Policy-Making as a Struggle for Meaning: Disentangling Knowledge Translation Across International Health Contexts

27 Pages Posted: 10 Apr 2011

See all articles by Eivor Oborn

Eivor Oborn

affiliation not provided to SSRN

Aris Komporozos-Athanasiou

University of Cambridge - Judge Business School

Michael Barrett

affiliation not provided to SSRN

Yolande Chan

Queen's University - Smith School of Business

Date Written: June 1, 2010

Abstract

Over the last decade, research in medical science has focused on knowledge translation and diffusion of best practices to enable improved health outcomes. However, there has been less attention given to the role of policy development in influencing the translation of best practice across different national contexts. This paper argues that the underlying set of public discourses and ideological presuppositions of healthcare policy significantly influence its development with implications for the dissemination of best practices. Our research examines the policy discourses surrounding the treatment of stroke across Canada and UK, and how they are constituted by different underlying meanings of innovative best practice, user participation, and service restructuring. These findings provide an important yet overlooked starting point for understanding the role of policy development in knowledge transfer and the translation of science into health practice.

Keywords: policy-making, healthcare, knowledge translation, discourse analysis, ideology, user participation

Suggested Citation

Oborn, Eivor and Komporozos-Athanasiou, Aris and Barrett, Michael and Chan, Yolande, Policy-Making as a Struggle for Meaning: Disentangling Knowledge Translation Across International Health Contexts (June 1, 2010). Royal Holloway, University of London, School of Management Working Paper No. SoMWP-1005. Available at SSRN: https://ssrn.com/abstract=1804206 or http://dx.doi.org/10.2139/ssrn.1804206

Eivor Oborn (Contact Author)

affiliation not provided to SSRN

Aris Komporozos-Athanasiou

University of Cambridge - Judge Business School

Trumpington Street
Cambridge, CB2 1AG
United Kingdom

Michael Barrett

affiliation not provided to SSRN

Yolande Chan

Queen's University - Smith School of Business ( email )

Smith School of Business - Queen's University
143 Union Street
Kingston, Ontario K7L 3N6
Canada

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