Power analysis in health policy and systems research: a guide to research conceptualisation

Topp, Stephanie M., Schaaf, Marta, Sriram, Veena, Scott, Kerry, Daglish, Sarah, Nelson, Erica, Rajasulochana, S.R., Mishra, Arima, Asthana, Sumegha, Parashar, Rakesh, Marten, Robert, Costa, Joao, Sacks, Emma, Rajeev, B.R., Reyes, Katherine, and Singh, Shweta (2021) Power analysis in health policy and systems research: a guide to research conceptualisation. BMJ Global Health, 6. e007268.

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Power is a growing area of study for researchers and practitioners working in the field of health policy and systems research (HPSR). Theoretical development and empirical research on power are crucial for providing deeper, more nuanced understandings of the mechanisms and structures leading to social inequities and health disparities; placing contemporary policy concerns in a wider historical, political and social context; and for contributing to the (re)design or reform of health systems to drive progress towards improved health outcomes. Nonetheless, explicit analyses of power in HPSR remain relatively infrequent, and there are no comprehensive resources that serve as theoretical and methodological starting points. This paper aims to fill this gap by providing a consolidated guide to researchers wishing to consider, design and conduct power analyses of health policies or systems. This practice article presents a synthesis of theoretical and conceptual understandings of power; describes methodologies and approaches for conducting power analyses; discusses how they might be appropriately combined; and throughout reflects on the importance of engaging with positionality through reflexive praxis. Expanding research on power in health policy and systems will generate key insights needed to address underlying drivers of health disparities and strengthen health systems for all.

Item ID: 70813
Item Type: Article (Research - C1)
ISSN: 2059-7908
Keywords: Health systems; health policy; power; research design;
Copyright Information: © Author(s) (or their employer(s)) 2021. Re- use permitted under CC BY- NC. No commercial re- use. See rights and permissions. Published by BMJ.
Funders: National Health and Medical Research Council of Australia (NHMRC)
Projects and Grants: NHMRC GNT1173004
Date Deposited: 25 Nov 2021 02:51
FoR Codes: 42 HEALTH SCIENCES > 4203 Health services and systems > 420311 Health systems @ 50%
44 HUMAN SOCIETY > 4407 Policy and administration > 440706 Health policy @ 30%
44 HUMAN SOCIETY > 4404 Development studies > 440404 Political economy and social change @ 20%
SEO Codes: 28 EXPANDING KNOWLEDGE > 2801 Expanding knowledge > 280112 Expanding knowledge in the health sciences @ 30%
20 HEALTH > 2002 Evaluation of health and support services > 200205 Health policy evaluation @ 35%
20 HEALTH > 2002 Evaluation of health and support services > 200206 Health system performance (incl. effectiveness of programs) @ 35%
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