Preface
Chapter 1 Analysing health policy and politics
Models of the policy process
Networks as theory, networks as analytic technique
Complexity
Ideation
Health policy
The critical framework and the structure of the book
Chapter 2 Institutions and health systems: The circuitry of health policy
Political institutions
Structure of government
Governmental systems
Health system characteristics
National health insurance in Australia and the Netherlands
Financial indicators of health systems
Paying for primary health care in Australia, the UK and the Netherlands
Conclusions
Chapter 3 Governance: interactions and health system reform
Changing modes of governance
Governance and health system reform
Corporate management and market reforms
Network reforms
Containing the costs of health care – governance meets structure
Conclusions
Chapter 4 Power and influence: Networks and health politics
Interests in health politics
Policy networks and social networks
Networks of influence
Influential actors in health policy
The health policy network of influence
Influential actors within the network
Talking about networks
Conclusions
Chapter 5 Professions: Expertise and authority in health policy
'Trait' approaches and the critical turn
Comparative and state-centric approaches
Systems of professions
Professions other than medicine
Authority and autonomy
Contemporary challenges to the professions
A conceptual model of profession
Cultural authority
Social authority
Political authority
Professional autonomy
Conclusions
Chapter 6 Ideas: Paradigms and discourses in health policy
Ideas and the policy process
Deep structure ideation
The biomedical paradigm
Biomedicine and alternative models of health
Medical authority and autonomy
Ideas and policy change
Impermeability – the social determinants of health (pre 2000)
Incorporation – clinical scrutiny and evaluation
Incorporation with modification – community health care
Transformation – the social determinants of health (2000 and after)
Conclusions
Chapter 7 Comparing relationships: The political authority of medicine and nursing
Governing state-profession relationships
Professions and gender
Medicine and nursing in Australia, Britain and the Netherlands
Australia – co-dependents and outsiders
Britain – partners and adjuncts
The Netherlands – corporate partners
Conclusions
Chapter 8 Managed networks in action: Local partnerships for health Networks and partnerships
Partnerships as managed networks
Network management and effectiveness
Partnerships in Britain
Primary Care Partnerships in Victoria
Westbay Alliance and Campaspe PCP
Governance approach and roles in PCPs
The impact of PCPs on health policy
Conclusions
Chapter 9 Shaping the health policy agenda: Networks and policy issues
Ideation and networks
Important health policy issues in Victoria
Inequalities in health/structural determinants
Recruitment and retention of the health workforce
Demand in public hospitals
Disaggregation and fragmentation
Lack of emphasis on prevention
Improving the quality of care
Issues and influential actors
Conclusions
Chapter 10 Networks, ideas and power
Understanding the circuitry of health policy
Examining governance trends in health
Exploring networks of influence in health
Conceptualising health professions
Analysing ideation and health
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