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Stakeholder perceptions and public health system performance: evidence from Greece
: Policy choices, aims and priorities are defined by the dominant belief system among stakeholders in a policy area (Jenkins-Smith et al., 2018). Traditional assessments of health systems performance have focused on the institutional configurations, processes and resources in place (Murray and Fren...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9593541/ http://dx.doi.org/10.1093/eurpub/ckac131.552 |
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author | Karokis-Mavrikos, V Mavrikou, M |
author_facet | Karokis-Mavrikos, V Mavrikou, M |
author_sort | Karokis-Mavrikos, V |
collection | PubMed |
description | : Policy choices, aims and priorities are defined by the dominant belief system among stakeholders in a policy area (Jenkins-Smith et al., 2018). Traditional assessments of health systems performance have focused on the institutional configurations, processes and resources in place (Murray and Frenk, 2000). We argue that the more latent dimension of ‘stakeholder perceptions’ is crucial to understanding why seemingly effective health system policy designs underperform during implementation. This paper brings in new evidence (2020) from an elite population study of 261 stakeholders in Public Health policy in Greece (politicians, civil servants, experts, interest groups, industry). We questioned stakeholders on: their conceptual understanding of public health, public health determinants, the field’s policy responsibilities and jurisdiction, threats and enabling factors to policy advancement, and public health systemic performance in Greece. Our findings highlight that: 1) stakeholder beliefs converge regarding drivers for effective policymaking - most prominently resources, expertise, coordination and management - but respondents also identify their scarcity in the Greek public health system (GPHS); 2) stakeholders converge regarding systemic pathogenies - most prominently managing inequalities and monitoring - and rank all legally stated functions of the GPHS poorly on average; 3) stakeholders agree that the existing paradigm in Greek public health policy does not promote the holistic perspective to health but most maintain a medicine-centric view of public health. We conclude that despite Greece enjoying a progressive public health system policy design, the mismatch between the system’s stated aims and the prevailing anachronistic stakeholder perceptions has hampered effective policy development. Future research should zero in on the importance of installing a co-oriented culture among stakeholders to achieve success in the performance of health systems. KEY MESSAGES: • Stakeholder perceptions are crucial to understanding why seemingly effective health system policy designs under-perform during implementation. • Despite Greece enjoying a progressive public health system policy design, the mismatch between the stated aims and the prevailing anachronistic stakeholder perceptions has hampered policy development. |
format | Online Article Text |
id | pubmed-9593541 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-95935412022-11-22 Stakeholder perceptions and public health system performance: evidence from Greece Karokis-Mavrikos, V Mavrikou, M Eur J Public Health Poster Displays : Policy choices, aims and priorities are defined by the dominant belief system among stakeholders in a policy area (Jenkins-Smith et al., 2018). Traditional assessments of health systems performance have focused on the institutional configurations, processes and resources in place (Murray and Frenk, 2000). We argue that the more latent dimension of ‘stakeholder perceptions’ is crucial to understanding why seemingly effective health system policy designs underperform during implementation. This paper brings in new evidence (2020) from an elite population study of 261 stakeholders in Public Health policy in Greece (politicians, civil servants, experts, interest groups, industry). We questioned stakeholders on: their conceptual understanding of public health, public health determinants, the field’s policy responsibilities and jurisdiction, threats and enabling factors to policy advancement, and public health systemic performance in Greece. Our findings highlight that: 1) stakeholder beliefs converge regarding drivers for effective policymaking - most prominently resources, expertise, coordination and management - but respondents also identify their scarcity in the Greek public health system (GPHS); 2) stakeholders converge regarding systemic pathogenies - most prominently managing inequalities and monitoring - and rank all legally stated functions of the GPHS poorly on average; 3) stakeholders agree that the existing paradigm in Greek public health policy does not promote the holistic perspective to health but most maintain a medicine-centric view of public health. We conclude that despite Greece enjoying a progressive public health system policy design, the mismatch between the system’s stated aims and the prevailing anachronistic stakeholder perceptions has hampered effective policy development. Future research should zero in on the importance of installing a co-oriented culture among stakeholders to achieve success in the performance of health systems. KEY MESSAGES: • Stakeholder perceptions are crucial to understanding why seemingly effective health system policy designs under-perform during implementation. • Despite Greece enjoying a progressive public health system policy design, the mismatch between the stated aims and the prevailing anachronistic stakeholder perceptions has hampered policy development. Oxford University Press 2022-10-25 /pmc/articles/PMC9593541/ http://dx.doi.org/10.1093/eurpub/ckac131.552 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Poster Displays Karokis-Mavrikos, V Mavrikou, M Stakeholder perceptions and public health system performance: evidence from Greece |
title | Stakeholder perceptions and public health system performance: evidence from Greece |
title_full | Stakeholder perceptions and public health system performance: evidence from Greece |
title_fullStr | Stakeholder perceptions and public health system performance: evidence from Greece |
title_full_unstemmed | Stakeholder perceptions and public health system performance: evidence from Greece |
title_short | Stakeholder perceptions and public health system performance: evidence from Greece |
title_sort | stakeholder perceptions and public health system performance: evidence from greece |
topic | Poster Displays |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9593541/ http://dx.doi.org/10.1093/eurpub/ckac131.552 |
work_keys_str_mv | AT karokismavrikosv stakeholderperceptionsandpublichealthsystemperformanceevidencefromgreece AT mavrikoum stakeholderperceptionsandpublichealthsystemperformanceevidencefromgreece |