthened so they may act as critical tools for improving health and health services utilization of this marginalized and vulnerable older people in Ghana. Moreover, policies targeting and addressing economic empowerment including universal social pensions and welfare payments should be initiated and maintained to complement the NHIS for older people. The achievement of age-relevant policies and Universal Health Coverage (UCH) as advocated by WHO could be enhanced by adopting some of these suggestions.
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Grill, Kalle. "Anti-paternalism and Public Health Policy". Doctoral thesis, KTH, Filosofi och teknikhistoria, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-10947.
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This thesis is an attempt to constructively interpret and critically evaluate the liberal doctrine that we may not limit a person’s liberty for her own good, and to discuss its implications and alternatives in some concrete areas of public health policy. The thesis starts theoretical and goes ever more practical. The first paper is devoted to positive interpretation of anti-paternalism with special focus on the reason component – personal good. A novel generic definition of paternalism is proposed, intended to capture, in a generous fashion, the object of traditional liberal resistance to paternalism – the invocation of personal good reasons for limiting of or interfering with a person’s liberty. In the second paper, the normative aspect of this resistance is given a somewhat technical interpretation in terms of invalidation of reasons – the blocking of reasons from influencing the moral status of actions according to their strength. It is then argued that normative anti-paternalism so understood is unreasonable, on three grounds: 1) Since the doctrine only applies to sufficiently voluntary action, voluntariness determines validity of reasons, which is unwarranted and leads to wrong answers to moral questions. 2) Since voluntariness comes in degrees, a threshold must be set where personal good reasons are invalidated, leading to peculiar jumps in the justifiability of actions. 3) Anti-paternalism imposes an untenable and unhelpful distinction between the value of respecting choices that are sufficiently voluntary and choices that are not. The third paper adds to this critique the fourth argument that none of the action types typically proposed to specify the action component of paternalism is such that performing an action of that type out of benevolence is essentially morally problematic. The fourth paper ignores the critique in the second and third papers and proposes, in an anti-paternalistic spirit, a series of rules for the justification of option-restricting policies aimed at groups where some members consent to the policy and some do not. Such policies present the liberal with a dilemma where the value of not restricting people’s options without their consent conflicts with the value of allowing people to shape their lives according to their own wishes. The fifth paper applies the understanding of anti-paternalism developed in the earlier papers to product safety regulation, as an example of a public health policy area. The sixth paper explores in more detail a specific public health policy, namely that of mandatory alcohol interlocks in all cars, proposed by the former Swedish government and supported by the Swedish National Road Administration. The policy is evaluated for cost-effectiveness, for possible diffusion of individual responsibility, and for paternalistic treatment of drivers. The seventh paper argues for a liberal policy in the area of dissemination of information about uncertain threats to public health. The argument against paternalism is based on common sense consequentialist considerations, avoiding any appeal to the normative anti-paternalism rejected earlier in the thesis.QC 20100714
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Buckmaster, Pamela L. "Promoting Older Adults' Health through Policy". Digital Archive @ GSU, 2010. http://digitalarchive.gsu.edu/iph_theses/81.
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The purpose of this capstone project was to develop the content for an online training module entitled Promoting Older Adults’ Health through Policy. The Centers for Disease Control and Prevention (CDC) Aging and Health Work Group was interested in complementing their workshop, Promoting Older Adults’ Health: Opportunities and Resources for CDC Professionals with an online training module on aging and policy.
This project highlights significant pieces of U.S. legislation that promotes older adults’ health and draws attention to emerging policy, systems, and environmental changes on the horizon. An anticipated short-term outcome is a demonstrated sensitivity to population aging in all CDC centers, divisions, programs, and initiatives. Similarly, an anticipated long-term outcome is growth in the number, quality, and scope of collaborative efforts across CDC centers, divisions, programs, and initiatives that focus on older adults’ health.
Two perspectives, “Healthy Aging” and “Successful Aging,” provide the foundation for a discussion of legislation and policies oriented towards older adults’ health. Various policy frameworks, i.e., cost-benefit, problem, political, vision, and a futures policy approach frame the discussion of policy development. Significant legislation that promotes older adults’ health, i.e., Social Security, Medicare, Medicaid, and the Older Americans Act of 1965 provide a historical context for a discussion of emerging policy, systems, and environmental changes that promise even greater advances. The mobility challenge for older adults as a population group in the U.S. provides the thematic thrust of this section of the module. Examples of CDC’s work exploring the link between older adults’ health and mobility, the built environment, and emergency preparedness are highlighted based on several criteria: burden of the problem, preventability, relationship to other CDC initiatives, and usefulness to practitioners are critical considerations.
The module also discusses how legislation and policies designed to promote health aging also improve the quality of life for all population groups. Policies focused on healthy aging lay the groundwork for an integration of a “health in all policies” approach (World Health Organization/ WHO, 2006), working in tandem with the “health for all” framework (WHO, 1998) and the “society for all ages” construct (United Nations, 1999).
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Player, Candice Teri-Lowe. "Essays in Ethics and Health Policy". Thesis, Harvard University, 2013. http://dissertations.umi.com/gsas.harvard:10979.
