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Addressing the theoretical, practical and ethical challenges inherent in prospective health policy analysis.

机译：解决前瞻性卫生政策分析中固有的理论，实践和道德挑战。

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摘要

As a function of the inherently political nature of health policy, there have long been calls for, as well as guidance on, analysis of its political dimensions to inform practice. Yet there are few accounts in the literature of systematic attention to real-time documentation and analysis of political-economy factors and feedback to engender reform. The dearth of such prospective policy analysis is perhaps understandable given the many intrinsic difficulties in such an enterprise. This paper provides an outline approach of how researchers might work together with advocacy coalitions (or other political actors) to document and analyse the efforts of such coalitions to use policy analysis to influence the policy processes-agenda setting, policy formulation and policy implementation-in which they engage. In so doing, it identifies challenges based on reviews of the theoretical, methodological and empirical literature as well as the experience of the author. The aim of the paper is to generate debate to assist in resolving the myriad challenges inherent in prospective policy analysis. The paper responds to appeals for political research which addresses the problems confronting political actors so as to guide future action-research for evidence-informed, pro-poor health policy.
机译：长期以来，根据卫生政策固有的政治性质，一直呼吁对其政治层面进行分析并为之提供指导，以为实践提供依据。但是，在文献中很少有系统地关注实时文档和对政治经济因素的分析以及对进行改革的反馈的文献。鉴于此类企业存在许多固有的困难，因此缺乏这种前瞻性政策分析可能是可以理解的。本文提供了一个概述方法，研究人员如何与倡导联盟（或其他政治角色）一起记录和分析此类联盟使用政策分析来影响政策流程（议程设置，政策制定和政策实施）的工作他们参与其中。通过这样做，它基于对理论，方法论和经验文献的回顾以及作者的经验来确定挑战。本文的目的是引起辩论，以帮助解决前瞻性政策分析中固有的众多挑战。本文回应了对政治研究的呼吁，该呼吁解决了政治行为者面临的问题，以指导未来的行动研究，以了解事实为依据，有利于穷人的卫生政策。

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