Using Evidence to Inform State Health Policy Making: Lessons from Four States Comparing Obamacare and Infant Mortality.
How does the use of evidence by policy makers differ for issues that are highly politicized compared to those that are not? Does the answer depend on whether the venue for policy making is the legislative or the executive branch? We explore these dynamics through state-level case studies of two diff...
| Publicado en: | Journal of Health Politics, Policy & Law Vol. 43; no. 3; pp. 377 - 400 |
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| Autores principales: | , |
| Formato: | Artículo |
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Duke University Press
Jun2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=130206092&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 130206092 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 03616878 HPP jtl: Journal of Health Politics, Policy & Law issn: 03616878 maglogo: N pubinfo: dt: Jun2018 vid: 43 iid: 3 pid: 154 pub: Duke University Press artinfo: ui: 130206092 10.1215/03616878-4366148 ppf: 377 ppct: 23 formats: tig: atl: Using Evidence to Inform State Health Policy Making: Lessons from Four States Comparing Obamacare and Infant Mortality. aug: au: Jones, David K. Louis, Christopher J. affil: Boston University su: Florida Georgia Idaho Mississippi United States Infant mortality Health policy Policy sciences Practical politics Executives Patient Protection & Affordable Care Act State health plans Health insurance exchanges Prevention sug: subj: Infant mortality Health policy Policy sciences Practical politics Florida Georgia Idaho Mississippi United States Administration of Public Health Programs Executives Patient Protection & Affordable Care Act State health plans Health insurance exchanges Prevention keyword: Affordable Care Act infant mortality policy making Affordable Care Act infant mortality policy making ab: How does the use of evidence by policy makers differ for issues that are highly politicized compared to those that are not? Does the answer depend on whether the venue for policy making is the legislative or the executive branch? We explore these dynamics through state-level case studies of two different types of issues: what type of health insurance exchange to establish as part of the implementation of the Affordable Care Act (Idaho and Mississippi), and how to reduce infant mortality (Florida and Georgia). We highlight four sets of issues critical to understanding the use of evidence: (1) characteristics of a policy, (2) characteristics of the policy makers, (3) characteristics of the producers and disseminators of evidence, and (4) different ways evidence can be used. Barriers for academics to contribute directly to policy making change for politicized issues, particularly in the legislative branch. Under these circumstances, intermediary groups such as ideological think tanks become a trusted source of information. Policy makers themselves are a key source of evidence on less politicized issues in the executive branch. Academics wanting to inform politicized policy making need to appreciate and be comfortable with the blurry line between instrumental and rhetorical uses of evidence. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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