The Winds of Winter: COVID-19 and Punctuations Without Policy Change in German Health Care Policy

IF 1.9 3区 社会学 Q2 POLITICAL SCIENCE
Johanna Hornung, N. Bandelow, Lina Y. Iskandar
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Abstract

In the second half of the 19th legislative period, COVID-19 brought the issue of health policy firmly into the public limelight. Given that it amplified already existing challenges, this crisis can be conceptualised as a case of positive feedback in the understanding of punctuated equilibrium theory (PET). One would have expected this crisis to provide a push for reforms in the areas of digitalisation, hospital and care policy, as these represent both the policy path taken by the Minister of Health at the beginning of the legislative period and a response to the problems caused by the pandemic. However, none of these areas were addressed in any significant way by health policymakers after the COVID-19 outbreak, leaving us to wonder why a shift in attention and positive feedback did not lead to major reforms. To answer this question, we link PET to the multiple streams framework (MSF) to explain why positive feedback has not led to major reforms in German health policy. We show that the policy stream – with a lack of measures ready for adoption – and the politics stream, with power struggles within parties and between levels of government, explain why major reforms have not been adopted. [ FROM AUTHOR] Copyright of German Politics is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
冬天的风:新冠肺炎和德国医疗政策中没有政策变化的标点符号
在第19个立法期的后半段,新冠肺炎使卫生政策问题成为公众关注的焦点。鉴于它放大了已经存在的挑战,这场危机可以被概念化为对间断均衡理论(PET)理解中的正反馈案例。人们本以为这场危机将推动数字化、医院和护理政策领域的改革,因为这些既是卫生部长在立法期初采取的政策路径,也是对疫情造成的问题的回应。然而,新冠肺炎爆发后,卫生政策制定者没有以任何重要方式解决这些领域,这让我们想知道,为什么注意力的转移和积极反馈没有导致重大改革。为了回答这个问题,我们将PET与多流框架(MSF)联系起来,解释为什么积极的反馈没有导致德国卫生政策的重大改革。我们表明,政策流——缺乏可供采取的措施——和政治流——政党内部和各级政府之间的权力斗争,解释了为什么没有采取重大改革。[发件人]《德国政治》版权归劳特利奇所有,未经版权持有人明确书面许可,不得将其内容复制或通过电子邮件发送到多个网站或发布到listserv。但是,用户可以打印、下载或通过电子邮件发送文章供个人使用。这可能会被删节。对复印件的准确性不作任何保证。用户应参考材料的原始发布版本以获取完整信息。(版权适用于所有人。)
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来源期刊
German Politics
German Politics POLITICAL SCIENCE-
CiteScore
3.80
自引率
14.30%
发文量
40
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