Considering multiple governance levels in epidemiologic analysis of public policies

Schnake-Mahl, AS (通讯作者),3600 Market St Suite 730, Philadelphia, PA 19104 USA.
2022-12
Epidemiology is increasingly asking questions about the use of policies to address structural inequities and intervene on health disparities and public health challenges. However, there has been limited explicit consid-eration of governance structures in the design of epidemiologic policy analysis. To advance empirical and theoretical inquiry in this space, we propose a model of governance analysis in which public health researchers consider at what level 1) decision-making authority for policy sits, 2) policy is implemented, 3) and account-ability for policy effects appear. We follow with examples of how these considerations might improve the evaluation of the policy drivers of population health. Consideration and integration of multiple levels of governance, as well as interactions between levels, can help epidemiologists design studies including new op-portunities for quasi-experimental designs and stronger counterfactuals, better quantify the policy drivers of inequities, and aid research evidence and policy development work in targeting multiple levels of governance, ultimately supporting evidence-based policy making.
SOCIAL SCIENCE & MEDICINE
卷号:314
ISSN:0277-9536|收录类别:SCIE
语种
英语
来源机构
Drexel University; Drexel University; Drexel University; Drexel University; New York University
资助信息
Funding ASM was supported by the National Institute of Allergy and Infec-tious Diseases under award number K01AI168579. ASM and UB were supported by the Office of the Director of the National Institutes of Health under award number DP5OD26429. JP was supported by the National Institute of Mental Health R21MH125261. The funding sources had no role in the analysis, writing or decision to submit the manuscript.
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
3
2013以来使用计数
3
EISSN
1873-5347
出版年
2022-12
DOI
10.1016/j.socscimed.2022.115444
关键词
Keywords Governance Health disparities Causal inference Policy evaluation Health equity
资助机构
National Institute of Allergy and Infec-tious Diseases(United States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Institute of Allergy & Infectious Diseases (NIAID)) Office of the Director of the National Institutes of Health(United States Department of Health & Human ServicesNational Institutes of Health (NIH) - USA) National Institute of Mental Health(United States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Institute of Mental Health (NIMH))
WOS学科分类
Public, Environmental & Occupational Health Social Sciences, Biomedical
学科领域
循证公共卫生 循证社会科学-综合