评估拼凑在美国医疗保健政策改革中的作用

IF 4.3 2区 管理学 Q1 POLITICAL SCIENCE
Adam Hannah
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引用次数: 2

摘要

对思想在非范例性政策变化中的作用的理解,通过引入“拼凑”的概念得到了推进,“拼凑”的概念表明,改革者可能会将来自不同来源的思想拼凑在一起。然而,目前的文献在几个方面是有限的。因此,本文提出了对该领域的三个主要贡献。首先,将“拼凑”作为一种务实的策略,与行为者受到相对固定的政策目标的激励或试图模仿其他地方的政策完全兼容。第二,创造性地使用想法可能会受到议程设定斗争胜利者强加的狭隘框架或问题定义的限制。第三,使用“拼凑”会带来更多潜在的冲突和意想不到的后果,这超出了人们的认识。这一论点是通过对2009/10年美国医疗改革的分析来说明的,特别关注“公共选择”的命运。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating the role of bricolage in US Health Care policy reform
Understanding of the role of ideas in non-paradigmatic policy change has been advanced by the introduction of the concept of bricolage, which suggests that reformers are likely to piece together ideas from disparate sources. However, the current literature is limited in several ways. As such, this article proposes three main contributions to the field. First, the use of bricolage as a pragmatic strategy is perfectly compatible with actors being motivated by relatively fixed policy goals or seeking to imitate policies from elsewhere. Second, the creative use of ideas can be limited by the imposition of narrow frames or problem definitions by the victors of agenda-setting battles. Third, the use of bricolage comes with more potential for conflict and unintended consequences than has been recognised. This argument is illustrated through an analysis of healthcare reform in the United States in 2009/10, focusing particularly on the fate of the ‘public option’.
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来源期刊
CiteScore
7.90
自引率
12.80%
发文量
32
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