Policy failures, policy learning and institutional change: the case of Australian health insurance policy change
从制度主义视角分析政策失败如何引发去制度化过程,进而为系统层面的政策学习创造条件,并以澳大利亚1970年代中期至1990年代末的健康保险改革为例进行验证。
This article presents an institutionalist perspective on the relationship between policy failure and policy learning. It contributes both to our understanding of different patterns institutional change as well as the conditions for policy learning at the system-wide level. The first section elaborates the concept of policy failure in terms of type, value and timing. Next, how policy failure may trigger a process of deinstitutionalisation and in turn create conditions for subsequent policy learning is described. These contributions to theory are explored through selected evidence from the reform trajectory of Australian health insurance policy from the mid-1970s to late-1990s.