Positively Influencing Policy Prescriptions

Date01 September 2019
Published date01 September 2019
doi: 10.1002/wmh3.313
© 2019 Policy Studies Organization
Positively Influencing Policy Prescriptions
Bonnie Stabile
The primary goal of policy analysis is to improve the lives of the populations
studied. Sometimes this is accomplished by incisive examination of specific policies,
while at other times, whole classes of policy, or the broader policy context, are
In this issue, Haeder examines the very particular case of network design and
access to percutaneous coronary intervention (PCI or angioplasty with stent)in the
Medicare Advantage and Affordable Care Acts insurance marketplaces. In so
doing, he draws some potentially useful conclusions about their implications for
quality and access to care. Segelman, Intrator, Li, Mukama, and TemkinGreener
consider whether those enrolled in Medicaid home and communitybased services
experience differences in rates of hospitalization and they outline implications
about eligibility criteria for enrollees based on their findings.
In the field of substance use policy, two longterm themes in our pages re-
appear in this issue, including work by some returning authors. Giesbrecht, Bosma,
and Reisdorfer focus on the challenges faced in the implementation of alcohol
policies and offer some approaches to be tried in response. This work expands
upon an earlier investigation on the topic of Implementing and Sustaining Ef-
fective AlcoholRelated Policies at the Local Levelby Giebrecht, Bosma, Juras,
and Quadri (2014). In the current issue, Ferraiolo turns her attention to Messaging
and Advocacy in U.S. Tobacco Control Policy, 200919while in 2014 her focus was
on Morality Framing in U.S. Drug Control Policyin the case of marijuana de-
criminalization (Ferraiolo, 2014). In both cases, she considers the importance and
tangible outcomes associated with how policy is written and talked about. Both
current pieces on substance use policyinvolving either alcohol or tobaccobring
to mind Cairney and Studlars 2014 piece on health policy in the United Kingdom,
which wondered, after the War on Tobaccowhether a War on Alcoholwas
In her commentary on Cuban maternity care policy, Pettit Bruns, Pawlowski, and
Robinson decry the inexcusably high infant mortality rate in the United States, partic-
ularly in rural areas, and look abroad for lessons of models that might ameliorate this
regrettable condition. Earlier in 2019, Piane reviewed the literature on maternal mortality

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