形成政策制定的条件：来自执行阶梯底部的评估者的见解

IF 1.5 4区社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY

Evaluation and Program Planning Pub Date : 2025-04-18 DOI:10.1016/j.evalprogplan.2025.102601

Krista Brower

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引用次数: 0

摘要

本研究通过概念化医疗保健政策实施的影响条件，促进了对政策制定的理解。一项定性访谈研究考察了微观层面的评估人员如何利用实施阶梯模型制定宏观层面的政策(Reynolds &；桑德斯,1987)。总结了政策制定的九个条件，提出了三个关键主题：一致性划分、价值和影响、政策领导。数据收集自半结构化访谈（n = 8）、文献综述（n = 6）和研究者反思。研究结果表明，评价人员在执行阶梯较低层次的地位扩大了政策与实践之间的差距。结果强调了顶层和底层之间的关系在影响政策制定中的关键作用。

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Conditions shaping policy enactment: Insights from evaluators at the bottom of the implementation staircase

The current study advances understanding of policy enactment by conceptualizing the conditions influencing policy implementation in healthcare. A qualitative interview study examines how micro-level evaluators experience enacting macro-level policy, leveraging the implementation staircase model (Reynolds & Saunders, 1987). Three key themes emerged: alignment divide, value and impact, and policy leadership, summarizing nine conditions for policy enactment. Data were collected from semi-structured interviews (n = 8), document reviews (n = 6), and researcher reflections. Findings suggest that the evaluators' position at the lower levels of the implementation staircase amplifies the gap between policy and practice. Results highlight the crucial role of relationships between top and bottom layers of the staircase in influencing policy enactment.

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来源期刊

Evaluation and Program Planning SOCIAL SCIENCES, INTERDISCIPLINARY-

CiteScore

3.10

自引率

6.20%

发文量

112

期刊介绍： Evaluation and Program Planning is based on the principle that the techniques and methods of evaluation and planning transcend the boundaries of specific fields and that relevant contributions to these areas come from people representing many different positions, intellectual traditions, and interests. In order to further the development of evaluation and planning, we publish articles from the private and public sectors in a wide range of areas: organizational development and behavior, training, planning, human resource development, health and mental, social services, mental retardation, corrections, substance abuse, and education.