Zagovaračke koalicije u hrvatskoj politici mentalnog zdravlja

master's thesis

• Title (english): Advocacy coalitions in Croatian mental health policy
• Author: Ema Krištić
• Mentor: Ana Petek (mentor)
• Committee member: Ana Petek (predsjednik povjerenstva)
• Committee member: Andrija Henjak (član povjerenstva)
• Committee member: Anka Kekez Koštro (član povjerenstva)
• Granter: University of Zagreb; The Faculty of Political Science; Zagreb
• Defense date and country: 2024-09-18, Croatia
• Scientific / art field, discipline and subdiscipline: SOCIAL SCIENCES; Political Science

Abstract

U ovom radu autorica provodi analizu politike mentalnog zdravlja u Hrvatskoj kroz prizmu teorije zagovaračkih koalicija, s naglaskom na proces donošenja odluka o izvanbolničkoj skrbi. Ovoj se temi u slučaju Hrvatske prvi puta pristupa s politološkog aspekta. Istraživanje se fokusira na identifikaciju aktera koji sudjeluju u procesu stvaranja ove politike, te podrobno ispitivanje njihovih međuodnosa te uvjerenja. Autorica postavlja sljedeće istraživačko pitanje: Koje su zagovaračke koalicije sudjelovale u političkom odlučivanju o izvanbolničkoj skrbi, pri donošenju „Strateškog okvira razvoja mentalnog zdravlja do 2030.“? Podaci su prikupljeni putem analize relevantnih dokumenata i polustrukturiranih intervjua s ključnim akterima te kodirani u skladu s pravilima tematske analize. Uvjerenja aktera te stavovi o njihovim međuodnosima i suradnji prikazani su u skladu s konceptima teorijskog okvira zagovaračkih koalicija. Zatim su temeljem provedene analize prikazane četiri skupine kodova koji se pojavljuju zajedno te grupiraju aktere prema razlikama i sličnostima u njihovim iskazima. Zaključak je da postoje najmanje dvije zagovaračke koalicije, pri čemu razlikujemo koaliciju za deinstitucionalizaciju od koalicije za institucionalnu ravnotežu. Dojam je da svi akteri načelno podržavaju uvođenje izvanbolničkog sustava skrbi i oblika tretmana u zajednici. Razlikuju se u stupnju u kojem zagovaraju opseg deinstitucionalizacije sustava te u izboru nužnih instrumenata za postizanje tih ciljeva.

Abstract (english)

In this study, the author analyzes mental health policy in Croatia through the lens of the Advocacy Coalition Framework, with a focus on the decision-making process regarding outpatient care. This topic is being approached from a political science perspective for the first time in the case of Croatia. The research focuses on identifying the actors involved in the policy-making process and thoroughly examining their interrelationships and beliefs. The author poses the following research question: Which advocacy coalitions participated in the political decision-making on outpatient care during the creation of the "Strateški okvir razvoja mentalnog zdravlja do 2030."? Data were collected through the analysis of relevant documents and semi-structured interviews with key actors and were coded according to the rules of thematic analysis. The beliefs of the actors and their views on interrelationships and collaboration are presented in accordance with the concepts of the AFC. Subsequently, based on the analysis, four groups of co-occurring codes are presented, grouping actors according to differences and similarities in their statements. The conclusion is that there are at least two advocacy coalitions, distinguishing between a coalition for deinstitutionalization and a coalition for institutional balance. It appears that all actors generally support the introduction of an outpatient care system and community-based treatment modalities. However, they differ in the extent to which they advocate for the degree of deinstitutionalization and in the choice of necessary instruments to achieve these goals.

• Keywords: hrvatska politika mentalnog zdravlja; akteri u izvanbolničkoj skrbi; političko odlučivanje; mobilni timovi; teorija zagovaračkih koalicija; tematska analiza
• Keywords (english): Croatian mental health policy; actors in outpatient care; political decision-making; mobile teams; Advocacy Coalition Framework; thematic analysis
• Language: croatian
• URN:NBN: urn:nbn:hr:114:626775
• Study programme: Title: Political Science; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra politologije (magistar/magistra politologije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-10-14 11:22:49