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In 1999 New York enacted Kendra's Law, in memory of Kendra Webdale, a young woman who was pushed to her death in front of an oncoming train by a man with untreated schizophrenia. Under Kendra's Law a court can order a person with a mental illness to participate in an "assisted outpatient treatment" (AOT) program. Kendra's Law includes a number of procedural due process protections including the right to a hearing and the right to counsel. Still critics argue that people with mental illnesses are routinely ordered to participate in the AOT program based on no more than "a bare recital of the statutory criteria." The first essay in this dissertation, Outpatient Commitment and Procedural Due Process, reports the findings from a study on procedural due process and assisted outpatient treatment hearings under Kendra's Law. Findings from this study suggest that despite the shift from a medical model of civil commitment to a judicial model in the late 1970s, by and large judges continue to accord great deference to clinical testimony. A second paper, Rethinking Kendra's Law, addresses the ethical dilemmas that arise when courts impose AOT over the patient's objection. The third paper of this dissertation, Public Assistance, Drug Testing and the Law, addresses the Fourth Amendment questions that arise when states condition public assistance benefits on passing a suspicionless drug test. To date eight states—including Florida, Georgia and Missouri—condition public assistance benefits on passing a drug test. Proposals to condition public assistance on passing a drug test have also appeared in Congress. However, without a genuine threat to public health or public safety, proposals to condition public assistance on passing a drug test without individualized suspicion of drug use are unreasonable under the Fourth Amendment. Even if the Supreme Court were to recognize special needs beyond a genuine threat to public health or public safety, policies that result in withholding public assistance benefits from people who abuse illegal drugs are likely to make many social problems much worse.
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Muhlestein, David Boone. "Measuring Health Policy Effects During Implementation". The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1371123868.
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CORSO, DANIELE. "Essays in Health Economics and Policy". Doctoral thesis, Università degli studi di Pavia, 2022. http://hdl.handle.net/11571/1456948.
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Mandal, Suvra. "Health policy, ethics and human values". Thesis, University of North Bengal, 1990. http://hdl.handle.net/123456789/66.
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Kato, Ryuta. "Three essays in health economics : uncertainty and public health policy". Thesis, University of Essex, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.310085.
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Lee, Henry Adam. "Subjective wellbeing : a perspective on health care and health policy". Thesis, Imperial College London, 2014. http://hdl.handle.net/10044/1/27247.
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The nature and resource constraints of modern health care has led to increased reliance on rigorous treatment targets and detailed policy guidelines. Whilst well intentioned, this can shift the focus away from patients themselves and places emphasis on arbitrary measures of output or performance that can relate poorly to how people experience and benefit from health care. Considerable effort and resources are spent on health care interventions, but policy makers and clinicians may be left without a clear understanding of how these treatments actually affect people in the experience of their lives. Subjective wellbeing (SWB) is a broad category of phenomena that includes people's emotional responses, domain satisfactions (e.g., health or work), and global judgements of life satisfaction. Measures of SWB offer a means to gauge the impact of changes and events in the lives of individuals. In recent years, there has been increasing interest in the use of SWB in shaping public policy (e.g. in relation to environmental and economic policies). In my thesis, I examine for the first time the ways in which measures of SWB can be used directly within a health care setting and to inform health policy decisions. In doing so, I have drawn on my understanding of clinical environments and health care systems as a practising clinician to bring a new perspective to the way that SWB is considered and used in health care and to how it can be applied in determining health policy. I explore the use of SWB at both the macro and micro levels of policy making and address the challenges faced when using measures of SWB in these ways. At the macro level, I examine the limitations and challenges of existing methods and examine where using SWB would have the most impact. I also focus on the use of SWB measures at a micro level, setting out a new model of patient experience with reference to SWB. My thesis sets out original methods for SWB data collection developed through innovative empirical work. This work into hernia surgery and on the SWB of the staff and inpatients of an acute NHS hospital has generated new data sets in clinical populations. I discuss the implications of this research and explain how, when and where SWB measures, when used in health care, can be used in health policy. All too often we lose sight of what really matters in life, and the world of heath care is no exception. Through the application of measures of SWB in health care, I offer a novel perspective that ensures a greater focus is placed on the way that patients experience health interventions when developing health policy.
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Khan, Nadia Yasmin Taher. "Ethnicity and health policy : the need for incorporating ethnicity into health policy using diabetes as an example". Thesis, University of Surrey, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.411002.
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Leeuw, Evelyne Johanna Janet de. "Health policy an exploratory inquiry into the development of policy for the new public health in the Netherlands /". [Maastricht : Maastricht : Rijksuniversiteit Limburg] ; University Library, Maastricht University [Host], 1989. http://arno.unimaas.nl/show.cgi?fid=5554.
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Jones, Ian Rees. "Health care needs and health policy : the case of renal services". Thesis, Queen Mary, University of London, 1995. http://qmro.qmul.ac.uk/xmlui/handle/123456789/1511.
