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Social determinants of health and health equity policy research: Exploring the use, misuse, and nonuse of policy analysis theory

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  • Embrett, Mark G.
  • Randall, G.E.

Abstract

Despite a dramatic growth in SDH/HE (social determinants of health/health equity) public policy research and demonstrated government interest in promoting equity in health policies, health inequities are actually growing among some populations and there is little evidence that “healthy public policies” are being adopted and implemented. Moreover, these issues are typically failing to even reach governments' policy agendas, which is a critical step towards serious debate and the identification of policy options. This systematic review pursues three main objectives. First, is to identify barriers to SDH/HE issues reaching the government policy agenda. Second, to evaluate the characteristics of peer-reviewed research articles that utilize common policy analysis theories. And third, to determine the extent to which the SDH/HE literature utilizes common policy analysis theories. Our systematic review, conducted in June 2012, identified 6200 SDH/HE related articles in the peer-reviewed literature; however, only seven articles explicitly used a commonly recognized policy analysis theory to inform their analysis. Our analysis revealed that the SDH/HE policy literature appears to be focused on advocacy rather than analysis and that the use of policy analysis theory is extremely limited. Our results also suggest that when such theories are incorporated into an analysis they are often not comprehensively employed. We propose explanations for this non-use and misuse of policy analysis theory, and conclude that researchers may have greater influence in helping to get SDH/HE issues onto government policy agendas if they gain a greater understanding of the policy process and the value of incorporating policy analysis theories into their research. Using a policy analysis lens to help identify why healthy public policies are typically not being adopted is an important step towards moving beyond advocacy to understanding and addressing some of the political barriers to reforms.

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  • Embrett, Mark G. & Randall, G.E., 2014. "Social determinants of health and health equity policy research: Exploring the use, misuse, and nonuse of policy analysis theory," Social Science & Medicine, Elsevier, vol. 108(C), pages 147-155.
    • Handle: RePEc:eee:socmed:v:108:y:2014:i:c:p:147-155
    DOI: 10.1016/j.socscimed.2014.03.004
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    References listed on IDEAS

