Policies that Succeed and Programs that Fail? Ambiguity, Conflict, and Crisis in Greek Higher Education

Why do some policies adopted by a wide margin fail to be implemented? Highlighting the role of policy entrepreneurial strategies within the Multiple Streams Approach (MSA), we examine the implementation of Greek higher education reform in 2011 to argue that when policies adversely affect the status quo, successful entrepreneurial strategies of issue-linkage and framing, side payments, and institutional rule manipulation are more likely to lead to implementation failure under conditions of crisis, centralized monopoly, and inconsistent political communication. The findings clarify MSA by specifying the conditions that increase the coupling strategies’ chances of success or failure and illuminate the role ambiguity and conflict play in policy reform and implementation

Reforms in health policy during the Greek bailout: what makes reform successful and why?

Despite consecutive MoUs (2010, 2012, 2015), Greek health reforms have been slow-moving with some successes and failures. Why did some reforms succeed while others failed to be implemented? Using the Multiple Streams Framework (MSF), this working paper presents evidence collected from interviews with health policy-related elites and stakeholders in Greece and traces the process of implementation to identify sticky points and configurations of pro- and anti-change coalitions. We hypothesise implementation outcomes are due to three factors: the strategies and power of the main non-state coalition partner (the medical profession), the size of resources needed for successful implementation, and the ability (or not) of government to mobilise public opinion. We examine three cases: the liberalisation of the pharmacy profession (successful implementation), family doctor reforms (partial implementation), and the referral system (mainly unsuccessful implementation). The working paper concludes with implications about policy implementation and practical lessons for policymakers considering possible implementation obstacles

Advancing the operationalization of national policy styles

While national policy styles have (re)gained academic attention in recent comparative public policy work, the concept still needs a widely accepted operationalization that can allow the collection and analysis of data across contexts while steering away from construct validity threats. We build on Tosun and Howlett's (2022) work and employ a mixed‐methods approach, which relies on exploratory factor analysis and hierarchical cluster analysis. We put forth an operationalization, using Bertelsmann's Sustainable Governance Indicators (SGI) as proxies, that achieves conceptual clarity and distinctiveness, informational robustness, and statistical power. Ultimately, we construct two composite indicators—mode of problem‐solving and inclusiveness—calculate them in 41 countries and present policy style classifications based on their combinations. We report the distribution of countries across four policy styles (administrative, managerial, accommodative, adversarial) and conclude with an analysis of the clusters, assessments of robustness, and comparison with other national policy style classification schemes

Assessing the effectiveness of public health interventions for Covid‐19 in Greece and Cyprus

In this article, we statistically examine the effectiveness of non-pharmaceutical interventions (NPIs) implemented by the national governments of Greece and Cyprus during 2020 to (a) limit the spread of the SARS-CoV-2 virus, and (b) mitigate the economic fallout brought about by the Covid-19 pandemic. Applying a modified health belief model, we hypothesize that behavioral outcomes at the policy level are a function of NPIs, perceived severity, and social context. We employ a Prais-Winsten estimation in 2-week averages and report panel-corrected standard errors to find that NPIs have clear, yet differential, effects on public health and the economy in terms of statistical significance and time lags. The study provides a critical framework to inform future interventions during emerging pandemics

Severity and pattern of injuries caused by Swiss wrestling (Schwingen): first retrospective study at a level I University Emergency Department in Switzerland

Background: This article addresses typical injury patterns related to the traditional Swiss folk wrestling, 'Schwingen'. This is a fight between two competitors with its own rules, grips and throws. A variety of injuries have been occasionally reported. The aim of this study was to characterise all cases of Schwingen injuries treated in the University Hospital of Bern from January 2006 to July 2016. Methods: To assess the frequency, type and outcome of Schwingen injuries, database search was performed of all inpatient and outpatient cases related to Schwingen that were admitted to Bern University Hospital from January 2006 to December 2016. Results: A total of 32 such patients could be identified. Apart from a single woman, all patients were male. 31 of the 32 players were Swiss. One patient was admitted to the intermediate care unit, eight patients underwent surgery, two were hospitalised for further treatment and two were given a plaster. 17 other patients were given medications such as painkillers. One was dismissed without further treatment and another one left the hospital on his own. Typical injury patterns varied from simple lesions to distortions and fractures as well as head injuries and other neurological complications. Conclusion: The majority of injuries caused by Schwingen are not life threatening. Nevertheless, there is always the potential of head injuries and neurological deficits. Apart from the economic loss due to treatment costs and sick leave, these injuries can be disabling for life. It should therefore be obligatory for all players to evaluate preventive measures

Transvaginal Ultrasound in Fertile Patients with Suspected Appendicitis: An Experience Report of Current Practice

Background. Transvaginal ultrasound (TVU) in female patients with acute right lower quadrant (RLQ) abdominal pain is time and infrastructure intensive and not always available. This study aims to evaluate the role of TVU in these patients. Methods. Retrospective analysis identified 224 female patients with RLQ pain and TVU. Results. TVU revealed an underlying pathology in 34 (15%) patients, necessitating a diagnostic laparoscopy in 12 patients. Six patients (2%) had a true gynaecological emergency. The remaining 23 patients did not require surgery. The other 190 patients with RLQ pain had a bland TVU; 127 (67%) were discharged, while 63 patients (33%) received a diagnostic laparoscopy. Conclusion. The incidence of true gynaecological emergencies requiring urgent surgical intervention is very low in our patient cohort. TVU is a helpful tool if performed by a physician who is well trained in TVU