A Complexity Case Study : The Implementation of an Interministerial Policy
所有政策 ”( Health in All Policies ) 。 本文分析了 60 多次访 谈和 100 多份资料 。 笔者确定了莫林 ( Morin ) 关于复杂性 ( 对话 / 全息 / 递归 ) 提出的元理论所包含的不同主题 , 用以揭 示处于风险中的动态和当前趋势 。 分析结果识别了 :( 1 ) 公共行政在支持和限制部门内建立特定议程时的动态和 ( 2 ) 超越既有动态时所需的战略 。 笔者暗示 , 这类议程的渗透 能从复杂性中获益 。 同时笔者提出了一些实际意义 , 用于实 施此类跨部门议程的管理者参考 。 同时笔者为实施此类跨部 门议程的管理者提出了实用建议 。 关于上述议程建立的潜在 表现评估框架分为几种 , 它们和政策学习过程 、 沟通情景以 及对创新的渗透三者有关 。 本文提出了一种用于政府内部际 政策实施的模型 。
关键词 : 政策实施 , 将健康融入所有政策 , 议程 , 动态
Introduction
Health has long been acknowledged as the result of socio-economic-environmental forces ( OMS / WHO , 1978 ). Collective multisectorial efforts are required and the Health in All Policies ( HiAP ) movement has been presented as a valid answer to move the health agenda forward ( Stahl , 2006 ).
HiAP refers to an intersectorial approach where health is considered in any relevant policy ( Stahl , 2006 ). The state of HiAP implementation has been a topic of much attention ( Ollila , 2011 ) with several experiments detailing drivers , pitfalls , ( Kahlmeier , Racioppi , Cavill , Rutter , & Oja , 2010 ; Steenbakkers , Jansen , Maarse , & de Vries , 2012 ; Storm , Aarts , Harting , & Schuit , 2011 ; Storm , Harting , Stronks , & Schuit , 2014 ; Wismar , Blau , Ernst ,
& Figueras , 2007 ) or tools developed ( Mooy & Gunning-Schepers , 2001 ; Rudolph , Caplan , Ben-Moshe , & Dillon , 2013 ). Required capacities include engaging decision makers , setting awareness-raising activities , and so forth ( Freiler et al ., 2013 ). The unfolding of the HiAP strategy over time inside public administrations would benefit from closer attention . How health actors can address contradictory demands , like being intersectorial in their approach but facing silo habits , remains to be understood . We propose to look within the process , meaning to uncover how HiAP unfolds over time : this includes examining the specific dynamics at stake and the unlocking strategies put in place by the health sector to influence relevant sectors .
The main target of this article is academics . We also aim to empower the management of HiAP by providing practical implications . The second
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