"Success" in policy piloting: Process, programs, and politics

被引:15
作者
Checkland, Kath [1 ]
Hammond, Jonathan [1 ]
Coleman, Anna [1 ]
Macinnes, Julie [2 ]
Mikelyte, Rasa [2 ]
Croke, Sarah [1 ]
Billings, Jenny [2 ]
Bailey, Simon [2 ]
Allen, Pauline [3 ]
机构
[1] Univ Manchester, Sch Hlth Sci, Manchester, Lancs, England
[2] Univ Kent, Ctr Hlth Serv Studies, Canterbury, Kent, England
[3] London Sch Hyg & Trop Med, Dept Hlth Serv Res & Policy, London, England
基金
美国国家卫生研究院;
关键词
HEALTH; FRAMEWORK;
D O I
10.1111/padm.12790
中图分类号
D0 [政治学、政治理论];
学科分类号
0302 ; 030201 ;
摘要
Research has demonstrated that pilots contain multiple shifting purposes, not all of which relate to simple policy testing or refinement. Judging the success of policy pilots is therefore complex, requiring more than a simple judgment against declared goals. Marsh and McConnell provide a framework against which policy success can be judged, distinguishing program success from process and political success. We adapt Boven's modification of this framework and apply it to policy pilots, arguing that pilot process, outcomes and longer-term effects can all be judged in both program and political terms. We test this new framework in a pilot program in the English National Health Service, the Vanguard program, showing how consideration of these different aspects of success sheds light on the program and its aftermath. We consider the implications of the framework for the comprehensive and multifaceted evaluation of policy pilots.
引用
收藏
页码:463 / 480
页数:18
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