scholarly journals Strategy, Narratives, and Reading the Public: Developing a Micro-Level Theory of Political Strategies within the Narrative Policy Framework

2018 ◽  
Vol 46 (4) ◽  
pp. 949-977 ◽  
Author(s):  
Kellee J. Kirkpatrick ◽  
James W. Stoutenborough
Keyword(s):  
Policy Framework ◽  
Political Strategies ◽  
The Public ◽  
Micro Level ◽  
Narrative Policy Framework

scholarly journals Speaking from Experience: Medicaid Consumers as Policy Storytellers

10.15788/npf6 ◽  
2021 ◽  
Author(s):  
Kathleen Colville ◽  
◽  
Melissa K. Merry ◽  
Keyword(s):  
Low Income ◽  
Service Providers ◽  
Federal Court ◽  
Policy Framework ◽  
The Public ◽  
Regulatory Processes ◽  
Automated Content Analysis ◽  
Micro Level ◽  
Narrative Policy Framework ◽  
Future Work

Kentucky’s proposed Medicaid reforms, initiated in 2016 and blocked in federal court in 2018 and again in 2019, elicited an extraordinary volume of public input on the value of Medicaid (publicly-funded health insurance for low-income individuals). Personal statements from current and former Medicaid consumers, through written comments submitted to the Centers for Medicare and Medicaid Services, offer insights into the strategies employed by a segment of the public that contributes infrequently to policy debates. Through a combination of manual and automated content analysis of a random sample of 1100 public comments, we analyze the policy narratives of participants, examining how narrative and non-narrative elements varied depending on commenters’ relationship to Medicaid consumers. Nearly all comments met (and most exceeded) the threshold for a policy narrative, while relatively few comments drew on research-based content typically considered privileged in the rule-making process. Further, these narrative elements cohered in distinct storylines from current and past Medicaid consumers and from those who identified as service providers. This research underscores the importance of narratives as sources of evidence in regulatory processes and suggests that public comments are fertile ground for research using the Narrative Policy Framework. This work also illuminates bottom-up narrative construction, a process thus far overlooked in micro-level research presuming that citizens are passive recipients of narratives, rather than producers themselves. For future work examining micro-level narrative production, we identify important considerations, including the role of narrator trust, audience, forms of evidence, setting, and the interaction between the meso and micro levels.

scholarly journals Crafting Resistance through Narratives in Afghanistan

2018 ◽  
Vol III (I) ◽  
pp. 17-31
Author(s):  
Tahir Ul Mulk Kahlon ◽  
Ghulam Qumber ◽  
Rafaqat Islam
Keyword(s):  
Public Policy ◽  
Public Policies ◽  
Belief System ◽  
Policy Framework ◽  
Policy System ◽  
Community Influence ◽  
The Public ◽  
Narrative Policy Framework ◽  
Resistance Forces

Narrative offers an evocative opportunity to understand the power of knowledge manipulation within the public policy system. Despite the influence of narratives in designing, formulating, and implementing of public policies, it is a relatively nascent concept in public policy studies.The war in Afghanistan truly represents a battle of narratives. This paper takes a Narrative Policy Framework (NPF) approach to explore the narratives used by resistance forces in Afghanistan within the belief system of a religion. It acknowledges that narratives matter and that by studying the same, one can construe their influence on policies. The paper finds that resistance groups such as the Taliban, mobilize support and operate in battlefields across Afghanistan; simultaneously bolstering their legitimacy and community influence garnering support from within and outside Afghanistan.

scholarly journals The Crime Victims' Rights Act: Rhetoric or Reality?

2020 ◽  
Vol 1 (1) ◽  
pp. 50-58
Author(s):  
Patricia Lynne Sattler
Keyword(s):  
Crime Victims ◽  
Policy Framework ◽  
Call To Action ◽  
The Public ◽  
The Social ◽  
Key Issues ◽  
Justice Model ◽  
Victims Of Crime ◽  
Enforcement Mechanisms ◽  
Narrative Policy Framework

Crime victim’s rights legislation including the Victim and Witness Protection Act of 1982 (VWPA) and the Crime Victims’ Rights Act of 2004 (CVRA) brought attention to the plight of the crime victim and called on justice professionals and the public to recognize victims’ value, worth, and role within a justice model that seeks to hold offenders accountable and increase public safety. The CVRA was the first federal policy to grant participatory rights to victims of crime; it served as a model statute for states enacting similar legislation. Beyond the eight participatory rights, implementation and administration of the CVRA is recommended but not required by law enforcement, prosecutors, or the judiciary. Instead, these justice professionals are encouraged to “make a good faith effort” in delivering these rights to victims of crime. This paper tells the story of the victims’ rights movement before utilizing the Narrative Policy Framework to analyze the CVRA.  Highlighting several key issues of relevance to the social work profession, a call to action is issued for social workers and policymakers to shift current narratives and more clearly define who constitutes a victim, how these rights are to be implemented and by whom, and to develop enforcement mechanisms. 

Between entrepreneurs and workers: Cleavages and compromises in rationales and policy solutions regarding ‘dependent contractors’

2021 ◽  
pp. 0143831X2110303
Author(s):  
Louis Florin ◽  
François Pichault
Keyword(s):  
Social Protection ◽  
Policy Framework ◽  
Policy Documents ◽  
The Social ◽  
Political Narratives ◽  
Social Partners ◽  
Narrative Policy Framework ◽  
Policy Solutions ◽  
The Eu ◽  
Labour Regulation

The emergence of dependent contractors challenges the existing institutions regarding social protection and labour regulation. This article aims at identifying the political narratives that explain the emergence of New Forms of Employment (NFE) and dependent contracting along with the policy solutions proposed by the social partners at the EU and international level. By analysing policy documents from the social partners through the lens of a qualitative version of the Narrative Policy Framework (NPF), the authors indentify two distinct narratives – ‘devaluation of work’ and ‘entrepreneurship and flexibility’. The authors show how these rationales lead to various policy solutions and identify oppositions and possible compromise.

scholarly journals The Narrative Policy Framework: child or monster?

