The global and domestic politics of health policy in emerging nations

TY - JOUR

T1 - The global and domestic politics of health policy in emerging nations

AU - Gómez, Eduardo J.

AU - Ruger, Jennifer Prah

PY - 2015/2

Y1 - 2015/2

N2 - In recent years, several emerging nations with burgeoning economies and in transition to democracy have pursued health policy innovations. As these nations have integrated into the world economy through bilateral trade and diplomacy, they have also become increasingly exposed to international pressures and norms and focused on more effective, equitable health care systems. There are several lessons learned from the case studies of Brazil, Ghana, India, China, Vietnam, and Thailand in this special issue on the global and domestic politics of health policy in emerging nations. For the countries examined, although sensitive to international preferences, domestic governments preferred to implement policy on their own and at their own pace. During the policy-making and implementation process, international and domestic actors played different roles in health policy making vis-a'-vis other reform actors-at times the state played an intermediary role. In several countries, civil society also played a central role in designing and implementing policy at all levels of government. International institutions also have a number of mechanisms and strategies in their tool box to influence a country's domestic health governance, and they use them, particularly in the context of an uncertain state or internal discordance within the state.

AB - In recent years, several emerging nations with burgeoning economies and in transition to democracy have pursued health policy innovations. As these nations have integrated into the world economy through bilateral trade and diplomacy, they have also become increasingly exposed to international pressures and norms and focused on more effective, equitable health care systems. There are several lessons learned from the case studies of Brazil, Ghana, India, China, Vietnam, and Thailand in this special issue on the global and domestic politics of health policy in emerging nations. For the countries examined, although sensitive to international preferences, domestic governments preferred to implement policy on their own and at their own pace. During the policy-making and implementation process, international and domestic actors played different roles in health policy making vis-a'-vis other reform actors-at times the state played an intermediary role. In several countries, civil society also played a central role in designing and implementing policy at all levels of government. International institutions also have a number of mechanisms and strategies in their tool box to influence a country's domestic health governance, and they use them, particularly in the context of an uncertain state or internal discordance within the state.

KW - BRICS

KW - Emerging nations

KW - Global health

KW - Health policy

KW - International institutions

UR - https://www.scopus.com/pages/publications/84924692195

U2 - 10.1215/03616878-2854256

DO - 10.1215/03616878-2854256

M3 - Article

AN - SCOPUS:84924692195

SN - 0361-6878

VL - 40

SP - 3

EP - 11

JO - Journal of Health Politics Policy and Law

JF - Journal of Health Politics Policy and Law

IS - 1

ER -