IDEAS home Printed from https://ideas.repec.org/a/kap/policy/v47y2014i4p367-386.html
   My bibliography  Save this article

Puzzling about problems: the ambiguous search for an evidence-based strategy for handling influx of health technology

Author

Listed:
  • Ann-Charlotte Nedlund
  • Peter Garpenby

Abstract

This paper focuses on problem frame differences among actors (members of an advisory body, senior administrators and clinical unit managers) who are concerned with the introduction of new health technology at the regional level in Sweden. It explores issues related to problem framing, puzzling, powering, participation and the various rationales articulated in the ambiguous search for an evidence-based strategy to handle the influx of new technologies. The Health Technology Advisory Committee (HTAC) was established in one Swedish county council in 2004 with the intention of controlling both the introduction of health technology and supporting policy decision and clinical practice by promoting the use of best evidence. The HTAC followed a scientific rationality dominated by one problem frame, although the problematic situation, as it was framed by all the actor groups, was highly complex and not solely a matter of evidence. This paper illustrates how problem frame differences shape the puzzling of a policy problem and how the different distinguishable policy styles are dependent on who is participating and who is not participating in the puzzling. Copyright Springer Science+Business Media New York 2014

Suggested Citation

  • Ann-Charlotte Nedlund & Peter Garpenby, 2014. "Puzzling about problems: the ambiguous search for an evidence-based strategy for handling influx of health technology," Policy Sciences, Springer;Society of Policy Sciences, vol. 47(4), pages 367-386, December.
    • Handle: RePEc:kap:policy:v:47:y:2014:i:4:p:367-386
    DOI: 10.1007/s11077-014-9198-1
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1007/s11077-014-9198-1
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1007/s11077-014-9198-1?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Hal Colebatch, 2006. "What work makes policy?," Policy Sciences, Springer;Society of Policy Sciences, vol. 39(4), pages 309-321, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Anna Wesselink & Hal Colebatch & Warren Pearce, 2014. "Evidence and policy: discourses, meanings and practices," Policy Sciences, Springer;Society of Policy Sciences, vol. 47(4), pages 339-344, December.
    2. E. E. A. Wolf & Wouter Van Dooren, 2017. "How policies become contested: a spiral of imagination and evidence in a large infrastructure project," Policy Sciences, Springer;Society of Policy Sciences, vol. 50(3), pages 449-468, September.
    3. Sarah Giest, 2017. "Big data for policymaking: fad or fasttrack?," Policy Sciences, Springer;Society of Policy Sciences, vol. 50(3), pages 367-382, September.
    4. Garpenby, Peter & Nedlund, Ann-Charlotte, 2016. "Political strategies in difficult times – The “backstage” experience of Swedish politicians on formal priority setting in healthcare," Social Science & Medicine, Elsevier, vol. 163(C), pages 63-70.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nambiar, Devaki, 2013. "India's “tryst” with universal health coverage: Reflections on ethnography in Indian health policymaking," Social Science & Medicine, Elsevier, vol. 99(C), pages 135-142.
    2. Deveci, Muhammet & Pamucar, Dragan & Gokasar, Ilgin & Isik, Mehtap & Coffman, D'Maris, 2022. "Fuzzy Einstein WASPAS approach for the economic and societal dynamics of the climate change mitigation strategies in urban mobility planning," Structural Change and Economic Dynamics, Elsevier, vol. 61(C), pages 1-17.
    3. Anna Wesselink & Hal Colebatch & Warren Pearce, 2014. "Evidence and policy: discourses, meanings and practices," Policy Sciences, Springer;Society of Policy Sciences, vol. 47(4), pages 339-344, December.
    4. Marlee Tichenor & Sally E Merry & Sotiria Grek & Justyna Bandola-Gill, 2022. "Global public policy in a quantified world: Sustainable Development Goals as epistemic infrastructures [The ethics of a formula: Calculating a financial-humanitarian price for water]," Policy and Society, Darryl S. Jarvis and M. Ramesh, vol. 41(4), pages 431-444.
    5. Joshua Newman & Emi Patmisari & Ida Widianingsih, 2022. "Policy analytical capacity and "Eastern" styles of policy analysis: evidence from West Java Province, Indonesia," Policy Sciences, Springer;Society of Policy Sciences, vol. 55(3), pages 469-485, September.
    6. Sedlačko Michal & Staroňová Katarína, 2015. "An Overview of Discourses on Knowledge in Policy: Thinking Knowledge, Policy and Conflict Together," Central European Journal of Public Policy, Sciendo, vol. 9(2), pages 10-31, December.
    7. Koen Bartels, 2013. "Research as Usual: How Researching Public Problems Affects Problem Solving," Working Papers 13002, Bangor Business School, Prifysgol Bangor University (Cymru / Wales).
    8. Agus Heruanto Hadna, 2021. "Policy Formulation During Pandemic COVID-19: A New Evidence of Multiple Streams Theory from Yogyakarta, Indonesia," Journal of Public Administration and Governance, Macrothink Institute, vol. 11(3), pages 3655-3655, December.
    9. Pierre-Olivier Bédard, 2015. "The Mobilization of Scientific Evidence by Public Policy Analysts," SAGE Open, , vol. 5(3), pages 21582440156, September.
    10. Michael Howlett & M. Ramesh, 2016. "Achilles' heels of governance: Critical capacity deficits and their role in governance failures," Regulation & Governance, John Wiley & Sons, vol. 10(4), pages 301-313, December.
    11. Novotný Vilém, 2015. "Czech Study of Public Policy in the Perspective of Three Dominant Approaches," Central European Journal of Public Policy, Sciendo, vol. 9(1), pages 8-29, May.
    12. Caspar F. Berg, 2017. "Dynamics in the Dutch policy advisory system: externalization, politicization and the legacy of pillarization," Policy Sciences, Springer;Society of Policy Sciences, vol. 50(1), pages 63-84, March.
    13. Farhad Mukhtarov & Andrea Gerlak, 2014. "Epistemic forms of integrated water resources management: towards knowledge versatility," Policy Sciences, Springer;Society of Policy Sciences, vol. 47(2), pages 101-120, June.
    14. Jonathan Craft, 2015. "Conceptualizing the policy work of partisan advisers," Policy Sciences, Springer;Society of Policy Sciences, vol. 48(2), pages 135-158, June.
    15. Giulia Molinengo & Dorota Stasiak & Rebecca Freeth, 2021. "Process expertise in policy advice: Designing collaboration in collaboration," Palgrave Communications, Palgrave Macmillan, vol. 8(1), pages 1-12, December.
    16. Anna Wesselink & Andy Gouldson, 2014. "Pathways to impact in local government: the mini-Stern review as evidence in policy making in the Leeds City Region," Policy Sciences, Springer;Society of Policy Sciences, vol. 47(4), pages 403-424, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:kap:policy:v:47:y:2014:i:4:p:367-386. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.