Disempowered doctors? A relational view of public health policy implementation in urban India


Sheikh, K; Porter, JDH; (2011) Disempowered doctors? A relational view of public health policy implementation in urban India. Health policy and planning, 26 (1). pp. 83-92. ISSN 0268-1080 DOI: https://doi.org/10.1093/heapol/czq023

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Abstract

The metaphor of public health guideline implementation throws light on the problematical nature of the power possessed by medical practitioners in relation to public health systems in India. Even as practitioners wield 'negative' power in their ability to resist authority, they appear to lack the 'positive' power to contribute intellectually to the policy process. This mix of political obduracy and intellectual demoralization among practitioners also underpins a subtle trend in public health, of the separation of the world of ideas from the world of actions. Study findings highlight that stronger regulations and provisions for accountability in Indian health systems critically need to be balanced by measures to develop collective intellectual capital and include the voices of frontline practitioners in public health policy discourse.

Item Type: Article
Keywords: Medical practitioners, power, policy analysis, implementation, discourse, public health guidelines, HIV testing, India, PRIVATE PRACTITIONERS, CARE, PERCEPTIONS, QUALITY, SECTORS, DISEASE, FUTURE
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
Faculty of Public Health and Policy > Dept of Global Health and Development
PubMed ID: 20587601
Web of Science ID: 285626100009
URI: http://researchonline.lshtm.ac.uk/id/eprint/1359

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