This thesis addresses a significant gap in Australian social policy literature about the relationship between the impact of economic rationalism on social policy and interest representation during policy implementation. Michael Pusey, for instance, argues that economic rationalism displaces social values in social policy. However, other theorists, such as Robert Alford and Rod Rhodes, caution that policy often changes when it is implemented. With a foundation in Weberian social theory about participant values, the analytical framework incorporates three institutional policy implementation concepts to capture the dynamic characteristics of the policy process. These are: policy stages to describe policy change over time; structural interests of policy organisations; and policy networks within which participants act. The thesis tests this framework to explain the impact of values of economic rationality in the Australian coordinated care policy. The policy attempted to coordinate the care of people with chronic care needs, using a funds pool, case managers and care plans. The research methods are interviews with policy participants; analysis of public documents; and participant observation as an evaluator in one trial. Data about the policy process from 1994 to 2001 are analysed with a critical interpretive approach. The study reveals that central agency officials acted primarily on values of economic rationality. In contrast, health agency officials acted primarily on organisational values. The transfer of responsibility for the policy process from a central agency to the health agency after the policy statements reinforced health provider organisational interests, rather than either the rationalist interests of central agencies or the social interests of consumer groups. The policy consequently changed away from economic rationality. The policy process in the planning, implementation and revision stages was in no sense an instrumental application of the values of economic rationality apparent in the policy statements stage. Neither, however, did social values predominate in any policy stage. The study argues that insights from policy implementation research can refine the literature on economic rationalism. This research further advances policy network theory. It recognises that understanding which organisation is responsible for the policy, at various policy stages, advances our understanding of whose values shape social policy.
| Identifer | oai:union.ndltd.org:ADTP/257210 |
| Date | January 2007 |
| Creators | Fisher, Karen Raewyn, Social Policy Research Centre, Faculty of Arts & Social Sciences, UNSW |
| Source Sets | Australiasian Digital Theses Program |
| Language | English |
| Detected Language | English |
| Rights | http://unsworks.unsw.edu.au/copyright, http://unsworks.unsw.edu.au/copyright |
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