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Meanings in policy: A textual analysis of Canada's "Achieving Health for All" document

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  • Iannantuono, Adele
  • Eyles, John

Abstract

This paper presents a textual analysis of a key Canadian health policy document--Achieving Health for All (AHFA). It begins by establishing the importance of policy language and an interpretive approach to reveal dominant meanings and assumptions. This approach points out the significance of language and its contexts (text and intertext) and of developing a formal analytic strategy, based on semiotics. The paper concludes with a detailed, illustrated analysis of AHFA, suggesting that the document's discourse, through appealing to all, with emphases on the nation, community and all Canadians, establishes a frame of individual responsibility and rights, health promotion and broad health determinants--a frame that resonates with the cost-constrained nature of health care delivery-as found in provincial reform documents in the 1980s and 1990s.

Suggested Citation

  • Iannantuono, Adele & Eyles, John, 1997. "Meanings in policy: A textual analysis of Canada's "Achieving Health for All" document," Social Science & Medicine, Elsevier, vol. 44(11), pages 1611-1621, June.
    • Handle: RePEc:eee:socmed:v:44:y:1997:i:11:p:1611-1621
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    Cited by:

    1. Maxmillan Martin & Yi hyun Kang & Motasim Billah & Tasneem Siddiqui & Richard Black & Dominic Kniveton, 2017. "Climate-influenced migration in Bangladesh: The need for a policy realignment," Development Policy Review, Overseas Development Institute, vol. 35, pages 357-379, October.
    2. Neely, Abigail H. & Ponshunmugam, Arunsrinivasan, 2019. "A qualitative approach to examining health care access in rural South Africa," Social Science & Medicine, Elsevier, vol. 230(C), pages 214-221.
    3. Aldrich, Rosemary & Zwi, Anthony B. & Short, Stephanie, 2007. "Advance Australia Fair: Social democratic and conservative politicians' discourses concerning Aboriginal and Torres Strait Islander Peoples and their health 1972-2001," Social Science & Medicine, Elsevier, vol. 64(1), pages 125-137, January.
    4. Rahi Jain & Bakul Rao, 2016. "India's Focus On Medical Diagnostic Laboratories: Indian Planning and Programmes," Proceedings of International Academic Conferences 3505995, International Institute of Social and Economic Sciences.

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