HLTC43H3 Lecture Notes - Lecture 5: Radical Change, Social Forces, Civil Society

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12 Jun 2013
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Purpose: to introduce the forces shaping the development of health policy. Actors, ideas and structures interact to shape health policy. A few key interests have an overwhelming influence on the health policy debate. E. g. political, economic and social forces related to: The state or government and related beliefs and attitudes of citizens. Influence on living conditions and organizations of hcs. Organization of production and distribution of econ resources. How structures broader than you, constrain your ability to do things. Example, lobbyists w/ money will have more preferences. Health professionals} they have certain agenda as to what should happen. Pharma companies say don"t give drugs for free }example. All various interests come together as input in policy making process. No dominant group, any group can have their agenda realized. Micro-level factors embedded within, shaped by and result from meso-and-macro factors. Ideology governing how we think, shapes institutions and rules. Those will structures opportunities in affecting policy change.

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