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Modelling the Health Policy Process: One Size Fits All or Horses for Courses?

Martin Powell1, Russell Mannion1

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This editorial examines health policy process models, finding limited use of broader public policy frameworks. Research may need to integrate wider models or focus on specialized health policy theories.

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Area of Science:

  • Public Policy Analysis
  • Health Policy Research

Background:

  • Conceptual models for policy processes are applied to health policy, often within specific domains like public health.
  • Existing contributions present diverse rationales and frameworks, leading to fragmentation in understanding the health policy process.

Discussion:

  • This editorial critically reviews studies using public policy models in health policy research.
  • A significant gap exists: wider public policy models are rarely applied to health policy, while some health-specific models are absent from broader literature.

Key Insights:

  • Health policy literature appears semi-detached from the wider public policy process literature.
  • This divergence suggests a need to re-evaluate the integration of general policy theories into health policy studies.

Outlook:

  • Future research faces a choice: develop 'home-grown' health policy models or more actively incorporate existing public policy literature.
  • The optimal approach may depend on the specific policy context, questioning if a universal model ('one size fits all') or tailored approaches ('horses for courses') are more effective.