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Health planning as context-dependent language play
1Centre for Hospital Management and Information Systems Research, University of New South Wales, Sydney, Australia.
Summary
This study proposes health planning as context-dependent language play, moving beyond planner-centered approaches. It emphasizes analyzing planning through strategic discourse by all players, not just planners.
Area of Science:
- Health Services Research
- Sociology of Health
Background:
- Existing health planning literature often adopts planner-centered, means-end, and prescriptive orientations.
- These traditional approaches have limitations in capturing the complexity of planning processes.
Purpose of the Study:
- To propose a new conceptual model for analyzing health planning.
- To overcome the shortcomings of existing planner-centered health planning models.
Main Methods:
- Conceptual analysis of health planning literature.
- Development of a heuristic device viewing planning as context-dependent language play.
- Analysis of planning discourses mobilized by various stakeholders.
Main Results:
- Health planning is reframed as strategic language play by multiple actors.
- Planning exercises are understood as episodes within ongoing social dramas.
- The mobilization of discourse by planners and other players is central to structuring relationships.
Conclusions:
- Future research should analyze health planning by considering the strategic use of discourse by all participants.
- This new conception offers a richer understanding of planning dynamics beyond the planner's role.