Frames, Paradigms and Power: Global Health Policy-Making under Neoliberalism

The study of global health governance has developed rapidly over recent years. That literature has identified a range of factors which help explain the "failure" of global health governance, but it has largely neglected the global public policy processes which perpetuate that failure. In t...

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Bibliographic Details
Published in:Global society : journal of interdisciplinary international relations 2012-04, Vol.26 (2), p.147-167
Main Authors: Rushton, Simon, Williams, Owain David
Format: Article
Language:English
Subjects:
Agency and Structure
Governance
Health Care Services Policy
Health Policy
International governance
Neoliberalism
Paradigms
Policy Making
Power
Public Policy
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Summary:The study of global health governance has developed rapidly over recent years. That literature has identified a range of factors which help explain the "failure" of global health governance, but it has largely neglected the global public policy processes which perpetuate that failure. In this paper we argue that there is such a thing as "global health policy" and set out a new framework for analyzing the processes through which it is made, highlighting the mixture of power and ideas, agency and structure, which impact upon the policy cycle. The framework rests upon four pillars: framing; paradigms; power; and the "deep core" of neoliberalism. Through integrating insights from a range of literatures, in particular from the global health governance and public policy analysis fields, we seek to enrich the conceptual basis of current work on global health governance.
ISSN:1360-0826
1469-798X
DOI:10.1080/13600826.2012.656266