Suchergebnisse

Research into policy transfer and lesson drawing has been criticized asfew authors have convincingly shown how cross‐national policy learning actually influences policy formation in a particular jurisdiction. This article addresses this gap by presenting a study of the development of the 1991 health policy in New Zealand. By studying the process of policy development, rather than just a policy document, it was possible to disaggregate different aspects of the policy and to identify sources and influences. This article finds that the 'conspiracy' model of policy formation does not fit this case as it presents an overly simplistic view, which allows little space for policy learning. This case illustrates the subtle and multifaceted influence of different jurisdictions, different institutions, and different individuals on a given policy.

The pressure for efficiency and accountability that led to reform of public institutions worldwide has had implications for public policy‐making as well as the management of public services. The difficulties of providing a coordinated and efficient policy process that can respond to the requirements of a more managerialist style of government were evident in New Zealand in the 1980s and early 1990s. The policy process in 1990–91 leading to the introduction of health reform proposals provides an illuminating case study of the tension between participation and speed, and between traditional pluralist and managerialist approaches to policy development. The implications of this for subsequent implementation are discussed.

Purposeto provide a bicultural perspective on the views of people who have completed cancer treatment and, of health providers.Design/methodology/approachQualitative study using semi-structured interviews with 29 individuals (people who had recently completed cancer treatment and health providers). General inductive analysis was undertaken with all interview data, and a Kaupapa Māori approach was employed with the data from Māori participants.FindingsThemes for Māori participants are as follows: (1) understanding health information is enhanced by connection and relationship; (2) the "professional" is personal and (3) enduring beyond cancer is "our" responsibility. Themes for non-Māori participants are as follows: (1) from survivorship to living with and beyond cancer; (2) from the hospital to primary care and (3) support for living with and beyond cancer.Practical implicationsPositive relationships, communication and self-determination are important for Māori making the transition from hospital to the community after cancer treatment. Well-coordinated processes and services are vital for supporting transitions from hospital to community for non-Māori living with and beyond cancer.Originality/valueThis research presents the diversity of Māori and non-Māori experiences of living with and beyond cancer, adding to the limited New Zealand literature regarding post-treatment supportive care. This paper is among the first to undertake separate interviews and thematic analyses of Māori and non-Māori experiences, and to report these separately. Determinants of positive survivorship experiences are identified, specifying a central and expanded role for cancer care services.

This book brings together a collection of new and innovative work by researchers from Australia, Canada, New Zealand and the UK - settings where issues of voluntarism and participation have become increasingly important for the development and delivery of social welfare policy. Prefaced by one of the foremost geographers in this field, it contains empirical and theoretical work from both new and well-established geographers. The chapters explore the interactions between voluntarism and a range of issues including governance, health, community action, faith, ethnicity, counselling, advocacy and professionalisation. The book will be of interest not only to students and researchers in human geography but also to those working in social policy, sociology, health and political science. The detailed case material will also be of particular interest to practitioners working in the fields of health, governance, social welfare and social exclusion