Abstract
Many countries continue to face challenges in public policy implementation. One explanation for this is the need for local knowledge and insight to inform effective policy interventions (Matland 1995). This arises due to variations in local challenges, structures and stages of development, necessitating adaptation of policy requirements, to facilitate success (Hjern 1982; Matland 1995). However, in spite of increasing recognition of the need for local tailoring, traditional topdown and hierarchical modes of policy-making and implementation retain an enduring influence (Cho et al 2005).
Policy implementation is what develops between the establishment of an apparent intention on the part of government to do something, or to stop doing something, and the ultimate impact in the world of action. (O’Toole 2000: 266)
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© 2012 Aoife McDermott, Mary A. Keating and Malcolm J. Beynon
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McDermot, A., Keating, M.A., Beynon, M.J. (2012). Affording Discretion in How Policy Objectives are Achieved: Lessons from Clinician Involvement in Managerial Decision-Making. In: Dickinson, H., Mannion, R. (eds) The Reform of Health Care. Organizational Behaviour in Health Care series. Palgrave Macmillan, London. https://doi.org/10.1057/9780230355026_5
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DOI: https://doi.org/10.1057/9780230355026_5
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