{"title":"As the crow flies: tracking policy diffusion through stakeholder networks","authors":"Evan M. Mistur, Daniel C. Matisoff","doi":"10.1017/s0143814x23000302","DOIUrl":"https://doi.org/10.1017/s0143814x23000302","url":null,"abstract":"Abstract Policy diffusion is an important element of the policy formation process. However, understanding of the micro-level interactions governing policy spread remains limited. Much of the literature focuses on macro-level proxies for intergovernmental connectivity. These proxies outline broad diffusion patterns without specifying the micro-level mechanisms that govern how individuals facilitate that diffusion. The role of stakeholders in diffusion in the policy subsystem is also poorly understood. We construct a panel dataset covering the spread of the US ecotourism programs from 1993 to 2016 to investigate how micro-level movement within stakeholder networks explains state-level policy diffusion over time. Using fixed-effects regression, we find that stakeholder movement significantly drives diffusion, acting as a mechanism of knowledge transfer. Our findings provide a more precise theoretical understanding of how policy knowledge diffuses at the micro level, empirically explain the role of policy stakeholders in diffusion, and highlight the value of citizen-science data for policy research.","PeriodicalId":47578,"journal":{"name":"Journal of Public Policy","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135549127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The representative capacity of interest groups: explaining how issue features shape membership involvement when establishing policy positions","authors":"Adrià Albareda, Bert Fraussen","doi":"10.1017/s0143814x23000235","DOIUrl":"https://doi.org/10.1017/s0143814x23000235","url":null,"abstract":"Abstract Interest groups are key intermediary actors that communicate societal interests and preferences to public officials. Given public officials’ reliance on interest groups’ input in public policy processes, it is essential to understand how groups establish policy positions and assess the democratic nature of this process. Focusing on the leadership perspective, this article examines how interest groups involve their membership base in the process of defining their policy positions. The article relies on qualitative data from interviews with the leaders of interest groups active at the EU level and the statutes of these organizations. The findings show that the nature of policy issues under discussion and unequal resources of members lead to biased membership involvement in policy position-taking. While leaders are aware of these dynamics, their efforts to mitigate unequal participation seem limited, which raises questions about the representative potential of interest groups and the legitimacy of their policy claims.","PeriodicalId":47578,"journal":{"name":"Journal of Public Policy","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134913039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Standardising policy in a nonstandard way: a public/private standardisation process in Norway","authors":"Anne Heyerdahl","doi":"10.1017/s0143814x23000223","DOIUrl":"https://doi.org/10.1017/s0143814x23000223","url":null,"abstract":"Abstract Standards developed by standard-setting organisations (SSOs) – sometimes labelled private rulemaking – are part of larger practices of governance in most societies yet are underinvestigated from a policy process perspective. Utilising and developing the multiple streams approach (MSA), this article investigates a policy process moving between government and the SSO Standards Norway (SN). The study finds standardisation by SSOs to be an ambiguous institutional arrangement. Strong institutional barriers in theory did not work as such in the case investigated. This article argues that the differentiation between responsibility for process (SN) and content (committee) makes the standardisation process vulnerable. The concept of “institutional deficit” is introduced to describe a potential mismatch between SSOs producing policy in a government-like institution, but where the SSOs are not capable of taking responsibility for policies in a government-like way. This article finds the adjusted MSA useful in this potentially least likely case.","PeriodicalId":47578,"journal":{"name":"Journal of Public Policy","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135879247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Athanasios Zouzos, Aleksandra Milovanovic, Karin Dembrower, Fredrik Strand
{"title":"Effect of Benign Biopsy Findings on an Artificial Intelligence-Based Cancer Detector in Screening Mammography: Retrospective Case-Control Study.","authors":"Athanasios Zouzos, Aleksandra Milovanovic, Karin Dembrower, Fredrik Strand","doi":"10.2196/48123","DOIUrl":"10.2196/48123","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI)-based cancer detectors (CAD) for mammography are starting to be used for breast cancer screening in radiology departments. It is important to understand how AI CAD systems react to benign lesions, especially those that have been subjected to biopsy.</p><p><strong>Objective: </strong>Our goal was to corroborate the hypothesis that women with previous benign biopsy and cytology assessments would subsequently present increased AI CAD abnormality scores even though they remained healthy.</p><p><strong>Methods: </strong>This is a retrospective study applying a commercial AI CAD system (Insight MMG, version 1.1.4.3; Lunit Inc) to a cancer-enriched mammography screening data set of 10,889 women (median age 56, range 40-74 years). The AI CAD generated a continuous prediction score for tumor suspicion between 0.00 and 1.00, where 1.00 represented the highest level of suspicion. A binary read (flagged or not flagged) was defined on the basis of a predetermined cutoff threshold (0.40). The flagged median and proportion of AI scores were calculated for women who were healthy, those who had a benign biopsy finding, and those who were diagnosed with breast cancer. For women with a benign biopsy finding, the interval between mammography and the biopsy was used for stratification of AI scores. The effect of increasing age was examined using subgroup analysis and regression modeling.</p><p><strong>Results: </strong>Of a total of 10,889 women, 234 had a benign biopsy finding before or after screening. The proportions of flagged healthy women were 3.5%, 11%, and 84% for healthy women without a benign biopsy finding, those with a benign biopsy finding, and women with breast cancer, respectively (P<.001). For the 8307 women with complete information, radiologist 1, radiologist 2, and the AI CAD system flagged 8.5%, 6.8%, and 8.5% of examinations of women who had a prior benign biopsy finding. The AI score correlated only with increasing age of the women in the cancer group (P=.01).