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Getting Health Reform RightA Guide to Improving Performance and Equity$
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Marc Roberts, William Hsiao, Peter Berman, and Michael Reich

Print publication date: 2008

Print ISBN-13: 9780195371505

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780195371505.001.0001

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Political Analysis and Strategies

Political Analysis and Strategies

Chapter:
(p.61) 4 Political Analysis and Strategies
Source:
Getting Health Reform Right
Author(s):

Marc J. Roberts

William Hsiao

Peter Berman

Michael R. Reich

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780195371505.003.0004

This chapter addresses the question of how health reformers should develop and carry out political strategies in order to improve the chances that their plan will be adopted and put into action. It begins by examining how the agenda is set for public policy in general and for health-sector reform in particular. It then discusses how to manage this process of agenda-setting, through the use of stakeholder analysis. It presents four basic political strategies for improving the chances that a policy reform will be adopted, concluding with lessons from negotiation theory about how to build a winning political coalition. Finally, it discusses some of the ethical dimensions of political strategizing, including the personal decisions faced by health reformers.

Keywords:   health sector reform, health reformers, health policy, public health, health care reform

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