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This thesis presents a critical ethnography of decision making with respect to the assessment of health care needs in the UK health system. Theories of need, justice and rights are reviewed in relation to structural changes to the National Health Service, together with the different theoretical approaches underpinning health policy based on human needs. The research on which this thesis is based focuses on a case study of an independent review of renal services in London, concentrating on the needs assessment work of the review group set up by the government and the decision making debates this review group engaged in. The methods used are based on a participatory, critical ethnography. The review process is evaluated critically by relating the technical knowledge produced by the group to a theoretical framework for assessing needs and by using a Habermasian perspective to investigate the ways in which the language of need is used to legitimise the agendas of various vested interests. This work is linked with an analysis of quasi-markets in the health service to explore the capacity that the technical discourses of markets and contracting have for reinforcing the ideological distortions identified in the analysis of the group's debates concerning need. Finally, by linking an analysis based on a case study of renal services to theoretical understandings of health care needs and health policy, a general critique of the UK health system is constructed.
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Clouston, Sean. "Partnered for health: How health interacts with partnership and how policy manages health inequality". Thesis, McGill University, 2011. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=97018.
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Marriage may benefit individuals as much as smoking harms their health. Men, in particular benefit from a gain of as much as 10 years in life expectancy; for women the gain is 4 years. While we know that these inequalities exist between those who are single and those who live in partnerships (marital or cohabitating), we do not know why they exist. Here are four hypotheses that suggest why there may be a relationship: Partnership Benefits, Positive Selection, Cleaning Up, and Negative Selection. However, the impact of each is related to policy context and gender over the life course. This dissertation uses longitudinal data from panel studies in Canada and the U.S. in order to consider the variable impact of gender and policy in changing the incentives involved in partnering and partnership type. We focus on the transition into partnership as a highly selective event that is followed, in theory, by a period of health and social benefits. We use smoothed non-linear adjusted health curves surrounding the transition into partnership in order to determine who partners, along with when and how much benefits accrue. All analyses are separated by gender to understand the role that gender has in finding partners and benefiting from partnerships. Findings suggest first partnership benefits dominate in Canada, and positive selection dominates in the U.S., that differences in social benefits and healthcare policy determine the importance of health selection. We also show that partnership type plays a role that depends on policy regime and that gender modifies the role that benefits and selection play. This dissertation therefore highlights the unintended impact that social policies have in determining who partners and when. Put simply, 'marriage matters' only when being 'not married' (i.e. single or cohabiting) is risky.Le mariage peut être avantageux pour les gens, tout autant que le tabagisme nuit à leur santé. Les hommes, en particulier, bénéficient d'une augmentation de dix ans de leur espérance de vie; pour les femmes, cette augmentation est de quatre ans. Bien que nous soyons conscients que ces inégalités existent entre les personnes célibataires et celles qui vivent en partenariat (mariage ou concubinage), il existe quatre hypothèses qui semblent indiquer en partie ce qui se passe et pourquoi il en est ainsi : les avantages du partenariat, la sélection positive, la responsabilisation et la sélection négative. Cependant, l'incidence de chacune est liée au sexe des personnes et au contexte politique au cours de leur vie. La présente dissertation s'appuie sur des données longitudinales provenant d'études par panel réalisées au Canada et aux États-Unis, afin d'examiner l'incidence variable du sexe et des politiques dans la modification des incitations en cause dans les partenariats et les types de partenariats. Nous nous concentrons sur la transition vers le partenariat comme un événement hautement sélectif qui est suivi, en théorie, par une période d'avantages sur les plans social et de la santé. Nous utilisons des courbes de santé non linéaires ajustées lissées pour illustrer la transition vers un partenariat en vue de déterminer les personnes qui entrent en partenariat, le moment qu'elles choisissent pour le faire, ainsi que les avantages que ce partenariat leur procure. Toutes les analyses sont séparées par sexe pour comprendre le rôle variable que le sexe exerce sur la découverte d'un partenaire et les avantages que procure le partenariat. Les résultats semblent indiquer que les politiques publiques, surtout celles touchant les soins de santé, déterminent l'importance de la sélection relative à la santé, et que le sexe modifie le rôle que jouent les avantages et la sélection. La présente dissertation met donc en évidence les effets non intentionnels que les politiques sociales produisent dans la détermination des personnes qui entrent en partenariat et du moment qu'elles choisissent pour le faire. En d'autres termes, le « mariage est important » seulement lorsque le fait de n'être « pas marié » (c.-à-d., célibataire ou en concubinage) est risqué.
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Hann, Charlesa Anne. "Citizen Participation in Health Policy Agenda-setting: Perceptions of Those Influencing Policy". University of Akron / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=akron1384100105.
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Khan, Muhammad Mushtaq. "Health policy analysis: the case of Pakistan". [S.l. : [Groningen : s.n.] ; University Library Groningen] [Host], 2006. http://irs.ub.rug.nl/ppn/298196212.
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Singkaew, Songphan. "Policy options for health insurance in Thailand". Thesis, London School of Economics and Political Science (University of London), 1991. http://etheses.lse.ac.uk/1112/.
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This study explores the policy options for health insurance in Thailand, considering the present structure of the country and taking account of international experiences. The development of health insurance in Thailand is analysed from the supply side i.e. health services. The problem of inefficiency and inequity in the health care system has led to the search for better alternatives for organizing and financing. This coincides with the overall growth in the country's socio-economic situation and the policy of health insurance laid down in the Sixth Five Year Health Development Plan (1987-1991). These factors provide positive conditions for establishing health insurance in Thailand. The demand for health insurance from employers who are likely to join the scheme is investigated. A survey of 200 private establishments in Thailand was conducted. This investigation provides essential national baseline data for the organization of health insurance, particularly on the health care fringe benefits provided by employers, and the methods of paying health care providers. Methods of organizing health insurance are formulated from international experience. The historical development of voluntary health insurance and its modified forms, as well as that of compulsory health insurance, are examined. The arguments for and against each form of health insurance are analysed. The study also highlights salient issues of health care reforms which attract the world's attention. International experience has shown that methods of paying providers is a major issue in providing viable health insurance. The study comprehensively analyses the advantages and disadvantages of each method of paying the doctor and the hospital under health insurance systems. Finally, it explores the policy options for the future development of national health insurance in Thailand.
