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Policy entrepreneurship and policy networks in healthcare systems – the case of Israel’s pediatric dentistry reform

Overview of attention for article published in Israel Journal of Health Policy Research, April 2017
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1 tweeter

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Title
Policy entrepreneurship and policy networks in healthcare systems – the case of Israel’s pediatric dentistry reform
Published in
Israel Journal of Health Policy Research, April 2017
DOI 10.1186/s13584-017-0146-3
Pubmed ID
Authors

Nissim Cohen, Tuvia Horev

Abstract

Can the entry of a policy entrepreneur challenge the equilibrium of a policy network and promote changes that might clash with the goals of powerful civil-servants and/or interest groups and, if so, why and how? Our goal is to examine two sides of the same coin: how does an in-depth analysis of Israel's dental care reform enrich our understanding of policy networks and policy entrepreneurship? Second, how does the literature on policy networks and policy entrepreneurship help us understand this reform? Based on a theoretical framework that appears in the literature of policy entrepreneurship and policy networks, we analyze the motivations, goals and strategies of the main actors involved in the process of reforming pediatric dental care in Israel. We demonstrate how a policy entrepreneur navigated within a policy network and managed to promote a reform that, until his appearance, no one else in that network had succeeded in enacting. Our goals are advanced through a case study of a reform in pediatric dentistry implemented in Israel in 2010. It rests on textual analyses of the literature, reports, committee minutes, parliamentary proceedings, print and online media, and updates in relevant legislation and case law between 2009 and 2015. In addition, the case study draws on the insights of one of the authors (TH), who played a role in the reform process. Historical circumstances and the Israeli public's longstanding lack of interest in changing the existing model as well as interest groups that preferred the dominance of the private sector in the dental healthcare system kept that area out of the services supplied, universally, under the National Health Insurance Law. This situation changed significantly following the publication in 2007 of a policy analysis that contributed to shifts in the motivations and balance of power within the policy network, which in turn prepared the ground for a policy change. In this environment a determined policy entrepreneur, who identified a window of opportunity, took the lead and instituted an innovative and far-reaching reform. A policy entrepreneur can leverage external factors as well as the previous activities of a policy network that has already matured to create a policy change. Such entrepreneurial activity includes maneuvering around opponents and overcoming resistance from various stakeholders.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 21 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 21 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 7 33%
Student > Ph. D. Student 4 19%
Student > Bachelor 3 14%
Professor 1 5%
Student > Doctoral Student 1 5%
Other 1 5%
Unknown 4 19%
Readers by discipline Count As %
Economics, Econometrics and Finance 5 24%
Social Sciences 3 14%
Medicine and Dentistry 3 14%
Psychology 2 10%
Business, Management and Accounting 1 5%
Other 2 10%
Unknown 5 24%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 May 2017.
All research outputs
#11,466,380
of 12,900,325 outputs
Outputs from Israel Journal of Health Policy Research
#246
of 348 outputs
Outputs of similar age
#221,109
of 260,016 outputs
Outputs of similar age from Israel Journal of Health Policy Research
#1
of 1 outputs
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So far Altmetric has tracked 348 research outputs from this source. They receive a mean Attention Score of 2.6. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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