The stakeholders comprise of beneficiaries of the schemes, institutions and intermediaries that facilitate the schemes to the public and the decision making bodies that are responsible for various processes for policy framework and subsequent implementation of those policies. The coalition broadly comprises of two major sources who seemingly reflect the welfare of the people: media, researchers and analysts; actors at all levels of government (local, state and international) (Sabatier, 1988). These sources help to study the various perspectives of the policy in the particular field by taking into account the different variables like socio-economic changes, political paradigms, evolving socio-cultural values, normative beliefs and environmental constraints.
Thus, while incorporating the finer details of the policies in the relevant area, the view point of these agencies and the feedback widens the policy perspectives and ensures better decision making in framing the policies. ‘Multiple Streams Framework’ primarily believes that three vital streams of thoughts significantly impact the process of formulation of policies. The first is the problem identification that necessitates the process, second is the diversity in the requirements of the communities and lastly the political imperatives of vested interests that are influenced by public opinions, changing socio-economic and political paradigms that are incorporated into the policy framework.
While these process streams may be independent of each other but each of them is critical in creating, assessing and evaluating the policy guidelines to evolve effective policies within the pre-defined areas of public interest. Impact on Healthcare Health care delivery system is one of vital component of public welfare schemes of the government. The recent trends have shown that the rising cost of living has had an adverse effect on the overall public health care system.
The healthcare components like accessibility to good medical care, quality and cost are increasingly moving beyond the grasp of general public. ‘The overall poor health status of the U. S population is, in part, the result of limited access to services, especially for the poor, uninsured and vulnerable population’ (Harrington, 2000). The needed reforms, therefore, require not only a comprehensive feedback of delivery system as a whole, but a careful considerations to all the various pros and cons of the developing situations in the concerned areas of the public health care, has become the need of the hour.
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