Belief Structures, Common Policy Space and Health Care Reform: A Q Methodology Study
Charles Wilf
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DOI: 10.4236/psych.2011.29143   PDF    HTML     5,972 Downloads   8,913 Views   Citations

Abstract

Debate on the merits of health care reform continues even after passage of the Affordable Care Act of 2010. Poll results confirm a split along political party and associated ideological lines with democrats more supportive and republicans generally opposed to the law. As parts of the law are now subject to increasing scrutiny, it may be instructive to question whether a party-centered or surrogate liberal/conservative dichotomy is the best representation of positions in the health care debate. Q Methodology reveals a more complex set of belief structures, suggesting that a simple dichotomy is misleading in terms of the values that underlie the role of health care in society. Five distinct belief structures were found, each with different concerns as to the purpose and potential benefits of various health care initiatives. In addition, Q Methodology allows for the formation of a common policy space within which all belief structures are independently in agreement in four specific areas. It is argued that this empirically derived consensus can serve as a basis for effective political engagement and policy implementation.

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Wilf, C. (2011). Belief Structures, Common Policy Space and Health Care Reform: A Q Methodology Study. Psychology, 2, 948-952. doi: 10.4236/psych.2011.29143.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Albaek, E. (1995). Between knowledge and power: Utilization of social science in public policy making. Policy Sciences, 28, 79-100. doi:10.1007/BF01000821
[2] Brown, S. R. (1993). A primer on Q Methodology. Operant Subjectivity, 16, 91-138.
[3] Brown, S. R. (1986). Q technique and method. In W. D. Berry, & M. S. Lewis-Beck (Eds.), New tools for social scientists (pp. 57-76). Beverly Hills: Sage.
[4] Brown, S. (1980). Political subjectivity: Applications of Q Methodology in political science. New Haven: Yale University Press.
[5] Cook, T. J., Scioli, F. P., & Brown, S. R. (1975). Experimental design and Q Methodology: Improving the analysis of attitude change. Political Methodology, 2, 51-69.
[6] Dryzek, J. S. (1990). Discursive democracy: Politics, policy, and political science. Cambridge: Cambridge University Press.
[7] Durning, D. (1999). The transition from traditional to postpositivist policy analysis: A role for Q-methodology. Journal of Policy Analysis and Management, 18, 389-410. doi:10.1002/(SICI)1520-6688(199922)18:3<389::AID-PAM4>3.0.CO;2-S
[8] Durning, D., & Osuna, W. (1994). Policy analysts’ roles and value orientations: An empirical investigation using Q Methodology. Journal of Policy Analysis and Management, 13, 629-657. doi:10.2307/3325491
[9] Fiske, S., & Taylor S. (1984). Social cognition. New York: Random House.
[10] Hampton, G. (2009). Narrative policy analysis and the integration of public involvement in decision making. Policy Sciences, 42, 227-242. doi:10.1007/s11077-009-9087-1
[11] Hurd, R. C., & Brown, S. R. (2004/2005). The future of the Q Methodology movement. Operant Subjectivity Journal of the International Society for the Scientific Study of Subjectivity, 28, 58-75.
[12] Kaiser Health Tracking Poll (July 2011). URL (last checked 17 October 2011) http://www.kff.org/kaiserpolls/8209.cfm
[13] McKeown, B. B., & Thomas, D. (1988). Q Methodology—Quantitative applications in the social sciences. Beverly Hills: Sage.
[14] Medicare Beneficiary Savings and the Affordable Care Act (2011). URL (last checked 17 October 2011) http://www.healthcare.gov/law/resources/reports/affordablecareact.html
[15] Medicare Benefits (2011). URL (last checked 17 October 2011) http://www.medicare.gov/navigation/medicare-basics/medicare-benefits/medicare-benefits-overview.aspx
[16] Nunnally, J. C. (1978). Psychometric theory (2nd ed.). New York: McGraw Hill.
[17] Stephenson, W. (1953). The study of behavior: Q-technique and its methodology. Chicago: University of Chicago Press.
[18] Stephenson, W. (1963). Independency and operationism in Q-sorting. Psychological Record, 13, 269-272.
[19] Stephenson, W. (1964). Application of Q method to measurement of public opinion. Psychological Record, 14, 265-273.
[20] Stephenson, W. (1965). Definition of opinion, attitude and belief. Psychological Record, 15, 281-288.
[21] Tetlock, P. E., Peterson, R., McGuire, C., Chang, S., & Feld, P. (1992). Assessing political and group dynamics: A test of the groupthink model. Journal of Political and Social Psychology, 63, 403-425. doi:10.1037/0022-3514.63.3.403
[22] Thompson, G. C. (1966). The evaluation of public opinion. In B. Berelson, & M. Janowitz (Eds.), Reader in public opinion and communication, (2nd ed., pp. 7-12). New York: The Free Press.
[23] Wolf, A. (2004). The bones of a concourse. Operant Subjectivity Journal of the International Society for the Scientific Study of Subjectivity, 27, 145-165.

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