Understanding the development of minimum unit pricing of alcohol in Scotland: a qualitative study of the policy process

Katikireddi, S. V. , Hilton, S. , Bonell, C. and Bond, L. (2014) Understanding the development of minimum unit pricing of alcohol in Scotland: a qualitative study of the policy process. PLoS ONE, 9(3), e91185. (doi: 10.1371/journal.pone.0091185) (PMID:24670519) (PMCID:PMC3966757)

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<b>Background:</b> Minimum unit pricing of alcohol is a novel public health policy with the potential to improve population health and reduce health inequalities. Theories of the policy process may help to understand the development of policy innovation and in turn identify lessons for future public health research and practice. This study aims to explain minimum unit pricing’s development by taking a ‘multiple-lenses’ approach to understanding the policy process. In particular, we apply three perspectives of the policy process (Kingdon’s multiple streams, Punctuated-Equilibrium Theory, Multi-Level Governance) to understand how and why minimum unit pricing has developed in Scotland and describe implications for efforts to develop evidence-informed policymaking.<p></p> <b>Methods:</b> Semi-structured interviews were conducted with policy actors (politicians, civil servants, academics, advocates, industry representatives) involved in the development of MUP (n = 36). Interviewees were asked about the policy process and the role of evidence in policy development. Data from two other sources (a review of policy documents and an analysis of evidence submission documents to the Scottish Parliament) were used for triangulation.<p></p> <b>Findings:</b> The three perspectives provide complementary understandings of the policy process. Evidence has played an important role in presenting the policy issue of alcohol as a problem requiring action. Scotland-specific data and a change in the policy ‘image’ to a population-based problem contributed to making alcohol-related harms a priority for action. The limited powers of Scottish Government help explain the type of price intervention pursued while distinct aspects of the Scottish political climate favoured the pursuit of price-based interventions.<p></p> <b>Conclusions:</b> Evidence has played a crucial but complex role in the development of an innovative policy. Utilising different political science theories helps explain different aspects of the policy process, with Multi-Level Governance particularly useful for highlighting important lessons for the future of public health policy.<p></p>

Item Type:Articles
Glasgow Author(s) Enlighten ID:Hilton, Professor Shona and Katikireddi, Professor Vittal and Bond, Professor Lyndal
Authors: Katikireddi, S. V., Hilton, S., Bonell, C., and Bond, L.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Public Health
Journal Name:PLoS ONE
Publisher:Public Library of Science
ISSN (Online):1932-6203
Copyright Holders:Copyright © 2014 The Authors
First Published:First published in PLoS One 9(3):e91185
Publisher Policy:Reproduced under a Creative Commons License
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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
656591Evaluating the Health Effects of Social InterventionsMatthew EganMedical Research Council (MRC)MC_UU_12017/4IHW - MRC/CSO SPHU
656611Understanding and Use of Public Health ResearchShona HiltonMedical Research Council (MRC)MC_UU_12017/6IHW - MRC/CSO SPHU