The Role of the Policy Process on Health Service Reconfigurations: Evidence, Path Dependency and Framing Comment on “‘Attending to History’ in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration”

Juan I. Baeza

doi:10.34172/ijhpm.2022.7642

The Role of the Policy Process on Health Service Reconfigurations: Evidence, Path Dependency and Framing Comment on “‘Attending to History’ in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration”

Juan I. Baeza^*

^*Corresponding author for this work

Public Services Management & Org

King's College London

Research output: Contribution to journal › Comment/debate › peer-review

1 Citation (Scopus)

Abstract

Historically healthcare services have largely developed on an incremental basis, with various piecemeal changes and some notable policy leaps that illustrate a punctuated equilibrium health policy process. More recently policy-makers have attempted, successfully and unsuccessfully, to reconfigure healthcare services to address perceived problems in the delivery of important services such as stroke, cancer, and trauma. Perry et al provide a welcome addition to research in this area by focusing on the importance of history in a reconfiguration of cancer services in Greater Manchester (GM). Perry et al analyse how and why this configuration was successful after several failed attempts in the past and in this commentary, I want to reflect on the explanatory role health policy analysis can contribute to studying the reconfiguration of healthcare services.

Original language	English
Article number	7642
Journal	International Journal of Health Policy and Management
Volume	12
Issue number	1
DOIs	https://doi.org/10.34172/ijhpm.2022.7642
Publication status	Published - 2023

Keywords

Evidence
Framing
Path Dependency
Policy Process
Service Reconfiguration

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.34172/ijhpm.2022.7642

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Baeza, J. I. (2023). The Role of the Policy Process on Health Service Reconfigurations: Evidence, Path Dependency and Framing Comment on “‘Attending to History’ in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration”. International Journal of Health Policy and Management, 12(1), Article 7642. https://doi.org/10.34172/ijhpm.2022.7642

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abstract = "Historically healthcare services have largely developed on an incremental basis, with various piecemeal changes and some notable policy leaps that illustrate a punctuated equilibrium health policy process. More recently policy-makers have attempted, successfully and unsuccessfully, to reconfigure healthcare services to address perceived problems in the delivery of important services such as stroke, cancer, and trauma. Perry et al provide a welcome addition to research in this area by focusing on the importance of history in a reconfiguration of cancer services in Greater Manchester (GM). Perry et al analyse how and why this configuration was successful after several failed attempts in the past and in this commentary, I want to reflect on the explanatory role health policy analysis can contribute to studying the reconfiguration of healthcare services.",

keywords = "Evidence, Framing, Path Dependency, Policy Process, Service Reconfiguration",

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Baeza, JI 2023, 'The Role of the Policy Process on Health Service Reconfigurations: Evidence, Path Dependency and Framing Comment on “‘Attending to History’ in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration”', International Journal of Health Policy and Management, vol. 12, no. 1, 7642. https://doi.org/10.34172/ijhpm.2022.7642

The Role of the Policy Process on Health Service Reconfigurations: Evidence, Path Dependency and Framing Comment on “‘Attending to History’ in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration”. / Baeza, Juan I.
In: International Journal of Health Policy and Management, Vol. 12, No. 1, 7642, 2023.

Research output: Contribution to journal › Comment/debate › peer-review

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AB - Historically healthcare services have largely developed on an incremental basis, with various piecemeal changes and some notable policy leaps that illustrate a punctuated equilibrium health policy process. More recently policy-makers have attempted, successfully and unsuccessfully, to reconfigure healthcare services to address perceived problems in the delivery of important services such as stroke, cancer, and trauma. Perry et al provide a welcome addition to research in this area by focusing on the importance of history in a reconfiguration of cancer services in Greater Manchester (GM). Perry et al analyse how and why this configuration was successful after several failed attempts in the past and in this commentary, I want to reflect on the explanatory role health policy analysis can contribute to studying the reconfiguration of healthcare services.

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KW - Framing

KW - Path Dependency

KW - Policy Process

KW - Service Reconfiguration

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M3 - Comment/debate

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AN - SCOPUS:85154556926

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The Role of the Policy Process on Health Service Reconfigurations: Evidence, Path Dependency and Framing Comment on “‘Attending to History’ in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration”

Abstract

Keywords

UN SDGs

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