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A Recipe for Success: localism and bounded rationality in lobbying for radiation therapy services in North West Tasmania

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West, S, Shannon, E ORCID: 0000-0002-1774-0780, Crisp, E ORCID: 0000-0003-2154-3568 and Barnett, A ORCID: 0000-0002-1376-6414 2017 , 'A Recipe for Success: localism and bounded rationality in lobbying for radiation therapy services in North West Tasmania' , Asia Pacific Journal of Health Management , pp. 11-15 , doi: 10.24083/apjhm.2017.002.

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Abstract

Objective: Describes where bounded rationality andlocalism are evident in the debate over the introductionof radiation therapy services in North West Tasmaniaand how this affected the delivery of the message fromeach side.Design: Semi-structured interviews with stakeholdersand patients/family over an eight month period in 2016are contrasted with viewpoints identified via documentanalysis.Setting: North West Tasmania.Main Outcome Measures: The mechanisms for policychange and the policy beliefs of each side are examinedwith the intention of understanding how boundedrationality and a sense of localism can combine to effectpolicy change.Results: In the instance of radiation therapy services inNorth West Tasmania, a policy debate was originally waged between medical professionals and policymakers opposed to a local service on one side and ahandful of policy actors advocating for a local serviceon the other. Those in favour of a local radiation therapyservice harnessed a sense of localism to project theperception of widespread community support for theproposal and secured funding commitments during the2010 Federal Election campaign.Conclusions: There is evidence of bounded rationalityfrom both the stakeholder and patient groups, as wellas a strong sentiment of localism expressed by patientsand community advocates. Through understanding thisparticular case, health service managers can determinehow to better time and target messages to the generalpublic and to policy makers during periods of proposedchanges to health services.

Item Type: Article
Authors/Creators:West, S and Shannon, E and Crisp, E and Barnett, A
Keywords: radiation therapy services; health services, health policy
Journal or Publication Title: Asia Pacific Journal of Health Management
Publisher: Australian College of Health Service Management
ISSN: 1833-3818
DOI / ID Number: 10.24083/apjhm.2017.002
Copyright Information:

Copyright © 2017 Australasian College of Health Service Management (ACHSM)

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