
The Division of Ethics and Health Policy engages in a variety of efforts related to Health Policy analysis. We understand health policy as the process of policy trade-offs and negotiations over time, rather than simply discrete policy packages or products to be deployed by politicians and implemented by agencies.[i] To begin with, all sorts of cultural, regional, historical, structural, situational, and epidemiological factors shape the emerging health issues that require policy interventions. Additionally, stakeholders in health policy-making all bring their various values, interests, experiences, and historical trajectories to the policy-making table.[ii] Finally, assorted values, ideologies, ethical theories, financial constraints, intellectual fashions, economic principles, and political contingencies drive the policy-making, policy-implementation, and policy-evaluation process.[iii] We understand Health Policy Research, to quote Nicholas Black, "less as problem solving than as a process of argument or debate to create concern and set the agenda."[iv] Consequently, we engage in both policy evaluation and policy formulation.
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[i] CH Weiss, "Research for policy's sake: the enlightenment function of social research. " Policy Analysts 1977; 3:531-547. Jonathan Lomas, "Connecting Research and Policy." ISUMA: Canadian Journal of Policy Research 1:141.
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[ii] This definition adapted from Buse et al., Making Health Policy. p. 164.
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[iii] Nick Black, "Evidence Based Policy: Proceed with Care," British Medical Journal, August 4, 2001, 323:276.
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[iv] Ibid, p. 277.
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