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Articles

The Winds of Winter: COVID-19 and Punctuations Without Policy Change in German Health Care Policy

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Pages 339-361 | Received 25 Apr 2022, Accepted 28 Feb 2023, Published online: 08 Apr 2023

References

  • Amri, Michelle M., and Don Drummond. 2020. “Punctuating the Equilibrium: An Application of Policy Theory to COVID-19.” Policy Design and Practice 4 (1): 1–11. doi:10.1080/25741292.2020.1841397.
  • Amri, M. M., and D. Logan. 2021. “Policy Responses to COVID-19 Present a Window of Opportunity for a Paradigm Shift in Global Health Policy: An Application of the Multiple Streams Framework as a Heuristic.” Global Public Health 16 (8-9): 1187–1197. doi:10.1080/17441692.2021.1925942.
  • Auener, S., D. Kroon, E. Wackers, S. V. Dulmen, and P. Jeurissen. 2020. “COVID-19: A Window of Opportunity for Positive Healthcare Reforms.” International Journal of Health Policy and Management 9 (10): 419–422. doi:10.34172/ijhpm.2020.66.
  • Bandelow, Nils C., Anja Hartmann, and Johanna Hornung. 2018. “Winter is Coming - But Not Yet. German Health Policy Under the Third Merkel Chancellorship.” German Politics 28 (3): 444–461. doi:10.1080/09644008.2018.1512592.
  • Bandelow, Nils C., Patrick Hassenteufel, and Johanna Hornung. 2021. “Patterns of Democracy Matter in the COVID-19 Crisis. A Comparison of French and German Policy Processes.” International Review of Public Policy 3 (1): 121–136. doi:10.4000/irpp.1788.
  • Bandelow, Nils C., Johanna Hornung, and Lina Y. Iskandar. 2020. “Warum Jens Spahns Digitalisierungsstrategie kränkelt.” Observer Gesundheit. zuletzt eingesehen am 21. Januar 2020. https://observer-gesundheit.de/warum-jens-spahns-digitalisierungsstrategie-kraenkelt/.
  • Bandelow, Nils C., Johanna Hornung, and Lina Y. Iskandar. 2022. “Krankenhausföderalismus während der Corona-Pandemie: Effektiv, aber nicht effizient?” In Krankenhaus-Report 2022: Patientenversorgung während der Pandemie, edited by Jürgen Klauber, Jürgen Wasem, Andreas Beivers, and Carina Mostert, 249–260. Berlin: Springer.
  • Baumgartner, Frank R., and Bryan D. Jones. 1991. “Agenda Dynamics and Policy Subsystems.” The Journal of Politics 53 (4): 1044–1074. doi:10.2307/2131866.
  • Baumgartner, Frank R., and Bryan D. Jones. 2009. Agendas and Instability in American Politics. Chicago Studies in American Politics. 2nd ed. Chicago, IL: The Univ. of Chicago Press.
  • Baumgartner, Frank R., Bryan D. Jones, and Peter B. Mortensen. 2017. “Punctuated Equilibrium Theory: Explaining Stability and Change in Public Policymaking.” In Theories of the Policy Process, edited by Christopher M. Weible, and Paul A. Sabatier, 55–102. Boulder, CO: Westview Press.
  • Blum, Karl, and Melanie Filser. 2021. “Umsetzungsstand der Konzertierten Aktion Pflege im Krankenhaus.” Deutsches Krankenhaus Institut. https://www.dki.de/sites/default/files/2021-12/2021-10%20KAP-Bericht_final_0.pdf.
  • Bogumil-Uçan, Simon, and Tanja Klenk. 2021. “Varieties of Health Care Digitalization: Comparing Advocacy Coalitions in Austria and Germany.” Review of Policy Research 38 (4): 478–503. doi:10.1111/ropr.12435.
  • Boushey, Graeme. 2012. “Punctuated Equilibrium Theory and the Diffusion of Innovations.” Policy Studies Journal 40 (1): 127–146. doi:10.1111/j.1541-0072.2011.00437.x.
  • Boydstun, Amber E. 2013. Making the News. Chicago: University of Chicago Press.
  • Brunn, Matthias, Torsten Kratz, Michael Padget, Marie-Caroline Clément, and Marc Smyrl. 2022. “Why are There So Many Hospital Beds in Germany?” Health Services Management Research 36 (1): 75–81. doi:10.1177/09514848221080691.