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    1. Koh, H.K. & Oppenheimer, S.C. & Massln-Short, S.B. & Emmons, K.M. & Alan, C. & Geller, R.N. & Viswanath, K., 2010. "Translating research evidence into practice to reduce health disparities: A social determinants approach," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 72-80.
    2. Clavier, Carole & Gendron, Sylvie & Lamontagne, Lise & Potvin, Louise, 2012. "Understanding similarities in the local implementation of a healthy environment programme: Insights from policy studies," Social Science & Medicine, Elsevier, vol. 75(1), pages 171-178.
    3. Costa-Font, Joan & Hernández-Quevedo, Cristina, 2012. "Measuring inequalities in health: What do we know? What do we need to know?," Health Policy, Elsevier, vol. 106(2), pages 195-206.
    4. Mulvale, Gillian & Abelson, Julia & Goering, Paula, 2007. "Mental health service delivery in Ontario, Canada: how do policy legacies shape prospects for reform?," Health Economics, Policy and Law, Cambridge University Press, vol. 2(4), pages 363-389, October.
    5. Douglas J. Amy, 1984. "Why policy analysis and ethics are incompatible," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 3(4), pages 573-591.
    6. Marmor, Theodore & Wendt, Claus, 2012. "Conceptual frameworks for comparing healthcare politics and policy," Health Policy, Elsevier, vol. 107(1), pages 11-20.
    7. De Pinho Campos, Katia & Norman, Cameron D. & Jadad, Alejandro R., 2011. "Product development public–private partnerships for public health: A systematic review using qualitative data," Social Science & Medicine, Elsevier, vol. 73(7), pages 986-994.
    8. Gollust, S.E. & Lantz, P.M. & Ubel, P.A., 2009. "The polarizing effect of news media messages about the social determinants of health," American Journal of Public Health, American Public Health Association, vol. 99(12), pages 2160-2167.
    9. Birkland, Thomas A., 1998. "Focusing Events, Mobilization, and Agenda Setting," Journal of Public Policy, Cambridge University Press, vol. 18(1), pages 53-74, January.
    10. Baum, Frances E. & Laris, Paul & Fisher, Matthew & Newman, Lareen & MacDougall, Colin, 2013. "“Never mind the logic, give me the numbers”: Former Australian health ministers' perspectives on the social determinants of health," Social Science & Medicine, Elsevier, vol. 87(C), pages 138-146.
    11. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    12. Gillian Mulvale & Julia Abelson & Paula Goering, 2007. "Mental Health Service Delivery in Ontario, Canada: How Do Policy Legacies Shape Prospects for Reform?," Centre for Health Economics and Policy Analysis Working Paper Series 2007-02, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
    13. Baum, F.E. & Bégin, M. & Houweling, T.A.J. & Taylor, S., 2009. "Changes not for the fainthearted: Reorienting health care systems toward health equity through action on the social determinants of health," American Journal of Public Health, American Public Health Association, vol. 99(11), pages 1967-1974.
    14. Donald, Maria & Dower, Jo & Kavanagh, David, 2005. "Integrated versus non-integrated management and care for clients with co-occurring mental health and substance use disorders: a qualitative systematic review of randomised controlled trials," Social Science & Medicine, Elsevier, vol. 60(6), pages 1371-1383, March.
    15. Lieberman, Robert C., 2002. "Ideas, Institutions, and Political Order: Explaining Political Change," American Political Science Review, Cambridge University Press, vol. 96(4), pages 697-712, December.
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    2. Townsend, Belinda & Strazdins, Lyndall & Harris, Patrick & Baum, Fran & Friel, Sharon, 2020. "Bringing in critical frameworks to investigate agenda-setting for the social determinants of health: Lessons from a multiple framework analysis," Social Science & Medicine, Elsevier, vol. 250(C).
    3. E. Musoke & B.L. Yawe & J.D. Ssentamu, 2023. "Determinants of technical efficiency of health systems in African least developed countries: A two-stage data envelopment analysis (DEA) approach," Journal of Economic Policy and Management Issues, JEPMI, vol. 2(1), pages 59-75.
    4. Sudeepa Khanal & Lira Ramadani & Melanie Boeckmann, 2022. "Health Equity in Climate Change Policies and Public Health Policies Related to Climate Change: Protocol for a Systematic Review," IJERPH, MDPI, vol. 19(15), pages 1-10, July.
    5. Anthony McCosker & Anne Matan & Dora Marinova, 2018. "Policies, Politics, and Paradigms: Healthy Planning in Australian Local Government," Sustainability, MDPI, vol. 10(4), pages 1-25, March.
    6. Galetsi, Panagiota & Katsaliaki, Korina & Kumar, Sameer, 2022. "The medical and societal impact of big data analytics and artificial intelligence applications in combating pandemics: A review focused on Covid-19," Social Science & Medicine, Elsevier, vol. 301(C).
    7. Viengsamay Sengchaleun & Hina Hakim & Sengchanh Kounnavong & Daniel Reinharz, 2022. "Analysis of the Relevance of the Advocacy Coalition Framework to Analyze Public Policies in Non-Pluralist Countries," Social Sciences, MDPI, vol. 11(12), pages 1-11, November.
    8. Helen Van Eyk & Elizabeth Harris & Fran Baum & Toni Delany-Crowe & Angela Lawless & Colin MacDougall, 2017. "Health in All Policies in South Australia—Did It Promote and Enact an Equity Perspective?," IJERPH, MDPI, vol. 14(11), pages 1-25, October.
    9. McGreevy, Michael & Harris, Patrick & Delaney-Crowe, Toni & Fisher, Matt & Sainsbury, Peter & Riley, Emily & Baum, Fran, 2020. "How well do Australian government urban planning policies respond to the social determinants of health and health equity?," Land Use Policy, Elsevier, vol. 99(C).
    10. Harris, Patrick & Kent, Jennifer & Sainsbury, Peter & Thow, Anne Marie, 2016. "Framing health for land-use planning legislation: A qualitative descriptive content analysis," Social Science & Medicine, Elsevier, vol. 148(C), pages 42-51.
    11. Clifford, Brendan & Wilson, Andrew & Harris, Patrick, 2019. "Homelessness, health and the policy process: A literature review," Health Policy, Elsevier, vol. 123(11), pages 1125-1132.
    12. Friel, Sharon & Townsend, Belinda & Fisher, Matthew & Harris, Patrick & Freeman, Toby & Baum, Fran, 2021. "Power and the people's health," Social Science & Medicine, Elsevier, vol. 282(C).
    13. Kelsey Lucyk & Lindsay McLaren, 2017. "Taking stock of the social determinants of health: A scoping review," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-24, May.
    14. Jones, Catherine M. & Clavier, Carole & Potvin, Louise, 2017. "Adapting public policy theory for public health research: A framework to understand the development of national policies on global health," Social Science & Medicine, Elsevier, vol. 177(C), pages 69-77.
    15. Scott J. Fitzpatrick & Bronwyn K. Brew & Donna M. Y. Read & Kerry J. Inder & Alan Hayes & David Perkins, 2019. "Rethinking Suicide in Rural Australia: A study Protocol for Examining and Applying Knowledge of the Social Determinants to Improve Prevention in Non-Indigenous Populations," IJERPH, MDPI, vol. 16(16), pages 1-13, August.
    16. Carol Bacchi, 2016. "Problematizations in Health Policy," SAGE Open, , vol. 6(2), pages 21582440166, June.

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