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Green, Susan Elizabeth. "Mental health policy implementation : a case study". Thesis, University of Birmingham, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368414.
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Keane, A. M. "Mental health policy in Scotland, 1908-1960". Thesis, University of Edinburgh, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.381871.
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Hartman, R., i Florence M. Weierbach. "Elder Health in Rural America, Policy Monograph". Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7369.
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Excerpt: The focus of this paper is 1)to provide an overview and brief analysis of the current status of rural communities, rural elder health, policy, and practice, and further 2)to suggest guidance/recommendations for future policy based on a systems approach which incorporates sustainability, best practice, quality, efficiency, effectiveness, with a conceptual basis for care within the context of people and place which constitutes rural America.
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Bennett, Chloe. "Presidential Encores: International Entrepreneurship in Health Policy". Thesis, Department of Government and International Relations, 2007. http://hdl.handle.net/2123/2157.
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ABSTRACT Ex-Presidents Carter and Clinton are forging new paths for post-presidential activities. With their respective action-oriented public policy institutions, the Carter Center and the Clinton Foundation, they have introduced vehicles through which they can establish independent and influential roles as former presidents. Their activities in the global health arena, specifically Guinea Worm Disease and HIV/AIDS, demonstrate that their influence is a function of their ability to act as international policy entrepreneurs. This thesis argues that the influence of ex-Presidents Carter and Clinton has been strengthened by their respective foundations and that they function as unique policy entrepreneurs, namely, ex-president entrepreneurs. They are successful in advocating for policy change through using the attributes of ex-president entrepreneurs: skills, the ability to mobilise resources and the ability to operate in a social arena. The thesis has forged a new path by considering theory originally developed to examine domestic policies in an international context. Presidential Encores:N/A
Department of Government and International Relations
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Gilfillan, Beth. "CONSUMING A PARTICIPATION POLICY: CAMBODIAN HEALTH COMMITTEES". Thesis, The University of Sydney, 2008. http://hdl.handle.net/2123/6024.
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Participatory decision making practices were introduced into the Cambodian health sector in the late 1990s by the international development community. These practices were consolidated into a government policy in 2003. The participation policy requires lay citizens and other community representatives to be involved in management committees for health centres. In this thesis I report my research to ascertain if a participation policy results in strong participation. I did an ethnographic study of seven health centres in regional Cambodia. I found that participation levels of all lay citizens and other community representatives in health centre management were very low – the committees were only established where an international NGO supported them. Where the committees were operational, they were not decision making bodies. Community representatives including lay citizens had low levels of participation partly because of poor process design and lack of policy institutionalisation. This context enabled international NGOs to dominate and manipulate the committees. They used committees as a forum to educate community leaders about health, mobilise leaders to promote health centres, and lobby the government for changes in health centre management. By drawing together and extending the work of others, I show how in Cambodia both the participation process used in the study area and the national participation policy became commodities that were consumed in the game of international development. International development actors produced, marketed, and “sold” participation policies and processes and, in return, offered an implicit promise of resources to the government. As a result, lay citizens and other community representatives in Cambodia were short-changed by the consumption of participation policies and processes, being left without meaningful involvement in government decision making.
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Gilfillan, Beth. "CONSUMING A PARTICIPATION POLICY: CAMBODIAN HEALTH COMMITTEES". University of Sydney, 2008. http://hdl.handle.net/2123/6024.
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Doctor of Philosophy (PhD)Participatory decision making practices were introduced into the Cambodian health sector in the late 1990s by the international development community. These practices were consolidated into a government policy in 2003. The participation policy requires lay citizens and other community representatives to be involved in management committees for health centres. In this thesis I report my research to ascertain if a participation policy results in strong participation. I did an ethnographic study of seven health centres in regional Cambodia. I found that participation levels of all lay citizens and other community representatives in health centre management were very low – the committees were only established where an international NGO supported them. Where the committees were operational, they were not decision making bodies. Community representatives including lay citizens had low levels of participation partly because of poor process design and lack of policy institutionalisation. This context enabled international NGOs to dominate and manipulate the committees. They used committees as a forum to educate community leaders about health, mobilise leaders to promote health centres, and lobby the government for changes in health centre management. By drawing together and extending the work of others, I show how in Cambodia both the participation process used in the study area and the national participation policy became commodities that were consumed in the game of international development. International development actors produced, marketed, and “sold” participation policies and processes and, in return, offered an implicit promise of resources to the government. As a result, lay citizens and other community representatives in Cambodia were short-changed by the consumption of participation policies and processes, being left without meaningful involvement in government decision making.
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Trueheart, Stacie Lee. "Health Literacy Best Practices in Policy Development". ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4989.