  • Dent, Mike. 2005. “Post-New Public Management in Public Sector Hospitals? The UK, Germany and Italy.” Policy & Politics 33 (4): 623–636. doi:10.1332/030557305774329208.
  • DESTATIS, Statistisches Bundesamt. 2021. “Gesundheitsausgaben im Jahr 2019 auf über 400 Milliarden Euro gestiegen.” zuletzt eingesehen am 27. Mai 2021. https://www.destatis.de/DE/Presse/Pressemitteilungen/2021/04/PD21_167_236.html.
  • DESTATIS, Statistisches Bundesamt. 2022. “Gesundheit. Gesundheitsausgaben.” https://www.destatis.de/DE/Themen/Gesellschaft-Umwelt/Gesundheit/Gesundheitsausgaben/_inhalt.html#sprg235028.
  • Eissler, Rebecca, Annelise Russell, and Bryan D. Jones. 2016. “The Transformation of Ideas: The Origin and Evolution of Punctuated Equilibrium Theory.” In Contemporary Approaches to Public Policy, edited by B. Guy Peters, and Philippe Zittoun, 95–112. London: Palgrave Macmillan UK.
  • Forschungsgruppe Wahlen. 2018-2022. “Bewertung von Politikern nach Sympathie und Leistung.” Accessed 10 February 2022. https://www.forschungsgruppe.de/Umfragen/Politbarometer/Langzeitentwicklung_-_Themen_im_Ueberblick/Politik_II/#Sympathiewerte.
  • Givel, Michael. 2010. “The Evolution of the Theoretical Foundations of Punctuated Equilibrium Theory in Public Policy.” Review of Policy Research 27 (2): 187–198. doi:10.1111/j.1541-1338.2009.00437.x.
  • Green-Pedersen, Christoffer, and Michelle Wolfe. 2009. “The Institutionalization of Environmental Attention in the United States and Denmark: Multiple- Versus Single-Venue Systems.” Governance 22 (4): 625–646. doi:10.1111/j.1468-0491.2009.01456.x.
  • Greß, Stefan, and Christian Jesberger. 2022. “Strukturdefizite in der Finanzierung der gesetzlichen Krankenversicherung.” ifo Schnelldienst 75 (3): 3–6.
  • Heermann, Max, Dirk Leuffen, and Fabian Tigges. 2023. “Change to Stay the Same? German European Preference Formation During the COVID-19 Crisis1.” German Politics, 1–23. doi:10.1080/09644008.2023.2189701.
  • Hegelich, Simon, Cornelia Fraune, and David Knollmann. 2015. “Point Predictions and the Punctuated Equilibrium Theory: A Data Mining Approach-U.S. Nuclear Policy as Proof of Concept.” Policy Studies Journal 43 (2): 228–256. doi:10.1111/psj.12089.
  • Helms, Ludger. 2021. “Chancellor Wanted! The 2021 German Chancellor Candidates in Context.” Österreichische Zeitschrift für Politikwissenschaft 50 (2): 15–21. doi:10.15203/ozp.3810.vol50iss2.
  • Hermann, Christopher. 2020. “Narrativ im Kaffeesatz. Oder das GKV-System 2020 auf der Rutschbahn des exekutiven Dirigismus.” Observer Gesundheit. Accessed 2 November 2020. https://observer-gesundheit.de/narrativ-im-kaffeesatz-oder-das-gkv-system-2020-auf-der-rutschbahn-des-exekutiven-dirigismus/.
  • Hermann, Christopher. 2022. “Von Koalitionsverträgen zum kleinen Karo. Oder: die permanent Unvollendeten in der Gesundheitspolitik.” Observer Gesundheit.
  • Herweg, Nicole, Christian Huß, and Reimut Zohlnhöfer. 2015. “Straightening the Three Streams: Theorizing Extensions of the Multiple Streams Framework.” European Journal of Political Research 54 (3): 435–449. doi:10.1111/1475-6765.12089.
  • Herweg, Nicole, Nikolaos Zahariadis, and Reimut Zohlnhöfer. 2017. “The Multiple Streams Framework: Foundations, Refinements, and Empirical Applications.” In Theories of the Policy Process, edited by Christopher M. Weible, and Paul A. Sabatier, 17–53. Boulder, CO: Westview Press.
  • Holt, Diane, and Ralf Barkemeyer. 2012. “Media Coverage of Sustainable Development Issues - Attention Cycles or Punctuated Equilibrium?” Sustainable Development 20 (1): 1–17. doi:10.1002/sd.460.
  • Hornung, Johanna. 2022. The Institutions of Programmatic Action. Policy Programs in French and German Health Policy. Cham: Palgrave Macmillan.
