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      Modelos para el análisis de políticas públicas en salud reportados en publicaciones científicas Translated title: Models for public health policy analysis reported in scientific publications

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          Abstract

          Resumen Objetivo Sintetizar los modelos para el análisis de políticas públicas en salud reportados en investigaciones publicadas en el periodo 2002-2017. Método Utilizando términos MesH se realizó una búsqueda sistemática de artículos en inglés, portugués y español en las bases de datos PubMed, Scielo, Jstor, ProQuest y Google Académico publicados en el periodo de estudio. La evaluación de la calidad se realizó mediante la herramienta para entender un estudio cualitativo desarrollada por CASPe. Resultados La mayor proporción de investigaciones se realizaron en países del continente africano. Las políticas relacionadas con la atención en salud fueron objeto de investigación con mayor frecuencia. El modelo de análisis de políticas de Walt y Gilson, seguido del marco de corrientes múltiples de Kingdon, fueron los modelos que con mayor regularidad se reportaron. Conclusiones En los artículos se enuncia el modelo de análisis de política pública, pero no el enfoque que la orienta. Se requiere construir un corpus teórico más robusto que permita la discusión sobre los enfoques y modelos para el análisis de políticas públicas. Su distinción es relevante, ya que puede ordenar las propuestas metodológicas para el estudio de las políticas.

          Translated abstract

          Abstract Objective To summarize public health policy models reported in studies published between 2002-2017. Method Using MesH vocabulary, we systematically searched articles in English, Spanish and Portuguese in the PubMed, Scielo, Jstor, ProQuest and Google Scholar data-bases. The quality of the articles was assessed using the tool for understanding a qualitative study by CASPe. Results A higher proportion of scientific studies were conducted in the African continent. The policies relating to health care were most frequently investigated. Walt and Gilson's model and Kingdon's multiple streams framework were more frequently reported. Conclusions The articles set out the public policy analysis model, but not the approach to guide it. A more robust theoretical body needs to be built to enable discussion about the approaches and models for the analysis of public policies. Its distinction is relevant, since it can order methodological proposals for the study of policies.

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          Most cited references78

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          Reforming the health sector in developing countries: the central role of policy analysis

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            Epistemologías del Sur

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              A window of opportunity for reform in post-conflict settings? The case of Human Resources for Health policies in Sierra Leone, 2002–2012

              Background It is recognized that decisions taken in the early recovery period may affect the development of health systems. Additionally, some suggest that the immediate post-conflict period may allow for the opening of a political ‘window of opportunity’ for reform. For these reasons, it is useful to reflect on the policy space that exists in this period, by what it is shaped, how decisions are made, and what are their long-term implications. Examining the policy trajectory and its determinants can be helpful to explore the specific features of the post-conflict policy-making environment. With this aim, the study looks at the development of policies on human resources for health (HRH) in Sierra Leone over the decade after the conflict (2002–2012). Methods Multiple sources were used to collect qualitative data on the period between 2002 and 2012: a stakeholder mapping workshop, a document review and a series of key informant interviews. The analysis draws from political economy and policy analysis tools, focusing on the drivers of reform, the processes, the contextual features, and the actors and agendas. Findings Our findings identify three stages of policy-making. At first characterized by political uncertainty, incremental policies and stop-gap measures, the context substantially changed in 2009. The launch of the Free Health Care Initiative provided to be an instrumental event and catalyst for health system, and HRH, reform. However, after the launch of the initiative, the pace of HRH decision-making again slowed down. Conclusions Our study identifies the key drivers of HRH policy trajectory in Sierra Leone: (i) the political situation, at first uncertain and later on more defined; (ii) the availability of funding and the stances of agencies providing such funds; (iii) the sense of need for radical change – which is perhaps the only element related to the post-conflict setting. It also emerges that a ‘windows of opportunity’ for reform did not open in the immediate post-conflict, but rather 8 years later when the Free Health Care Initiative was announced, thus making it difficult to link it directly to the features of the post-conflict policy-making environment.
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                Author and article information

                Journal
                gs
                Gaceta Sanitaria
                Gac Sanit
                Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS) (Barcelona, Barcelona, Spain )
                0213-9111
                June 2021
                : 35
                : 3
                : 270-281
                Affiliations
                [3] Medellín Antioquía orgnameFundación Universitaria Autónoma de las Américas orgdiv1Grupo de Investigación GISCO Colombia
                [1] Medellín Antioquía orgnameUniversidad CES orgdiv1Escuela de Graduados Colombia
                [2] Medellín Antioquía orgnameUniversidad CES orgdiv1Facultad de Derecho Colombia
                Article
                S0213-91112021000300012 S0213-9111(21)03500300012
                10.1016/j.gaceta.2019.11.007
                31982213
                6c7f215b-a054-4735-b836-cf45d093d1c4

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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                Figures: 0, Tables: 0, Equations: 0, References: 78, Pages: 12
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                SciELO Spain

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                Policy,Public policy,Salud,Análisis de políticas públicas,Políticas,Políticas públicas,Health,Public policy analysis

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