The filtering of potential policy issues from a large range of possibilities to a relatively small list of agenda items allows the organisation of power and influence within a policy sector to be examined.
This study investigated power and influence in health policy agenda-setting in one State of Australia (Victoria) in the years 1991,1992 and 1993.
The actors seen as influential were predominantly medically trained and working in academia, health bureaucracies and public teaching hospitals.
This research supports an elite model of health policy agenda-setting, in which outcomes are dependent on the structured interests within the policy field.
However, while the corporate elite of the profession is influential, the frontline service providers are not, as indicated by the location of influentials in large and prcstigious organisations.
Politicians and professional associations and unions are less well represcnted, and consumer and community groups are virtually absent.
In 1993 there was a sharp increase in economists being nominated as influentials, with a subsequent decrease in influentials with medical training, This relates to a (perceived or real) shift in influence from the medical profession to senior health bureaucrats. (...)
Mots-clés Pascal : Australie, Océanie, Politique sanitaire, Planification, Profession, Hiérarchie, Gouvernement, Décideur
Mots-clés Pascal anglais : Australia, Oceania, Health policy, Planning, Profession, Hierarchy, Government
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0127697
Code Inist : 002B30A04B. Création : 16/11/1999.