Tackling health inequalities in
applying linear and non-linear models in the policy-making process
Mali Strand a & Elisabeth Fosse a
a Research Centre for Health Promotion, University of
Critical Public Health, 21:3, 373-381
“…..This article follows the Norwegian policy-making process on social inequalities in health applying models for policy development with focus on linear and non-linear movements.
The focus is process-oriented following the introduction of a comprehensive, cross-sectoral strategy to tackle socioeconomic health inequalities in
The second approach is based on Kingdon's (2003) perception that policy-making often occurs unpredictably within independent streams of the policy formulation process. The model focuses on the non-linearity of the flow and timing of policy action.
The present case suggests that both linear and non-linear models are necessary for understanding of the Norwegian policy-making process on social inequalities in health. Whitehead's model is a conceptual model focussing on the linear structure of the policy process, useful for identifying the different entry points for choice of direction in policy-making. Kingdon's multiple streams model is useful for gaining insight into the agenda-setting process that may be predictable, but may also be unpredictable and steer non-linear movements.
The model identifies components necessary for a problem to rise on the political agenda with a particular focus on the role of policy entrepreneurs….”
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