Bargaining Power Health Policymaking from England and New Zealand
This monograph applies Kingdon’s Multiple Streams Framework to two policymaking episodes of implementing pay for performance in general practice, conducted in England and New Zealand. The Framework’s explanatory power for policymaking in Westminster major
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Verna Smith
Bargaining Power
Verna Smith
Bargaining Power Health Policymaking from England and New Zealand
Verna Smith School of Government Victoria University of Wellington, School of Government Wellington, New Zealand
ISBN 978-981-10-7601-5 ISBN 978-981-10-7602-2 (eBook) https://doi.org/10.1007/978-981-10-7602-2 Library of Congress Control Number: 2017962762 © The Editor(s) (if applicable) and The Author(s) 2018 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Cover illustration: Pattern adapted from an Indian cotton print produced in the 19th century Printed on acid-free paper This Palgrave Pivot imprint is published by Springer Nature The registered company is Springer Nature Singapore Pte Ltd. The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore
Foreword
To say that policymaking is complex and messy is to state the obvious. Figuring out in what ways and how outcomes are affected by complexity and messiness is far more difficult, especially when one engages in comparative longitudinal research. Dr Smith courageously attempts to do just that. The end product is a solid piece of academic research on the politics of health-care reforms in two national settings: New Zealand and the United Kingdom (more specifically, England as responsibility for the National Health Service has been devolved, to an extent, to Wales and Scotland). The Multiple Streams Framework (MS Framework) is perhaps the best- known analytical lens to take policy messiness seriously. It centres on five elements: policies, politics, problems, policy windows, policy entrepreneurs. The main argument is that policy choice is more likely when entrepreneurs are able to “sell” their pet policy solutions and problems to interested policymakers operating in the broader polity during open windows of opportunity. The
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