Suchergebnisse

Relying on a sweeping review of the literature on interest group influence in health care policy making, we propose a basic definition and a typology of interest groups in provincial health care policy making. Then, using Milbrath's communication framework, we analyze organized interests' strategies for influencing policy making. This article is a modest attempt to cross-fertilize the group theory and resource dependency literature. This theoretical framework allows us to explore many of the recurring questions about groups' origins and strategies from an original standpoint.

Essai / Essay ; Because science aims to contribute to the improvement of living conditions and the well-being of the population, researchers have to produce and share knowledge. However, the use of certain potentially more effective strategies raises ethical questions. This article briefly explores these questions by focusing on the duality of the message format and the social role of the researcher. ; La science ayant notamment pour but de contribuer à l'amélioration des conditions de vie et au mieux-être de la population, les chercheurs ont à produire et à partager des connaissances. Or, pour ce faire, l'utilisation de certaines stratégies potentiellement plus efficaces soulève des questionnements éthiques. Le présent article explore sommairement ces questionnements en s'intéressant à la dualité relative au format du message et au rôle social du chercheur.

Essai / Essay ; La science ayant notamment pour but de contribuer à l'amélioration des conditions de vie et au mieux-être de la population, les chercheurs ont à produire et à partager des connaissances. Or, pour ce faire, l'utilisation de certaines stratégies potentiellement plus efficaces soulève des questionnements éthiques. Le présent article explore sommairement ces questionnements en s'intéressant à la dualité relative au format du message et au rôle social du chercheur. ; Because science aims to contribute to the improvement of living conditions and the well-being of the population, researchers have to produce and share knowledge. However, the use of certain potentially more effective strategies raises ethical questions. This article briefly explores these questions by focusing on the duality of the message format and the social role of the researcher.

The use of evaluation results is at the core of evaluation theory and practice. Major debates in the field have emphasized the importance of both the evaluator's role and the evaluation process itself in fostering evaluation use. A recent systematic review of interventions aimed at influencing policy-making or organizational behavior through knowledge exchange offers a new perspective on evaluation use. We propose here a framework for better understanding the embedded relations between evaluation context, choice of an evaluation model and use of results. The article argues that the evaluation context presents conditions that affect both the appropriateness of the evaluation model implemented and the use of results.

Abstract: Funding agencies and universities are increasingly searching for effec-tive ways to support and strengthen a dynamic and competitive scientific research capacity. Many of their funding policies are based on the hypothesis that increased collaboration and networking between researchers and between institutions lead to improved scientific productivity. Although many studies have found positive correlations between academic collaborations and research performance, it is less clear how formal institutional networks contribute to this effect. Using social net-work analysis (SNA) methods, we highlight the distinction between what we define as "formal" institutional research networks and "organic" researcher networks. We also analyze the association between researchers' actual structural position in such networks and their scientific performance. The data used come from cur-riculum vitae information of 125 researchers in two provincially funded research networks in Quebec, Canada. Our findings confirm a positive correlation between collaborations and research productivity. We also demonstrate that collaborations within the formal networks in our study constitute a relatively small component of the underlying organic network of collaborations. These findings contribute to the literature on evaluating policies and programs that pertain to institutional research networks and should stimulate research on the capacity of such networks to foster research productivity.Résumé : Les universités et les agences de financement cherchent de plus en plus à renforcer de façon efficace une capacité de recherche scientifique dynamique et concurrentielle. Bon nombre de leurs politiques de financement sont fondées sur l'hypothèse qu'une amélioration de la collaboration et du réseautage entre les chercheurs et entre les établissements mène à une productivité scientifique accrue. De nombreuses études ont noté une corrélation positive entre les collaborations de recherche et le rendement en recherche, mais la contribution des réseaux institution-nels officiels à ce résultat reste nébuleuse. À l'aide de méthodes d'analyse des réseaux sociaux, nous mettons l'accent sur la distinction entre ce que nous définissons comme les réseaux institutionnels de recherche « officiels » et les réseaux « organiques » de chercheurs. Nous analysons aussi l'association entre les positions structurelles réelles

Models that shift more responsibility onto researchers for the process of incorporating research results into decision-making have greatly gained in popularity during the past two decades. This shift has created a new area of research to identify the best ways to transfer academic results into the organizational and political arenas. However, evaluating the utilization of information coming out of a knowledge transfer (KT) initiative remains an enormous challenge. This article demonstrates how logic analysis has proven to be a useful evaluation method to assess the utilization potential of KT initiatives. We present the case of the evaluation of the Research Collective on the Organization of Primary Care Services, an innovative experiment in knowledge synthesis and transfer. The conclusions focus not only on the utilization potential of results coming out of the Research Collective, but also on the theoretical framework used, in order to facilitate its application to the evaluation of other knowledge transfer initiatives.

