Agenda-setting in nascent policy subsystems: issue and instrument priorities across venues.

The "policy subsystem" has long been a key concept in our understanding of how policies on a given topic are produced. However, we know much less about policymaking in nascent policy subsystems. This article draws on the theories of agenda-setting and venue shopping to argue that the similarity and convergence of policy subsystems' agendas across different institutional venues and over time are features that distinguish more nascent policy subsystems from their more established, mature counterparts. In simple terms, policy venues' agendas converge when policy actors begin to discuss the same issues and instruments instead of talking past one another. The article illustrates this argument using textual data on Germany's emerging Artificial Intelligence (AI) policy: print media debates, parliamentary debates, and a government consultation from the period between November 2017 and November 2019. The insights from our analysis show that actors emphasize somewhat different policy issues and instruments related to AI in different venues. Nevertheless, the longitudinal analysis suggests that the debate does seem to converge across different venues, which indicates the formation of a subsystem-specific policy agenda regarding AI. Supplementary Information: The online version contains supplementary material available at 10.1007/s11077-023-09514-5.

Is there a "pandemic effect" on individuals' willingness to take genetic tests?

In this cross-sectional, semi-longitudinal and quasi-experimental study, our goal was to determine the effect of data storage conditions on willingness to take a genetic test. We compared individuals' preferences regarding how they want to store health data collected from genetic tests through two survey experiments fielded in Switzerland in March 2020 and January 2022. We tested for differences whether genetic data are presented as private goods or public goods. Results confirm our initial research expectation: more control over storage increases willingness, so does framing genetic data as private good. However, they also show that the willingness to take a genetic test has noticeably increased between 2020 and 2022. Our results point toward a "pandemic effect" which would have increased willingness take a genetic test, nevertheless, more data are needed to understand this putative effect.

Pathways to policy integration: a subsystem approach.

Researchers in public policy and public administration agree that policy integration is a process. Nevertheless, scholars have given limited attention to political aspects that facilitate or impede integration. This paper aims at filling that gap, by looking at how different theories of the policy process can help in explaining the process of policy integration as shaped by policy subsystems. By building on insights from theories of the policy process, we develop pathways regarding adoption and implementation in policy integration that account for the politicization and the role of actors and subsystems in the policy process. Our main argument is that policy integration is in permanent political tension with the sectoral logic of policymaking, which predominantly happens between actors in subsystems. Policy integration is, thus, not a single moment when those tensions are solved once and for all, but a political process that requires deliberate efforts to overcome the pull toward sector-specific problem definition, policymaking, implementation, and evaluation.

How does regulating doctors' admissions affect health expenditures? Evidence from Switzerland.

BACKGROUND: Cost containment is a major issue for health policy, in many countries. Policymakers have used various measures to deal with this problem. In Switzerland, the national parliament and subnational (cantonal) governments have used moratoriums to limit the admission of specialist doctors and general practitioners. METHODS: We analyze the impact of these regulations on the number of doctors billing in free practice and on the health costs created by medical practice based on records from the data pool of Swiss health insurers (SASIS) from 2007 to 2018 using interrupted time series and difference-in-differences models. RESULTS: We demonstrate that the removal of the national moratorium in 2012 increased the number of doctors, but did not augment significantly the direct health costs produced by independent doctors. Furthermore, the reintroduction of regulations at the cantonal level in 2013 and 2014 decreased the number of doctors billing in free practice but, again, did not affect direct health costs. CONCLUSIONS: Our findings suggest that regulating healthcare supply through a moratorium on doctors' admissions does not directly contribute to limiting the increase in health expenditures.

Public opinion on health care and public health.

In the health policy literature, scholars and practitioners distinguish broadly between health care and public health interventions. Both types of policies are indispensable to deal with pressing health problems. Nevertheless, we know very little about how individuals support the principle logic behind these two approaches to health policy. In this paper, we analyze empirically whether individuals prefer either a health care-oriented or a public health-oriented approach to health policy. In addition, we explore political and socio-demographic factors explaining individuals' choices. To conduct this analysis, we use multivariate regression analysis based on data ( N = 5 442 ) from the 2018 wave of the Swiss Household Panel Survey. The survey contains high-quality data from a representative sample of the population living in Switzerland. Our results demonstrate that a majority of citizens prefers public health policies rather than policies ensuring access to health care. Especially, individuals with higher out-of-pocket payments in their health insurance plan support a public health over health care policy approach. Furthermore, those who prefer environmental protection over economic growth support public health over health care policy.

Varieties of public-private policy coordination: How the political economy affects multi-actor implementation.

This study seeks to introduce the concept of Varieties of Capitalism to the study of multi-actor implementation arrangements. It illustrates the analytical value of this classification scheme by drawing from original empirical data and addresses two key research questions, namely how do public and private actors cooperate in delivering on public policy, and which factors determine the scope of their cooperation? To address these questions, the article examines governance arrangements adopted by individual European Union member states for implementing the Youth Guarantee. The Youth Guarantee was selected because all European Union member states must and have indeed already started to implement it, meaning it provides a broad empirical base for observing different types of public-private coordination. The findings demonstrate that a hierarchical structure in a country's political economy and prior expenditure on active labour market policies result in different governance arrangements.

Governing Personalized Health: A Scoping Review.

Genetic research is advancing rapidly. One important area for the application of the results from this work is personalized health. These are treatments and preventive interventions tailored to the genetic profile of specific groups or individuals. The inclusion of personalized health in existing health systems is a challenge for policymakers. In this article, we present the results of a thematic scoping review of the literature dealing with governance and policy of personalized health. Our analysis points to four governance challenges that decisionmakers face against the background of personalized health. First, researchers have highlighted the need to further extend and harmonize existing research infrastructures in order to combine different types of genetic data. Second, decisionmakers face the challenge to create trust in personalized health applications, such as genetic tests. Third, scholars have pointed to the importance of the regulation of data production and sharing to avoid discrimination of disadvantaged groups and to facilitate collaboration. Fourth, researchers have discussed the challenge to integrate personalized health into regulatory-, financing-, and service provision structures of existing health systems. Our findings summarize existing research and help to guide further policymaking and research in the field of personalized health governance.