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Low health literacy is a problem the U.S. faces and, like health care itself, is a complex issue stemming from patient demographics and the healthcare providers being very diverse. Tools have been developed to mitigate the risks of low health literacy, however, without formal policy. The purpose of this qualitative case study was to explore and compare commonalities in health literacy best practices of organizations that are recognized as leaders in health literacy and are addressing low health literacy in their communities. By comparing the organizations' abilities to implement standards of plain language and health literacy tools/guidelines, best practice and policy recommendations could be made to various organizations regardless of level (local, state, federal, or nonprofit). The theoretical framework was based on the Evans and Stoddart framework of determinants of health and the health behavioral theories. The conceptual framework was based on health literacy best practices and policy. The research questions focused on how organizations implement health literacy tools/guidelines, the impact of health literacy best practices on policy development and addressing health literacy through formal policy. The qualitative multiple case study used open-ended interview questions via telephone conferencing, with 13 participants from health literacy organizations. The analysis was done by coding and bracketing the responses manually and with NVivo software. Results indicate that health literacy policy development and involvement exists but it is not derived from the health literacy best practices. The implications for positive social change for this study impacts the patient (individual), community, organization, and society through best practices and recommendations for policy development.
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Mykhalovskiy, Eric. "Knowing health care / governing health care exploring health services research as social practice /". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0018/NQ56249.pdf.
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Li, Xinzhu. "Policy Recommendations to Improve Health Care in China". Scholarship @ Claremont, 2015. http://scholarship.claremont.edu/cmc_theses/1181.
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Since the economic reform in 1978, China’s health system moved from a commune-based system to a market-driven system. This drastic change resulted in various market failures, including cost inflation, perverse incentives for providers and supplier-induced demand for unnecessary care, increasing inequality in access across regions based on economic status, and other problems. Though China attempted to correct its policy mistakes and reform its inadequate and unjust health care system in order to provide basic universal health coverage for all over the past decade, not everyone has equal access to the same quality of affordable health care, especially the non-resident workers, the poor urban residents, and the rural population. This research uses the framework of the five intellectual tasks to assess the history of China’s health policies, the political economy factors that have driven and shaped the reform of China’s health system, the likely projections of policy options, and potential alternatives for policymakers.
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You, Su-Fen. "Health, policy and medicalisation : a case study of Taiwan's health care reforms". Thesis, University of Warwick, 2003. http://wrap.warwick.ac.uk/55733/.
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This thesis charts the rising importance of the state in extending the influence of modern medicine, contexualised within the history and political-economic dynamics of the health care reforms in Taiwan, a leading Newly Industrialised Country (NIC) which has a distinguished record of health improvement. It highlights the processes by which health care reforms represented a shift towards medicalisation, particularly as consolidated by the creation of a universal National Health Insurance (NHI) system in 1995. The thesis seeks to analyse these processes by bridging the gap between medical sociology and health policy evaluation. It deploys a range of methods: historical analysis of secondary sources and multiple methods of data collection. These include qualitative in-depth interviews with key actors, a questionnaire survey and relevant policy documents. This thesis employs an overarching framework for analysis, which embraces both the 'political economy' and the 'cultural critique' approaches to health, in ways which seek to integrate discussion of policy issues and developments at the macro, meso, and micro-levels. It starts by locating the NHI reform against longer-term historical processes of modernisation, often as a result of outside influences, and the associated transformation of medical paradigms that occurred in different periods. It charts how particular structural factors have impinged on medicine to enable it to become dominant collegiate profession, with special reference to the role of the state promoting the legitimation of particular modes of medical intervention. The thesis highlights the fact that the NHI has extended the influence of doctors, paradoxically also provides the basis by which medical autonomy has been undermined. On the other hand, it charts the social impacts of modern medical care, and argues that the NHI has played an important role in stimulating the process medicalisation and consequently fostered a culture of dependency and passivity contained in medical technology and in the healing relationship. This thesis is a reminder that the contemporary Taiwanese health care state is arriving at a moment of crisis, and that deep reflection on the strengths and weaknesses of the NHI reform is necessary in order to deal with problems associated with growing medicalisation, public demands for greater social equity, and new threats to health, the latest being SARS.
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Moonesar, Immanuel Azaad. "The Role of UAE Health Professionals in Maternal and Child Health Policy". ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1649.
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Maternal and child health (MCH) mortality is a formidable challenge for health systems around the world according to the World Health Organization. Health professionals and practitioners within the United Arab Emirates were studied to determine the extent they were involved in the policy-making process, and the potential impact that analysis may have on new or revised MCH policies. Research on MCH policy-making and development processes are limited. The Andersen model of healthcare services utilization provides an appropriate framework for this research, enabling the analysis that influences the policy-making process in the area of MCH. Independent variables included nationality, education, work experience, and organizational support, and the dependent variable included policy-making process. The quantitative methodology included the data collection from a sample of 380 health professionals and practitioners. The results of the study revealed statistical correlations where the most significant predictor of policy-making was organizational support, which explained the 42% variation in policy-making. This predictor was followed by nationality and education. The research adds value for decision-makers when considering and evaluating the extent of MCH policy, laws and regulations, current challenges, and strategies. The research findings could positively influence decision makers' action plan in formulating new guidelines, public policies, and strategies for the development of maternal and child health across the UAE region. Future research should aim to include other factors that may have an influence on the policy-making process.