  • Hornung, Johanna, and Nils C. Bandelow. 2018. “The Programmatic Elite in German Health Policy: Collective Action and Sectoral History.” Public Policy and Administration 35 (3): 247–265. doi:10.1177/0952076718798887.
  • Hornung, Johanna, Robin Rüsenberg, Florian Eckert, and Nils C. Bandelow. 2020. “New Insights into Coalition Negotiations – The Case of German Government Formation.” Negotiation Journal 36: 331–352. doi:10.1111/nejo.12310.
  • Höhne, Valerie. 2021. “Spahn rutscht ab.” Der Spiegel. Accessed 22 April 2022. https://www.spiegel.de/politik/deutschland/spiegel-regierungsmonitor-gesundheitsminister-jens-spahn-rutscht-in-beliebtheit-ab-a-a0c5917d-ff5a-4035-8175-8e8ee44a9826.
  • Interview G1, Health Ministry. 2020. “Interview on 3 January 2020.” Berlin, Germany (translated from German).
  • Interview G2, Health Ministry. 2019. “Interview on 3 December 2019.” Berlin, Germany (translated from German).
  • Interview G3, Health Ministry. 2020. “Interview on 21 January 2020.” Berlin, Germany (translated from German).
  • Interview G5, Health Ministry at the Subnational Level. 2020. “Interview on 17 January 2020.” Hamburg, Germany (translated from German).
  • Interview G6, Sickness Fund. 2019. “Interview on 12 June 2019.” Stuttgart, Germany (translated from German).
  • Jennings, Will, Stephen Farrall, Emily Gray, and Colin Hay. 2020. “Moral Panics and Punctuated Equilibrium in Public Policy: An Analysis of the Criminal Justice Policy Agenda in Britain.” Policy Studies Journal 48 (1): 207–234. doi:10.1111/psj.12239.
  • John, Peter, and Shaun Bevan. 2012. “What are Policy Punctuations? Large Changes in the Legislative Agenda of the UK Government, 1911-2008.” Policy Studies Journal 40 (1): 89–108. doi:10.1111/j.1541-0072.2011.00435.x.
  • Jones, Bryan D. 2017. “Behavioral Rationality as a Foundation for Public Policy Studies.” Cognitive Systems Research 43 (2017): 63–75. doi:10.1016/j.cogsys.2017.01.003.
  • Jones, Bryan D., and Frank R. Baumgartner. 2012. “From There to Here: Punctuated Equilibrium to the General Punctuation Thesis to a Theory of Government Information Processing.” Policy Studies Journal 40 (1): 1–20. doi:10.1111/j.1541-0072.2011.00431.x.
  • Knaggård, Åsa. 2015. “The Multiple Streams Framework and the Problem Broker.” European Journal of Political Research 54 (3): 450–465. doi:10.1111/1475-6765.12097.
  • Köppen, Julia, Kimberly Hartl, and Claudia B. Maier. 2021. “Health Workforce Response to Covid-19: What Pandemic Preparedness Planning and Action at the Federal and State Levels in Germany?” The International Journal of Health Planning and Management 36 (S1): 71–91. doi:10.1002/hpm.3146.
  • Kuhlmann, Sabine, Mikael Hellström, Ulf Ramberg, and Renate Reiter. 2021. “Tracing Divergence in Crisis Governance: Responses to the COVID-19 Pandemic in France, Germany and Sweden Compared.” International Review of Administrative Sciences 87 (3): 556–575. doi:10.1177/0020852320979359.
  • Kuhlmann, Johanna, and Jeroen van der Heijden. 2018. “What is Known About Punctuated Equilibrium Theory? And What Does That Tell Us About the Construction, Validation, and Replication of Knowledge in the Policy Sciences?” Review of Policy Research 35 (2): 326–347. doi:10.1111/ropr.12283.
  • Lang, Michael. 2022. “Rollout des E-Rezepts: Ein holpriger Start.” kma - Klinik Management Aktuell 27 (10): 56–57. doi:10.1055/s-0042-1757851.
  • Mätzke, Margitta. 2013. “Federalism and Decentralization in German Health and Social Care Policy.” In Federalism and Decentralization in European Health and Social Care, edited by Joan Costa-Font, and Scott L. Greer, 190–207. London: Palgrave Macmillan UK.
  • Mintrom, Michael, and Phillipa Norman. 2009. “Policy Entrepreneurship and Policy Change.” Policy Studies Journal 37 (4): 649–667. doi:10.1111/j.1541-0072.2009.00329.x.
