Studying policy implementation using a macro, meso and micro frame analysis: the case of the Collaboration for Leadership in Applied Health Research & Care (CLAHRC) programme nationally and in North West London

Health Research Policy and Systems

Nicholas Mays²  Sarah EM Caldwell¹ 

[1]NIHR CLAHRC for Northwest London, 4th Floor, Lift Bank D, Imperial College London, Chelsea & Westminster Hospital NHS Foundation Trust, 369 Fulham Road, London, SW10 9NH, UK

[2]Department of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK

关键词: Translational gap;    Health services research;    Knowledge translation;    Frame analysis;    Policy analysis;    Policy implementation;   

Others  :  809904
DOI  :  10.1186/1478-4505-10-32

 received in 2012-04-22, accepted in 2012-10-02,  发布年份 2012

【 摘 要 】

Background

The publication of Best research for best health in 2006 and the “ring-fencing” of health research funding in England marked the start of a period of change for health research governance and the structure of research funding in England. One response to bridging the ‘second translational gap’ between research knowledge and clinical practice was the establishment of nine Collaborations for Leadership in Applied Health Research and Care (CLAHRCs). The goal of this paper is to assess how national-level understanding of the aims and objectives of the CLAHRCs translated into local implementation and practice in North West London.

Methods

This study uses a variation of Goffman’s frame analysis to trace the development of the initial national CLAHRC policy to its implementation at three levels. Data collection and analysis were qualitative through interviews, document analysis and embedded research.

Results

Analysis at the macro (national policy), meso (national programme) and micro (North West London) levels shows a significant common understanding of the aims and objectives of the policy and programme. Local level implementation in North West London was also consistent with these.

Conclusions

The macro-meso-micro frame analysis is a useful way of studying the transition of a policy from high-level idea to programme in action. It could be used to identify differences at a local (micro) level in the implementation of multi-site programmes that would help understand differences in programme effectiveness.

【 授权许可】

   
2012 Caldwell and Mays; licensee BioMed Central Ltd.

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