The Institutions of Programmatic Action: Policy Programs in French and German Health Policy

Description

This open access book is the first monograph to systematically apply the Programmatic Action Framework (PAF) in a comparative analysis of public policy in two institutionally different countries. The PAF seeks to explain long-term policy change by examining the shared biographies of policy actors who, to foster their careers, coalesce around policy programs which they promote throughout the policy process. Comparing health policy-making in France and Germany between 1990 and 2020, the book sheds light on the institutional settings that are necessary for programmatic action to occur. It will appeal to scholars and students of public policy, public administration, and health policy. Acknowledgments Praise for The Institutions of Programmatic Action Contents Abbreviations List of Figures List of Tables Chapter 1: Introduction 1.1 Theoretical and Empirical Puzzle 1.2 Methodology 1.3 Outline References Chapter 2: Programmatic Action and Policy Processes 2.1 Social Groups, Biographies, and Policy Programs 2.2 Ambiguity and Multiple Streams in the Policy Process 2.3 Beliefs and Advocacy Coalitions in the Policy Process 2.4 Network Theory and Agency in the Policy Process References Chapter 3: Political Institutions and Public Policy 3.1 Veto Players and Federalism 3.2 Corporatism and Organized Interests 3.3 Bureaucratic Recruitment Systems and Elite Building 3.4 Policy Advice and Scientific Impulses 3.5 Intermediary Conclusion: Institutional Conditions for Programmatic Action Emerging Programmatic Group, Not All Key Positions Occupied Emerging Programmatic Group, with Key Positions Occupied Established Programmatic Group, Not All Key Positions Occupied Established Programmatic Group, with Key Positions Occupied References Chapter 4: Health Policy Institutions in France and Germany 4.1 Institutions of French Health Policy: Centralization, Education, and Advice 4.2 Institutions of German Health Policy: Self-Governance and Corporatism References Chapter 5: Programmatic Action in French Health Policy 5.1 Policy Program in French Health Policy 5.2 Programmatic Actors in French Health Policy 5.3 Biographies and Identities of French Programmatic Actors 5.4 Continuous Programmatic Action in French Health Policy After the Financial Crisis References Chapter 6: Programmatic Action in German Health Policy 6.1 Policy Program in German Health Policy 6.2 Programmatic Actors in German Health Policy 6.3 Biographies and Identities of German Programmatic Actors 6.4 The Decline of the Programmatic Group in German Health Policy References Chapter 7: The Institutions of Programmatic Action 7.1 Institutionalized Elite Recruitment and Policy Advice—Par Excellence 7.2 Federalism, Corporatism, and Institutional Change in Germany 7.3 Intermediary Conclusion: Institutions of Programmatic Action References Chapter 8: Conclusion 8.1 The Institutions of PAF 8.2 Programmatic Action and Political Institutions of Power 8.3 The Challenge of Institutional Change 8.4 Limitations and Research Agenda References