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PARADIGMS IN THE STUDY OF HEALTH POLICY
Author(s) -
Riska Elianne
Publication year - 1980
Publication title -
policy studies journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 69
eISSN - 1541-0072
pISSN - 0190-292X
DOI - 10.1111/j.1541-0072.1980.tb02195.x
Subject(s) - remedial education , marxist philosophy , perspective (graphical) , sociology , epistemology , medical diagnosis , positive economics , political science , medicine , economics , law , computer science , philosophy , artificial intelligence , politics , pathology
This essay identifies and analyzes four different paradigms in the study of problems in the American health system. The paradigms, which are labelled the individual–deficiency, the economic, the organizational, and the Marxist perspective, are examined as “diagnostic paradigms” according to the way in which problems are conceptualized and the way in which remedial strategies are chosen. The essay shows the differences and similarities between characteristic diagnoses and policy solutions within the four perspectives. It is argued that such paradigms can easily be identified in recent health reform proposals.