</p><p><strong>Conclusions: </strong>Compared to healthy women without a biopsy, the examined AI CAD system flagged a much larger proportion of women who had or would have a benign biopsy finding based on a radiologist's decision. However, the flagging rate was not higher than that for radiologists. Further research should be focused on training the AI CAD system taking prior biopsy information into account.</p>","PeriodicalId":47578,"journal":{"name":"Journal of Public Policy","volume":"5 1","pages":"e48123"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11041399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78749759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Does exposure to democracy decrease health inequality?","authors":"Joan Costa‐Font, N. Knust","doi":"10.1017/s0143814x23000211","DOIUrl":"https://doi.org/10.1017/s0143814x23000211","url":null,"abstract":"\u0000 Exposure to (a liberal) democracy can have an impact on both the political attention and visibility of the needs of marginalized populations, as well as the design of health policies that can influence the distribution of population health. This paper investigates the effect of exposure to democracy, that is, the number of years spent in a democracy as measured by democracy indexes, on various measures of inequality in self-reported health across European countries. We use an instrumental variable strategy to leverage the potential endogeneity of a country’s exposure to democracy, drawing on both bivariate (socioeconomic) and univariate health inequality measures. Our estimates provide evidence that an additional year in a democracy reduces both bivariate (income-related) health inequality and overall (univariate) health inequality. Our preferred specification suggests a two-point rank reduction in inequality with an additional year under a democracy. The effect is mainly driven by a reduction of “health poverty” alongside other effects.","PeriodicalId":47578,"journal":{"name":"Journal of Public Policy","volume":"1 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42822212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"PUP volume 43 issue 3 Cover and Back matter","authors":"","doi":"10.1017/s0143814x23000259","DOIUrl":"https://doi.org/10.1017/s0143814x23000259","url":null,"abstract":"","PeriodicalId":47578,"journal":{"name":"Journal of Public Policy","volume":"43 1","pages":"b1 - b3"},"PeriodicalIF":2.4,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48320034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Toward a theory of minority-party influence in the U.S. Congress: whip counts, amendment votes, and minority leverage in the house","authors":"J. Jenkins, Nathan W. Monroe, Tessa Provins","doi":"10.1017/s0143814x2300020x","DOIUrl":"https://doi.org/10.1017/s0143814x2300020x","url":null,"abstract":"\u0000 The literature on congressional decision-making has largely ignored the influence of the minority party in the legislative process. This follows from the widely held belief that the majority party dominates the agenda-setting process. Though the minority party rarely achieves major policy success in Congress, we argue that the minority has significantly more influence over the legislative agenda than is commonly believed. We posit that, under some conditions, the minority has enough bargaining leverage to get floor votes on their proposals, in the form of both amendments and bills. We test our theoretical expectations with a novel design utilizing whip count data from the House and show that when a whip count on a bill occurs, the likelihood of a minority amendment disappointment and a majority amendment roll increases, respectively. This suggests that the more leverage the minority party has, the more we see their legislative proposals on the floor.","PeriodicalId":47578,"journal":{"name":"Journal of Public Policy","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45767840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"PUP volume 43 issue 3 Cover and Front matter","authors":"Valentina Mele","doi":"10.1017/s0143814x23000247","DOIUrl":"https://doi.org/10.1017/s0143814x23000247","url":null,"abstract":"","PeriodicalId":47578,"journal":{"name":"Journal of Public Policy","volume":" ","pages":"f1 - f2"},"PeriodicalIF":2.4,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48120646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Policy entrepreneurs and problem definition: the case of European student mobility","authors":"Marina Cino Pagliarello, Michelle Cini","doi":"10.1017/s0143814x23000181","DOIUrl":"https://doi.org/10.1017/s0143814x23000181","url":null,"abstract":"\u0000 In the literature on the role of agency in the policy process, relatively little attention has been devoted to how agents define policy problems. This article helps to address this gap by asking when and how policy entrepreneurs are successful in defining problems. The article rests on a framework that shows how policy entrepreneurs holding specific ideas and given a propitious socioeconomic context are able to define problems, translate those problems into new frames, and draw on those frames, while using their personal skills and political and institutional resources, to help build supportive coalitions in favor of policy change. Illustrated by a puzzling case in the field of European mobility policy, the article offers a new perspective on the role of ideas at the problem definition stage of the policy process, while providing a richer understanding of the policy entrepreneur as a driver of policy change.","PeriodicalId":47578,"journal":{"name":"Journal of Public Policy","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44879487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Policy paradigm modes: explaining USA antitrust law changes in the 1970s","authors":"Melike Arslan","doi":"10.1017/s0143814x23000193","DOIUrl":"https://doi.org/10.1017/s0143814x23000193","url":null,"abstract":"\u0000 This article advances the theory of policy paradigms by investigating when paradigms are rigid, constraining alternative perspectives and policy options, and when instead they are more flexible, allowing actors to overcome paradigmatic restrictions and differences. Departing from the existing theories on policy paradigms, I conceptualize paradigm rigidity and flexibility as characteristics that develop endogenously within the policy-making process, shaped by the types of policy changes that are proposed and discussed and by the types of framing strategies policy actors employ to support their proposals. Policy paradigms can therefore have both rigid and flexible modes within the same policy area and in the same period. Conceiving paradigms in modes helps us better understand how policies change when there are competing paradigms and exogenous crises. I illustrate this empirically with an analysis of the debates surrounding four antitrust (competition) policy change proposals in the USA during the 1970s.","PeriodicalId":47578,"journal":{"name":"Journal of Public Policy","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43274790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}