Paper/Speech Details of Conference Program for the 27th NISPAcee Annual Conference Program Overview WG6: Evidence-Based Public Policy Making Author(s) Olga Angelovska Charles University Praha 2 Czech Republic Title A Multiple Stream Approach and Understanding Resistance and Change: the Case of Czech Hospitals File Paper files are available only for conference participants, please login first. Presenter Olga Angelovska Abstract The paper describes two efforts to change the organisational-legal status of hospitals after 2000. The paper uses the multiple streams framework to compare successful process of introducing the new organisational-legal form of hospitals in 2006 and unsuccessful one in 2017 and to identify the most important policy entrepreneurs. It maps all three streams (policy, politics and problem streams) and uses a broader concept including agenda setting as well as decision-making process. A policy window opened and allowed a policy change in 2006 when 245/2006 Coll., on Public Non-Profit Institutional Medical Facilities passed while in 2017 the policy window closed before it could be successfully used. The research adopted a case study design. Data were obtained through document analysis (law proposals, resolution of Constitutional Court, stenographic records, strategic documents etc.). Examined period covered years 2002 – 2006 and 2015-2017. Findings confirmed the assumption that all three streams play a role for agenda coupling while in case of a decision coupling, the political stream is the most important. Keywords: health care system, hospitals, multiple streams framework