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Ellington, Renata Denise. "Sexual Health Education Policy: Influences on Implementation of Sexual Health Education Programs". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2971.
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High school youth in Grades 9-12 who are in public schools without comprehensive sexual health education (CSHED) are more likely to engage in high-risk sexual behaviors and have higher rates of HIV and sexually transmitted diseases than are their peers in schools with CSHED. The purpose of this correlational study was to explore the statistical relationship between the consistent implementation of CSHED, before and after the enactment of the Chicago Public Schools' (CPS) sexual health education policy, and the sexual risk behaviors of Chicago high school youth in Grades 9-12. The study was based on Antonovsky's salutogenic model of health and wellbeing. CPS students' sexual risk behaviors were analyzed using data obtained from the Youth Risk Behavior Surveillance System (YRBSS) for the years of 2007 and 2013. Logistic regression was used to estimate prevalence and odds ratios of each sexual risk behavior. The findings showed a complex pattern of and variances across the sexual risk behaviors analyzed. The prevalence of sexual behaviors among all students remained relatively stable. The prevalence estimates for students who drank alcohol or used drugs before the last sexual encounter and who were never taught about AIDS or HIV increased from 2007 to 2013. The likelihood of not using birth control pills before the last sexual intercourse encounter decreased among Black students; the likelihood that Hispanic/Latino students ever had sex, and had sex with 4 or more people in their life, decreased. The decrease of sexual risk behaviors indicates a positive influence by CSHED, while the increases indicate continuing challenges to the promotion of healthy sexual behaviors. These findings show the need for legislators and school administrators to increase support for the enactment of CSHED policy to help mitigate the sexual risk behaviors of high school youth.
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Arroyo, Tiffany L. "Laura's law| A policy analysis". Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1586845.
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The purpose of this project was to analyze Assembly Bill 1421, known as Laura's Law, from a social work perspective of recovery-oriented care. Gil's framework was used to assess primary and secondary data from journal articles, government publications, and law reviews. A review of the literature was conducted to understand the historical background of coercive mental health treatment. Coercive treatment has been a pervasive problem generated from public fear and misconceptions about the association between mental illness and danger. Laura's Law was established as a result of the murder of 19 year-old Laura Wilcox by an individual with serious mental illness. The law's primary stated objective was to provide preventative mental health services to those identified as most in need before tragedy struck. Significant shortcomings were discovered within the analysis and alternatives to this policy are suggested as well as the implications for social work policy and practice.
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Le, Fevre Anne M. "Health care policy and reform a comparative study of policy making and the health care systems in five OECD countries". Thesis, Curtin University, 1997. http://hdl.handle.net/20.500.11937/1765.
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Many of the assumptions underlying health care issues appear to be taken for granted by policy makers, when if fact they ought to be examined for their relevance to today's problems. This research attempts to do so, by analysing the non-economic issues and factors involved in the financing and provision of health care. It will be argued that policy makers commonly have a unidirectional economic perspective in both policy making and in health care system reform directives, a situation which leaves issues such as the health status of the population and of equity in resource allocation to political rhetoric, while in practice, policies deal with the issue of cost reduction. Of major importance is the moral dimension in policies dealing with health and welfare, which is clearly either forgotten or is afforded too little consideration in policy making. This is particularly relevant to the issue of rationing of health care in publicly provided health care systems. While always quietly practised by clinicians in the past, rationing is now required to be overt because demand for health care has outstripped available resources.The substance of the argument comes from the analysis of a very large literature on the broader issues affecting health care policy, such as concepts of social justice, ethics of resource allocation and the physician-patient relationship, all of winch ought to underpin policies for the mechanisms of funding and provision of health care systems.A conceptual diagram of a health care system is offered to provide a framework for the discussion of how the issues are interrelated at micro, meso and macro levels in policymaking. Examples of reforms to health care systems are taken from five OECD countries which share a common social, political and economic heritage: Australia, United Kingdom, New Zealand, Canada and the United States of America.The conclusions from this research show that theoretical incoherence pervades this most complex of policy areas, allowing the economic imperative to take precedence over the substantive health care issues.
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Fleming, Brian James. "The social gradient in health : trends in C20th ideas, Australian Health Policy 1970-1998, and a health equity policy evaluation of Australian aged care planning /". Title page, abstract and table of contents only, 2003. http://web4.library.adelaide.edu.au/theses/09PH/09phf5971.pdf.
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Le, Fevre Anne M. "Health care policy and reform a comparative study of policy making and the health care systems in five OECD countries". Curtin University of Technology, School of Marketing, 1997. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=11246.
