How institutional legacies constrain reform during a favourable policy window: COVID-19 and the healthcare workforce shortage

COVID-19 opened the door to major healthcare reform—but old systems and social norms still held much of the power.

During the COVID-19 pandemic, healthcare systems around the world were pushed to the limit. In Switzerland, this sparked strong public support for nursing staff and even led to a popular vote backing major improvements to nursing care. With political will, public awareness, and a clear workforce crisis, it looked like the perfect moment for real change. But did that happen?

In a recent article published in Policy & Politics, Lisa Asticher investigates how institutional legacies—particularly those tied to economic liberalisation and gender inequality—shaped the reforms that followed. The findings are both fascinating and sobering.

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Understanding how policymakers respond to problems by learning from abroad

by Umut Aydin

Policymakers frequently introduce policies originating in other countries, even when they are initially sceptical that they will work in their own country. Researchers have called this phenomenon ‘policy transfer’ and have sought to explain why and how it happens. However, frequently it is hard to distinguish why policymakers in one country adopt a foreign-inspired model: Is it because the policy is imposed by a powerful country or an international organization as part of a trade deal or membership negotiations? Or do policymakers imitate other countries’ policies voluntarily but rather automatically, without reflecting on whether it is appropriate for them? Alternatively, do they learn from other countries, observing how they tackle similar problems and borrowing from successful examples? 

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Policy & Politics Highlights collection – all articles included are Open Access

Sarah BrownSarah Brown
Journal Manager, Policy & Politics

This quarter’s collection highlights three of our most popular individual research articles downloaded in 2020. As so often typifies these collections, all the articles featured demonstrate one of the main hallmarks of Policy & Politics in foregrounding the politics of the policy-making process. Continue reading