Generating Political Priority for Primary Health Care Reform in Romania

This paper examines how political priority was generated for comprehensive reforms to address inequitable access to high-quality primary health care (PHC) in Romania. We apply John Kingdon’s model of political agenda setting to explore how the convergence of problems, solutions, and political develo...

Full description

Bibliographic Details
Main Authors:	Wang, Huihui, Chukwuma, Adanna, Comsa, Radu, Dmytraczenko, Tania, Gong, Estelle, Onofrei, Lidia
Format:	Journal Article
Published:	Taylor and Francis 2021
Subjects:	PRIMARY HEALTH CARE HEALTH REFORM POLITICAL AGENDA SETTING HEALTH EQUITY HEALTH INSURANCE HEALTH CARE REFORM
Online Access:	http://hdl.handle.net/10986/36612

id	okr-10986-36612
recordtype	oai_dc
spelling	okr-10986-366122022-01-28T16:10:25Z Generating Political Priority for Primary Health Care Reform in Romania Wang, Huihui Chukwuma, Adanna Comsa, Radu Dmytraczenko, Tania Gong, Estelle Onofrei, Lidia PRIMARY HEALTH CARE HEALTH REFORM POLITICAL AGENDA SETTING HEALTH EQUITY HEALTH INSURANCE HEALTH CARE REFORM This paper examines how political priority was generated for comprehensive reforms to address inequitable access to high-quality primary health care (PHC) in Romania. We apply John Kingdon’s model of political agenda setting to explore how the convergence of problems, solutions, and political developments culminated in the adoption of a government program that included critical PHC reforms and approval of a results-based funding instrument for implementation. We draw on a review of the gray and peer-reviewed literature and stakeholder consultations, and use content analysis to identify themes organized in line with the dimensions of Kingdon’s model. We conclude this paper with three lessons that may be relevant for generating political priority for PHC reforms in other contexts. First, national PHC reforms are likely to be prioritized when there is political alignment of health reforms with the broader political agenda. Second, the availability of technically sound and feasible policy proposals makes it possible to seize the political opportunity when the window opens. Third, partners’ coordinated technical and financial support for neglected issues can serve to raise their priority on the political agenda. 2021-11-19T15:30:44Z 2021-11-19T15:30:44Z 2021-08-17 Journal Article Health Systems and Reform http://hdl.handle.net/10986/36612 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank Taylor and Francis Publications & Research Publications & Research :: Journal Article Europe and Central Asia Romania
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
topic	PRIMARY HEALTH CARE HEALTH REFORM POLITICAL AGENDA SETTING HEALTH EQUITY HEALTH INSURANCE HEALTH CARE REFORM
spellingShingle	PRIMARY HEALTH CARE HEALTH REFORM POLITICAL AGENDA SETTING HEALTH EQUITY HEALTH INSURANCE HEALTH CARE REFORM Wang, Huihui Chukwuma, Adanna Comsa, Radu Dmytraczenko, Tania Gong, Estelle Onofrei, Lidia Generating Political Priority for Primary Health Care Reform in Romania
geographic_facet	Europe and Central Asia Romania
description	This paper examines how political priority was generated for comprehensive reforms to address inequitable access to high-quality primary health care (PHC) in Romania. We apply John Kingdon’s model of political agenda setting to explore how the convergence of problems, solutions, and political developments culminated in the adoption of a government program that included critical PHC reforms and approval of a results-based funding instrument for implementation. We draw on a review of the gray and peer-reviewed literature and stakeholder consultations, and use content analysis to identify themes organized in line with the dimensions of Kingdon’s model. We conclude this paper with three lessons that may be relevant for generating political priority for PHC reforms in other contexts. First, national PHC reforms are likely to be prioritized when there is political alignment of health reforms with the broader political agenda. Second, the availability of technically sound and feasible policy proposals makes it possible to seize the political opportunity when the window opens. Third, partners’ coordinated technical and financial support for neglected issues can serve to raise their priority on the political agenda.
format	Journal Article
author	Wang, Huihui Chukwuma, Adanna Comsa, Radu Dmytraczenko, Tania Gong, Estelle Onofrei, Lidia
author_facet	Wang, Huihui Chukwuma, Adanna Comsa, Radu Dmytraczenko, Tania Gong, Estelle Onofrei, Lidia
author_sort	Wang, Huihui
title	Generating Political Priority for Primary Health Care Reform in Romania
title_short	Generating Political Priority for Primary Health Care Reform in Romania
title_full	Generating Political Priority for Primary Health Care Reform in Romania
title_fullStr	Generating Political Priority for Primary Health Care Reform in Romania
title_full_unstemmed	Generating Political Priority for Primary Health Care Reform in Romania
title_sort	generating political priority for primary health care reform in romania
publisher	Taylor and Francis
publishDate	2021
url	http://hdl.handle.net/10986/36612
_version_	1764485608979300352

Generating Political Priority for Primary Health Care Reform in Romania

Similar Items