Understanding the development of minimum unit pricing of alcohol in Scotland: a qualitative study of the policy process.

<h4>Background</h4>Minimum unit pricing of alcohol is a novel public health policy with the potential to improve population health and reduce health inequalities. Theories of the policy process may help to understand the development of policy innovation and in turn identify lessons for f...

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Autores principales:	Srinivasa Vittal Katikireddi, Shona Hilton, Chris Bonell, Lyndal Bond
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f616771d42fe493a871885f9df56204e
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spelling	oai:doaj.org-article:f616771d42fe493a871885f9df56204e2021-11-18T08:26:08ZUnderstanding the development of minimum unit pricing of alcohol in Scotland: a qualitative study of the policy process.1932-620310.1371/journal.pone.0091185https://doaj.org/article/f616771d42fe493a871885f9df56204e2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24670519/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Minimum unit pricing of alcohol is a novel public health policy with the potential to improve population health and reduce health inequalities. Theories of the policy process may help to understand the development of policy innovation and in turn identify lessons for future public health research and practice. This study aims to explain minimum unit pricing's development by taking a 'multiple-lenses' approach to understanding the policy process. In particular, we apply three perspectives of the policy process (Kingdon's multiple streams, Punctuated-Equilibrium Theory, Multi-Level Governance) to understand how and why minimum unit pricing has developed in Scotland and describe implications for efforts to develop evidence-informed policymaking.<h4>Methods</h4>Semi-structured interviews were conducted with policy actors (politicians, civil servants, academics, advocates, industry representatives) involved in the development of MUP (n = 36). Interviewees were asked about the policy process and the role of evidence in policy development. Data from two other sources (a review of policy documents and an analysis of evidence submission documents to the Scottish Parliament) were used for triangulation.<h4>Findings</h4>The three perspectives provide complementary understandings of the policy process. Evidence has played an important role in presenting the policy issue of alcohol as a problem requiring action. Scotland-specific data and a change in the policy 'image' to a population-based problem contributed to making alcohol-related harms a priority for action. The limited powers of Scottish Government help explain the type of price intervention pursued while distinct aspects of the Scottish political climate favoured the pursuit of price-based interventions.<h4>Conclusions</h4>Evidence has played a crucial but complex role in the development of an innovative policy. Utilising different political science theories helps explain different aspects of the policy process, with Multi-Level Governance particularly useful for highlighting important lessons for the future of public health policy.Srinivasa Vittal KatikireddiShona HiltonChris BonellLyndal BondPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 3, p e91185 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Srinivasa Vittal Katikireddi Shona Hilton Chris Bonell Lyndal Bond Understanding the development of minimum unit pricing of alcohol in Scotland: a qualitative study of the policy process.
description	<h4>Background</h4>Minimum unit pricing of alcohol is a novel public health policy with the potential to improve population health and reduce health inequalities. Theories of the policy process may help to understand the development of policy innovation and in turn identify lessons for future public health research and practice. This study aims to explain minimum unit pricing's development by taking a 'multiple-lenses' approach to understanding the policy process. In particular, we apply three perspectives of the policy process (Kingdon's multiple streams, Punctuated-Equilibrium Theory, Multi-Level Governance) to understand how and why minimum unit pricing has developed in Scotland and describe implications for efforts to develop evidence-informed policymaking.<h4>Methods</h4>Semi-structured interviews were conducted with policy actors (politicians, civil servants, academics, advocates, industry representatives) involved in the development of MUP (n = 36). Interviewees were asked about the policy process and the role of evidence in policy development. Data from two other sources (a review of policy documents and an analysis of evidence submission documents to the Scottish Parliament) were used for triangulation.<h4>Findings</h4>The three perspectives provide complementary understandings of the policy process. Evidence has played an important role in presenting the policy issue of alcohol as a problem requiring action. Scotland-specific data and a change in the policy 'image' to a population-based problem contributed to making alcohol-related harms a priority for action. The limited powers of Scottish Government help explain the type of price intervention pursued while distinct aspects of the Scottish political climate favoured the pursuit of price-based interventions.<h4>Conclusions</h4>Evidence has played a crucial but complex role in the development of an innovative policy. Utilising different political science theories helps explain different aspects of the policy process, with Multi-Level Governance particularly useful for highlighting important lessons for the future of public health policy.
format	article
author	Srinivasa Vittal Katikireddi Shona Hilton Chris Bonell Lyndal Bond
author_facet	Srinivasa Vittal Katikireddi Shona Hilton Chris Bonell Lyndal Bond
author_sort	Srinivasa Vittal Katikireddi
title	Understanding the development of minimum unit pricing of alcohol in Scotland: a qualitative study of the policy process.
title_short	Understanding the development of minimum unit pricing of alcohol in Scotland: a qualitative study of the policy process.
title_full	Understanding the development of minimum unit pricing of alcohol in Scotland: a qualitative study of the policy process.
title_fullStr	Understanding the development of minimum unit pricing of alcohol in Scotland: a qualitative study of the policy process.
title_full_unstemmed	Understanding the development of minimum unit pricing of alcohol in Scotland: a qualitative study of the policy process.
title_sort	understanding the development of minimum unit pricing of alcohol in scotland: a qualitative study of the policy process.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/f616771d42fe493a871885f9df56204e
work_keys_str_mv	AT srinivasavittalkatikireddi understandingthedevelopmentofminimumunitpricingofalcoholinscotlandaqualitativestudyofthepolicyprocess AT shonahilton understandingthedevelopmentofminimumunitpricingofalcoholinscotlandaqualitativestudyofthepolicyprocess AT chrisbonell understandingthedevelopmentofminimumunitpricingofalcoholinscotlandaqualitativestudyofthepolicyprocess AT lyndalbond understandingthedevelopmentofminimumunitpricingofalcoholinscotlandaqualitativestudyofthepolicyprocess
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Understanding the development of minimum unit pricing of alcohol in Scotland: a qualitative study of the policy process.

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