  • Mushaben, Joyce Marie. 2021. “Against All Odds: Angela Merkel, Ursula von der Leyen, Anngret Kramp-Karrenbauer and the German Paradox of Female CDU Leadership.” German Politics 31 (1): 20–39. doi:10.1080/09644008.2021.2000599.
  • Naumann, E., K. Mohring, M. Reifenscheid, A. Wenz, T. Rettig, R. Lehrer, U. Krieger, et al. 2020. “COVID-19 Policies in Germany and Their Social, Political, and Psychological Consequences.” European Policy Analysis 6 (2): 191–202. doi:10.1002/epa2.1091.
  • Person, Christian, Nathalie Behnke, and Till Jürgens. 2023. “Effects of Territorial Party Politics on Horizontal Coordination among the German Länder - An Analysis of the COVID-19 Pandemic Management in Germany.” German Politics, 1–26. doi:10.1080/09644008.2023.2187782.
  • Petridou, Evangelia, and Michael Mintrom. 2020. “A Research Agenda for the Study of Policy Entrepreneurs.” Policy Studies Journal 49 (4): 943–967. doi:10.1111/psj.12405.
  • RKI, Robert Koch Institut. 2022. “7-Tage-Inzidenz der COVID-19-Fälle nach Kreisen sowie der hospitalisierten COVID-19-Fälle nach Bundesländern.” Accessed 10 February 2022. https://www.rki.de/DE/Content/InfAZ/N/Neuartiges_Coronavirus/Daten/Inzidenz-Tabellen.html.
  • Rüb, Friedbert, Friedrich Heinemann, and Reimut Zohlnhöfer. 2021. “Germany Report. Sustainable Governance Indicators 2020.” Gütersloh. Accessed 22 April 2022. https://www.sgi-network.org/docs/2020/country/SGI2020_Germany.pdf.
  • Schön-Quinlivan, Emmanuelle, and Marco Scipioni. 2017. “The Commission as Policy Entrepreneur in European Economic Governance: A Comparative Multiple Stream Analysis of the 2005 and 2011 Reform of the Stability and Growth Pact.” Journal of European Public Policy 24 (8): 1172–1190. doi:10.1080/13501763.2016.1206140.
  • Seelkopf, Laura, and Lukas Haffert. 2022. “Breaking with Orthodoxy? German Fiscal Policy in the Shadow of Covid-19.” German Politics. doi:10.1080/09644008.2023.2195169.
  • Spahn, Jens, Markus Müschenich, and Jörg F. Debatin. 2016. App vom Arzt. Bessere Gesundheit durch digitale Medizin. Freiburg im Breisgau: Verlag Herder GmbH.
  • Töller, Annette Elisabeth. 2022. “The Glass is Half Full: Environmental and Climate Policy of the Last Merkel Government Between Climate Protests and COVID Pandemic.” German Politics.
  • Walgrave, Stefaan, and Frédéric Varone. 2008. “Punctuated Equilibrium and Agenda-Setting: Bringing Parties Back in: Policy Change After the Dutroux Crisis in Belgium.” Governance 21 (3): 365–395. doi:10.1111/j.1468-0491.2008.00404.x.
  • Wangler, Julian, and Michael Jansky. 2021. “The Use of Health Apps in Primary Care—Results from a Survey Amongst General Practitioners in Germany.” Wiener Medizinische Wochenschrift 171 (7): 148–156. doi:10.1007/s10354-021-00814-0.
  • Wolfe, Michelle. 2012. “Putting on the Brakes or Pressing on the Gas? Media Attention and the Speed of Policymaking.” Policy Studies Journal 40 (1): 109–126. doi:10.1111/j.1541-0072.2011.00436.x.
  • Zahariadis, Nikolaos. 2016. “Delphic Oracles: Ambiguity, Institutions, and Multiple Streams.” Policy Sciences 49 (1): 3–12. doi:10.1007/s11077-016-9243-3.
  • Zohlnhöfer, Reimut, and Fabian Engler. 2022. “Electoral Competition and Policy-Making Under the Fourth Merkel Government. Driven by “Fridays for Future” and the Pandemic?” German Politics.
  • Zohlnhöfer, Reimut. in print. “Moralisierung im Deutschen Bundestag? Das Beispiel der Corona-Politik.” In Moral und Moralisierung, edited by Ekkehard Felder, Friederike Nüssel, and Jale Tosun. Berlin: de Gruyter.

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