Abstract
The word “policy” is often bantered about and it is assumed that everyone has or uses a fundamental definition for policy and hence, policy development. In broad terms, policy can refer simply to a “plan of action” or “statement of aims or goals.” However defined, it is then difficult to interpret who is involved in policy planning and what are the key functions of policy development, policy implementation and subsequent evaluation. To better understand some of these nuances, William Jenkins defines policy as a set of incremental decisions taken by a political figure or group regarding the prioritization of goals and the means to achieve these goals. James Anderson describes public policy as a purposive course of action aimed at dealing with a problem identified by the government. These begin to capture some of the key elements of public policymaking and the inherent link to government as a key player in policy development and implementation.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Letherman S, Sutherland K. Designing national quality reforms: a framework for action. Int J Qual Health Care. 2007;19(6):334–340.
Shimkhada R, Peabody JW, Quimbo SA, Solon O. The quality improvement demonstration study: an example of evidence-based policy-making in practice. Health Res Policy Syst. 2008;6:5.
Davies P. Policy evaluation in the United Kingdom. In: KDI International Policy Evaluation Forum, Seoul, Korea; 2004.
Berwick D. The science of improvement. JAMA. 2008;299(10):1182–1184.
Rogers EM. Diffusion of Innovations. 4th ed. New York: The Free Press; 1995.
McGloin H, Adam S, Singer M. The quality of pre-ICU care influences outcome of patients admitted from the ward. Clin Intensive Care. 1997;8:104.
McQuillan P, Pilkington S, Allan A, et al. Confidential inquiry into quality of care before admission to intensive care. BMJ. 1998;316(7148):1853–1858.
Schein RM, Hazday N, Pena M, Ruben BH, Sprung CL. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest. 1990;98(6):1388–1392.
Buist MD, Jarmolowski E, Burton PR, Bernard SA, Waxman BP, Anderson J. Recognizing clinical instability in hospital patients before cardiac arrest or unplanned admission to intensive e care. A pilot study in a tertiary-care hospital. Med J Aust. 1999;171(1):22–25.
Rivers E, Nguyen B, Havstad S, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001;345(19):1368–1377.
Tyan B, Gross NC. The diffusion of hybrid seed corn in two Iowa communities. Rural Sociol. 1943;8:15–24.
Soumerai S, McLaughlin TJ, Gurwitz JH, et al. Effect of local medical opinion leaders on quality of care for acute myocardial infarction. JAMA. 1998;279(17):1358–1363.
Dodgson M, Bessant J. Effective Innovation Policy: A New Approach. New York: Routledge; 1996.
Jones D, Bellomo R, Bates S, et al. Long-term effect of a medical emergency team on cardiac arrests in a teaching hospital. Crit Care. 2005;9:R808–R815.
MERIT Study Investigators. Introduction of the medical emergency team (MET) system: a cluster randomised controlled trial. Lancet. 2005;365(9477):2091–2097.
Reynolds S. Sustainability of RRS presentation.
Pawson R, Tilley N. Realistic Evaluation. London: Sage; 1997.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Reynolds, S.F., Lawless, B. (2011). Creating Process and Policy Change in Healthcare. In: DeVita, M., Hillman, K., Bellomo, R. (eds) Textbook of Rapid Response Systems. Springer, New York, NY. https://doi.org/10.1007/978-0-387-92853-1_9
Download citation
DOI: https://doi.org/10.1007/978-0-387-92853-1_9
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-92852-4
Online ISBN: 978-0-387-92853-1
eBook Packages: MedicineMedicine (R0)