Pełny tekst źródłaStreszczenie:
Many of the assumptions underlying health care issues appear to be taken for granted by policy makers, when if fact they ought to be examined for their relevance to today's problems. This research attempts to do so, by analysing the non-economic issues and factors involved in the financing and provision of health care. It will be argued that policy makers commonly have a unidirectional economic perspective in both policy making and in health care system reform directives, a situation which leaves issues such as the health status of the population and of equity in resource allocation to political rhetoric, while in practice, policies deal with the issue of cost reduction. Of major importance is the moral dimension in policies dealing with health and welfare, which is clearly either forgotten or is afforded too little consideration in policy making. This is particularly relevant to the issue of rationing of health care in publicly provided health care systems. While always quietly practised by clinicians in the past, rationing is now required to be overt because demand for health care has outstripped available resources.The substance of the argument comes from the analysis of a very large literature on the broader issues affecting health care policy, such as concepts of social justice, ethics of resource allocation and the physician-patient relationship, all of winch ought to underpin policies for the mechanisms of funding and provision of health care systems.A conceptual diagram of a health care system is offered to provide a framework for the discussion of how the issues are interrelated at micro, meso and macro levels in policymaking. Examples of reforms to health care systems are taken from five OECD countries which share a common social, political and economic heritage: Australia, United Kingdom, New Zealand, Canada and the United States of America.The conclusions ++from this research show that theoretical incoherence pervades this most complex of policy areas, allowing the economic imperative to take precedence over the substantive health care issues.
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Hicks, Timothy Matthew. "Strategic partisan policy-seekers". Thesis, University of Oxford, 2009. http://ora.ox.ac.uk/objects/uuid:fcaf867b-33d0-4ce8-805d-b8c5253984fd.
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This dissertation begins from a desire to explain situations in which left-wing parties appear to adopt policies that are more typically associated with right-wing thinking. A standard explanation for such behaviour is that relatively weak left-wing parties are drawn to adopt those policies as a way of getting elected — commonly expressed as convergence on the median voter. The puzzle, however, is that this explanation often seems to fall foul of the empirical reality that left-wing parties adopt these policies when they are relatively strong, not weak. The explanation for this advanced here is that parties, seeking to improve outcomes for their constituencies both now and in the future, often operate in political environments which lead them to assign a high probability that today’s policy choices will not survive the predations of government by opposing parties tomorrow. Where this is the case, there is incentive to pursue policies that are less efficient, but which have inbuilt political defence mechanisms: with the main such mechanism focused upon here being the power of organised public sector labour. The effect of partisanship is, therefore, conditioned by expectations about the future political power of parties. Where left-wing parties expect to be weak, they will tend to adopt the highly statist, bureaucratised, nationalised policies that are traditionally associated with the Left as these will tend to embody large amounts of organised labour that will be a counter to future right-wing governments. Where left-wing parties expect to be strong, the costs associated with such policies come to outweigh the benefits, with the result that they do not need to pursue such ‘left-wing’ policies. These ideas are developed heoretically within an institutionalist framework, yielding a synthesis between the historical and rational choice institutionalisms. Empirically, the theoretical framework is applied to the development of welfare states and to the issue of privatisation of state-owned enterprises.
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Douglas, Flora. "National public health policy and its local implementation". Thesis, University of Aberdeen, 2010. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=165977.
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Translation of national public health policy into local action is poorly understood. This thesis explores this issue using: (a) independent evaluation data of the government-funded Well Men’s Services Pilots Programme (WMS); and (b) an analytical framework derived from ‘rational’ health planning models; particularly the PRECEDE PROCEED (PP) model. A mixed-methods study was conducted, comprising: (i) a review of the health planning literature; (ii) an interpretative documentary analysis of policy documentation and local intervention plans; and (iii) a secondary analysis of 42 semi-structured interviews with local managers and professionals responsible for developing interventions in response to the policy. The research findings (ii&iii) were considered in light of this review. This thesis concluded that rationalist health planning approaches and frameworks are not sufficient to guide the implementation of public health policy to an effective conclusion, and has argued that there is a need to develop new ways of thinking about public health issues that have become ‘policy problems’ deemed in need of intervention and resolution. This new thinking needs to acknowledge the complex and contested nature of health problems. This include accepting: (1) that a range of different perspectives and interpretations of public health policy problems and associated notions of their solutions will reside amongst those individuals and organisations tasked with transforming policy into practice; (2) the inevitability of imperfect and contested evidence; (3) future uncertainties, and; (4) the existence of bureaucratic barriers that will constrain direct engagement of the intended beneficiaries, by policy implementers, in the process of developing interventions.
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Yankovskyy, Shelly. "Mental health policy and services in Tampa, Florida". [Tampa, Fla.] : University of South Florida, 2005. http://purl.fcla.edu/fcla/etd/SFE0001176.
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Sankaramoorthy, Saravana Kumar. "Distributed Policy Decision Points for Electronic Health Records". Thesis, KTH, Skolan för informations- och kommunikationsteknik (ICT), 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-90810.
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The advancement in technology mandates the extensive use of computerized healthcare devices making Electronic Health Records (EHRs) the way to store the patient details. The EHR systems have high availability and security requirements for the storage database. DIGHT is a distributed key-value store architecture being developed at SICS addressing the problems of high availability and scalability, data integrity and confidentiality, accountability, EHR versioning and extensibility. This Master thesis addresses the authorization requirements of the EHR systems. eXtensible Access Control Markup Language (XACML) is a OASIS standard for general purpose access control policy language designed for managing the access for resources. All of the available open source implementation of Policy Decision Point(PDP) conforms to XACML version 2.0 and retrieves the policies from the traditional file systems. Sun open source implementation of PDP conforming to XACML 2.0 was evaluated. It was upgraded to conform with XACML 3.0 standards. The XACML Admin Profile for delegation was also implemented. The testing was carried out with a prototype application which accepts text sms from registered doctors through an sms gateway. The application was designed for adding new patient record, medical record to an existing patient and retrieving existing patient and medical records. The application generates the XACML Request and send it to the PDP for evaluation. The XACML policies for authorizing the doctors were stored in MySQL database clusters. The PDP evaluates the request and send the XACML Response back to the application. The application processes the response and send appropriate reply to the sender. Performance evaluation was carried out with policies stored in database clusters. The thesis also discusses about the possible future enhancements like implementing XACML profile for SAML assertions, implementing the Policy Information Point to fetch attributes.