2015 ◽  
Vol 9 (3) ◽  
pp. 339-355 ◽  
Author(s):  
Michael D. Jones ◽  
Claudio M. Radaelli
Keyword(s):  
Policy Framework ◽  
Narrative Policy Framework

scholarly journals Barriers to Biosimilar Prescribing Incentives in the Context of Clinical Governance in Spain

2021 ◽  
Vol 14 (3) ◽  
pp. 283
Author(s):  
Félix Lobo ◽  
Isabel Río-Álvarez
Keyword(s):  
Health Services ◽  
Trade Unions ◽  
National Level ◽  
Professional Associations ◽  
Legal Framework ◽  
Clinical Governance ◽  
Monetary Incentives ◽  
Public System ◽  
The Public ◽  
Micro Level

Incentives contribute to the proper functioning of the broader contracts that regulate the relationships between health systems and professionals. Likewise, incentives are an important element of clinical governance understood as health services’ management at the micro-level, aimed at achieving better health outcomes for patients. In Spain, monetary and non-monetary incentives are sometimes used in the health services, but not as frequently as in other countries. There are already several examples in European countries of initiatives searching the promotion of biosimilars through different sorts of incentives, but not in Spain. Hence, this paper is aimed at identifying the barriers that incentives to prescribe biosimilars might encounter in Spain, with particular interest in incentives in the framework of clinical governance. Both questions are intertwined. Barriers are presented from two perspectives. Firstly, based on the nature of the barrier: (i) the payment system for health professionals, (ii) budget rigidity and excessive bureaucracy, (iii) little autonomy in the management of human resources (iv) lack of clinical integration, (v) absence of a legal framework for clinical governance, and (vi) other governance-related barriers. The second perspective is based on the stakeholders involved: (i) gaps in knowledge among physicians, (ii) misinformation and distrust among patients, (iii) trade unions opposition to productivity-related payments, (iv) lack of a clear position by professional associations, and (v) misalignment of the goals pursued by some healthcare professionals and the goals of the public system. Finally, the authors advance several recommendations to overcome these barriers at the national level.

scholarly journals Developments in National Cancer Control Programmes in Europe – Results From the Analysis of a Pan-European Survey

2021 ◽  
Vol 28 ◽  
pp. 107327482110415
Author(s):  
Marjetka Jelenc ◽  
Elisabete Weiderpass ◽  
Patricia Fitzpatrick ◽  
Tit Albreht
Keyword(s):  
Quality Of Life ◽  
Cancer Control ◽  
Policy Framework ◽  
The Public ◽  
Cancer Management ◽  
Control Programmes ◽  
Implementation And Dissemination ◽  
Entire Trajectory ◽  
The Eu

Introduction National Cancer Control Programmes (NCCPs) provide a country’s policy framework for the development of cancer control, focussing on the reduction of cancer morbidity and mortality and improving quality of life of cancer patients. Objective Exploring and analysing to which extent some of the key elements of the European Guide for Quality National Cancer Control Programmes (Guide) are implemented in NCCPs in the EU. Methods Survey carried out through 30 countries, EU members, Iceland, Montenegro, Norway and Turkey, focussing on stakeholders’ participation, inclusion of all the envisaged chapters from the Guide as well as implementation and dissemination. Results The results of the policy survey on European NCCPs carried out within Cancer Control Joint Action (CANCON JA) are presented. The response was 30 out of 35 countries. In total, 28 out of 30 countries, which completed the survey, had an NCCP or another cancer document. Cancer documents were mostly single documents, managed and supervised by the respective Ministries of Health and communicated to the public via websites and press. Nine documents were defined as programmes, eight as plans and six as strategies; in five countries, terminology was mixed. Regarding the content, recommended by the Guide from 2015, comprising ten chapter areas in three parts. Only 10 countries included in their NCCPs all elements suggested in the Guide. Conclusion Based on our results, we can see that a more comprehensive approach in the process of NCCPs is needed. Policy should focus on the development of instruments for efficient cancer management, which would encompass the entire trajectory of the cancer care from diagnosis to survivorship and supportive care.

scholarly journals Cybersecurity: Toward a Meaningful Policy Framework

2018 ◽  
Author(s):  
Peter M. Shane
Keyword(s):  
Cyber Security ◽  
Security Policy ◽  
Legal Framework ◽  
Public Understanding ◽  
Policy Framework ◽  
Military Effectiveness ◽  
The Public ◽  
Trade Offs ◽  
National Debate ◽  
Sharing Responsibility

This critique of Karson K. Thompson’s note, "Not Like an Egyptian: Cybersecurity and the Internet Kill Switch Debate," argues that the U.S. lacks a framework of laws and regulations, "smart" or otherwise, that adequately incentivizes the parties with the greatest capacity to improve our cyber security to do so. It attributes the poor state of U.S. cyber policy to the "bewildering array of overlapping responsibilities" scattered among government offices and departments; the difficult imperative of sharing responsibility among military and civilian authorities; the fact that most of the networks (and the dependent critical infrastructures) that need protecting are in private hands; and the lack of public understanding of the kinds of regulation that are necessary or appropriate. The essay argues that meaningful progress towards an adequate legal framework depends on a broad national debate aimed at defining the public good with regard to cyber-security, and the inevitable trade-offs among security, privacy, productivity, economic growth, organizational flexibility, military effectiveness, government transparency, and accountability that must be confronted in making sensible cyber-security policy.

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