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HLTC43H3 (51)
Lecture 6


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Health Studies
Toba Bryant

LECTURE 6Influences on Health Policy Political and Economic Context of Health Care PolicyTypes of public policy theoriesConsenses rational o Pluralism o Public choice o New institutionalism Rational choiceSociological Historical Critical political ideology state powero Structural marxism o Grand theory o Political economyo Feminist politicaleconomy Peter halls policy paradigmso Policy paradigms different types of policy outcomes o Paradigm realm of discourse in which policymakersPeter halls policy paradigms o Social learning he sees ideas as seen as importantRole of ideas in public policymaking processWhat do ideas used in this process what processes are informing policy change o Distinguish btw learning processes associated with normal and radical policy changePeter Halls policy Paradigms o Typology of policy changeFirst order change Slight adjustmentincreasing doctors fees resources for communitySecondorder changeChanges in incremental changes eg smoking lets use public education campaign to tell them shouldnt start smoking Hoping to target young people that pick up smoking But they have found that this isnt working Maybe we should tax Tax cigarettes and may lead to not purchasing Thirdorder change Radical changewe moved from biomedical approach to health to a social determinants of health perspective Looking at broader working and living conditions Advocacy coalition Framework o Deep core Advocacy groups knowledgeand understandingo Policy coreActual policy decisionso Secondary aspectsWhat kinds of evidence they bring to change policy
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