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Botta, Michael David. "Technological Innovation and Policy Responses in Health Care". Thesis, Harvard University, 2013. http://dissertations.umi.com/gsas.harvard:10798.
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This dissertation consists of three papers, two quantitative and one mixed-methods. Paper 1 uses cross-sectional and logistic regression analyses of survey data to assess Americans' opinion on the use of cost effectiveness research (CER) in government health coverage decisions, and to examine the factors predicting approval or disapproval of specific decisions. I use vignettes drawn from real international decisions to assess opinions. I find that opposition to a CER agency is widespread, with partisan affiliations playing a significant role. In general, Republicans are more likely to oppose a government agency playing a role in cost effectiveness determinations. With regards to specific examples, Americans hold even greater opposition, with no significant differences by political affiliations.
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Suksa-ard, Thanaphan. "Public participation in local health policy in Thailand". Thesis, University of Surrey, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.659002.
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Public participation (PP) has been promoted in Thailand in order to increase the level of democracy and human rights. However, progress has been slow and PP has done little to enhance either social or human rights development. In 1997, the Thai Ministry of Public Health (MoPH) launched a policy to promote PP at all levels of the MoPH's organisation, which resulted in a significant problem for Thai hospitals: identifying the procedure to promote PP and ways to ensure appropriate implementation in the hospital setting has proven to be a challenge. Therefore, this research aims to investigate major issues related " to PP in local health policy in Thailand. This research employed a sequential mixed-method strategy for the empirical investigation: beginning with quantitative and followed by qualitative methods. Both the ladder of participation and CLEAR models were used to complement each other: the ladder of participation model was used to identify the level of PP, and the CLEAR model was used to identify the factors that influenced the possibility for PP implementation. The quantitative stage used an online survey to review the current situation of PP at local level and to identify the hospitals with the highest levels of PP development for further investigation in the qualitative study. The on line survey was carried out at all Thai public hospitals (n=830) with a response rate of 33.86%. The qualitative stage used in-depth interviews with 25 key stakeholders at different levels (national level, hospital level and the public level) to explore in-depth detail about PP factors in the health policy-making process. Key findings showed that PP in local health policy development was either at a low level or underdeveloped. The meaning of PP was still unclear, as there was no generally agreed-to definition and there was a lack of clear procedures and models to guide hospitals in promoting PP. The hospitals were using a low level of PP activities, which focused on oneway communication. As a result the public still lacked power and opportunity to become involved in decision-making. Nevertheless, the stakeholders had a positive perception of PP as a useful practice to be developed for solving problems. The findings revealed five facilitating factors: law and international organisations, hospital policy, community context and social cohesion, relationships between the public and hospital, and the motivational factors for the public to engage in PP. Conversely, there were seven impeding factors: the government direction, national policy, leadership/director factors, staff perceptions and ability to promote PP, the representatives of the public, public factors and the response/feedback system.
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Bruce, Allan. "Policy implementation and the health service in Scotland". Thesis, Robert Gordon University, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.277688.
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Prior, Pauline Mary. "Mental health policy in Northern Ireland 1921-1991". Thesis, University of York, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.306559.
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Wilson, Joanne Elaine. "Understandings of well-being in public health policy". Thesis, Queen's University Belfast, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.675443.
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'Well-being' is a word that has appeared in policy documentation and academic papers with increasing frequency during the last few decades. However, it is far from clear as to what the word means or to what it refers, and it is the existence of that ambiguity that constitutes the rationale for this study. My general strategy for dealing with the observed obscurity was to investigate the available academic and policy literatures, and explore how those involved in policy formation and development configured and deployed the word well-being in their written and spoken discourse. To that end, I collected multiple sources of qualitative and quantitative data. My primary data involved the collection of 17 semi-structured interviews with academics and policy makers engaged with the study of well-being. My secondary data were derived from a study of 591 randomly selected academic papers drawn from six separate fields of inquiry. I analysed my data using various quantitative and qualitative techniques, including modified forms of content analysis and thematic analysis. Three key discoveries emerged from the research. First, the word well-being, which appears with increasing frequency across academic and policy discourse, has become increasingly 'psychologicalised'. Contemporary explanations perceive well-being as an epiphenomenon, which arises from the dialectical relationship between the availability of resources and a person's ability to use these capitals for personal betterment over the life course. Second, the word appears to function as a useful political, boundary object. In this respect, it is able to conscript others - individuals, departments, agencies, and organisations - into taking responsibility for well -being. Third, multiple interpretations of well-being abound in academic and policy discourse, and while we have yet to reach consensus on a definition of well -being, there is agreement that it is a phenomenon, which is capable of measurement and quantification.