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Critically Analyse The Key Factors Involved On A Successful Delivery Of Health Care?

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CID Number: 00796902
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Essay Title: “Critically analyse the key factors involved in translating policy into practice to achieve successful delivery of health care?”

“Critically analyse the key factors involved in translating policy into practice to achieve successful delivery of health care?”
To deliver better care and outcomes, there is a need for evidence-based policy to be implemented successfully (1). Policy change can achieve impacts and sustainability beyond what is possible through standalone services or projects (2). Designing a policy and then translating it into practice is “a messy business” and requiring understanding of the policy context, design processes, the underlying values and beliefs …show more content…

Here policy takes an incremental approach where decision makers take current practice as given, and make small incremental adjustments in that behaviour, resulting in gradual policy change (5).

In the real world, policy making is more complex. In reaction to “rational approaches” the “garbage can” model of decision was developed to remove any assumption of rationality. This asserts that rational approaches suggest a greater level of intention, comprehension of problems, and predictability of relations among actors than found in reality (3). Additional elements work against rational policy making including the cognitive limitation of decision maker to consider all possible options and foresee all consequences.

Ingram argued that policy problems are not neutral but subjectively identified through a political exercise based on values, interpretation and the subjectivity of policy-makers (6). Pluralist-elitist models recognise the distribution of power and how this affects decision-making, proposing that the power to influence policy is concentrated in the hands of a few (2). The underlying suggestion of these theories is that policy is not scientifically or rationally constructed, with the conclusion that implementation attempts are constrained from the start.

Punctuated equilibrium theory outlines that when conditions are right, change

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