Models that shift more responsibility onto researchers for the process of incorporating research results into decision-making have greatly gained in popularity during the past two decades. This shift has created a new area of research to identify the best ways to transfer academic results into the organizational and political arenas. However, evaluating the utilization of information coming out of a knowledge transfer (KT) initiative remains an enormous challenge. This article demonstrates how logic analysis has proven to be a useful evaluation method to assess the utilization potential of KT initiatives. We present the case of the evaluation of the Research Collective on the Organization of Primary Care Services, an innovative experiment in knowledge synthesis and transfer. The conclusions focus not only on the utilization potential of results coming out of the Research Collective, but also on the theoretical framework used, in order to facilitate its application to the evaluation of other knowledge transfer initiatives.

In recent decades, there has been a growing interest in the design and implementation of systems using public reporting of performance measures to improve performance. In their simplest form, such interventions rest on the market-based logic of consumers using publicly released information to modify their behavior, thereby penalizing poor performers. However, evidence from large-scale efforts to use public reporting of performance measures as an instrumental performance improvement tool suggests that the causal mechanisms involved are much more complex. This article offers a typology of four different plausible causal pathways linking public reporting of performance measures and performance improvement. This typology rests on a variety of conceptual models and a review of available empirical evidence. We then use this typology to discuss the core elements that need to be taken into account in efforts to use public reporting of performance measures as a performance improvement tool.

This paper presents a theoretical and practical framework for evaluating interventions aimed at promoting information utilization in organizational decision-making. The framework integrates three distinct yet complementary theoretical perspectives on information utilization in politico-administrative systems: (1) the literature on evaluation utilization, (2) current thinking on knowledge transfer (KT) in the health policy field and (3) approaches derived from the analysis of lobbying in political science. Our analysis calls into question the relevance of effect analysis in evaluating organizational or policy-level KT initiatives, but also suggests dimensions that should be explored when evaluating KT initiatives. We conclude that there are probably trade-offs to be made between the effectiveness of KT and the scientific robustness and validity of the information transmitted.

Using data from a larger study on public participation in the Quebec healthcare system, we draw on the sociological theory of Bourdieu to analyze speakers' in-use definition of 'the public' in some 100 interview and observation notes. We found that the definition of 'the public' is the subject of a vigorous struggle at the symbolic level. Many actors share a common, but often conflicting, interest in the elaboration and objectification of a given definition of 'the public' because their legitimacy is strongly related to their ability to be perceived either as representing the 'public' will or as acting in the 'public's' interest. Building upon the categorizations used in the discourses, we are also able to draw a picture of each group of actors' positions and strategies in this struggle. This picture reveals how the claim to directly represent the public's 'will' is closely related to actors' lack of formal power to influence decision-making in the system. We then use these observations to discuss the role of discourses in political and symbolical struggles.

This article proposes an innovative method for the visual analysis of narrative data that involves three steps: transforming narrative data into relational data, creating two-mode networks displayed with graph optimization algorithms derived from social network analysis (SNA), and visually analyzing sociograms. We argue that understanding how actors and their opinions constitute a network-like structure opens up promising avenues for interpreting data. This approach provides powerful data visualization that facilitates inductive identification of the underlying structure of narrative data. It also reveals the complexities of the links between differently positioned actors in a structure that a personal attribute-based analytical method might overlook. Lastly, it can be productively combined with other quantitative and qualitative methods to make sense of narrative data.

This paper analyzes the debates surrounding the privatization of health services financing in Quebec. The objective is to clarify policy-making processes with regard to this important issue and, more generally, to provide a realistic understanding of health-related policy processes in Canada. The analysis is based on a large and continuous sample of mass media and National Assembly debates on the question during the four-and-a-half years following the Chaoulli ruling of the Supreme Court of Canada. These data are used to test four hypotheses about relationships among the types of political actors involved, their policy preferences, the rhetoric they use and the anticipated policy effects they assert. The results are applied to a discussion of questions about the factors that influence the effectiveness of political communication.