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Networks, advocacy and evidence in public health policymaking

Insights from case studies of European Union smoke-free and English health inequalities policy debates

Bibliographic Data

ID12889054
AuthorsKatherine E Smith (0000-0002-1060-4102, University of Edinburgh, corresponding author), Heide Weishaar (0000-0003-1150-0265, Hertie School)
Year2018
Volume14
Issue03
Pages403-430
Publication date2018-08-01
Open AccessNo
TypeARTICLE
VenueEvidence & Policy (JOURNAL)
Journal identifiersISSN: 1744-2648 • E-ISSN: 1744-2656
PublisherPolicy Press (PUBLISHER • GB)
DOI10.1332/174426418x15299596208647
OpenAlexW2889040211
LanguageEN
Citations received5
References cited11

The past two decades witnessed the international consensus around the idea that health policy decisions should be ‘evidence-based’. These efforts have stimulated a wealth of studies explicitly concerned with understanding the use of research evidence in policy. The majority of such studies suggest there are few examples of public health policy outcomes that might reasonably be labelled ‘evidence-based’. Only a small number of these studies seek to explore how political dynamics interacted with evidence to shape policy outcomes. Here, we draw on two empirical case studies of efforts to promote public health evidence to decision makers (protection from secondhand smoke in Europe and tackling health inequalities in England), to highlight the primacy of ‘policy networks’ and ‘advocacy’ for understanding the role of evidence in achieving policy change. Reflecting on our empirical findings, we argue that the policy networks literature usefully foregrounds the roles that diverse ‘policy actors’ can play in connecting research and policy. However, our case studies also suggest that popular accounts of policy networks, such as Haas’ ‘epistemic communities’ and Sabatier and Jenkins-Smith’s Advocacy Coalition Framework (ACF), overstate the role of core values in driving policy network efforts, while underplaying the role of advocacy, leadership, network communication and trust, scientific consensus, political context and strategic policy trade-offs in network success. We conclude by arguing for further efforts to connect analyses of policy networks and evidence use. We also reflect on the implications of our findings for those seeking to employ evidence to effect policy change

Context (archaeology · Economics · Empirical evidence · Evidence-based policy · Health care · Inequality · Political science · Politics · Public economics · Public health · Public policy · Public relations · Community Health and Development · Health Policy Implementation Science · Law · Medicine · Policy Transfer and Learning · Public Administration · Health Policy

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    Philip A Hines, Angela Brand•Evidence & Policy•2020

  • Policy Rogue or Policy Entrepreneur? The Forms and Impacts of “Joined-Up Governance” for Child Health

    Open Access•Céline Cressman, Fiona A Miller et al.•Children•2021

  • Networks and evidence-based advocacy

    N Nichols, Jayne Malenfant et al.•Evidence & Policy•2020

  • The role of ‘non-knowledge’ in crisis policymaking

    Adam Hannah, Jordan Soukias Tchilingirian et al.•Evidence & Policy•2022

  • Analysts, advocates and applicators

    Open Access•Jasper Montana, James Wilsdon•Evidence & Policy•2021

  • Policy Networks in British Government

    David Marsh, R A W Rhodes•Policy networks in British…•1992

  • Policy change and learning

    Hank C Jenkins-Smith, Paul A Sabatier•Policy change and learning•1993

  • Basic notions for the analysis of large two-mode networks

    Open Access•Matthieu Latapy, Clémence Magnien et al.•Social Networks•2007

  • Government, knowledge and the business of policy making

    Geoff Mulgan•Evidence & Policy•2005

  • Scientific data and its limits

    Open Access•Warren Pearce•Evidence & Policy•2014

  • Capturing complexity

    Heide Weishaar, Action Amos et al.•International Journal of Social…•2014

  • A glossary of theories for understanding policymaking

    Katherine E Smith, Srinivasa Vittal Katikireddi•Journal of Epidemiology and…•2013

  • Organizing Babylon ‐ On the Different Conceptions of Policy Networks

    Open Access•Tanja A Börzel•Public Administration•1998

  • Understanding Policy Networks

    Open Access•D Marsh, Martin J Smith et al.•Political Studies•2000

  • Introduction

    Open Access•Peter M Haas•International Organization•1992

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    Open Access•Frans Van Waarden•European Journal of Political…•1992

Citations per year0.83
Citation span2020 - 2022 (3)
Highly citedNo
Open DOIOpen Access
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