DTA

Corso Ordinario Secondo Livello

DI PALMA, ANNA

etd-10282022-155016

A Renewed Multi-level Health Governance in Europe? A Focus on COVID-19 Vaccines

Cl. Sc. Sociali - Scienze Politiche

SCIENZE POLITICHE - SCIENZE POLITICHE

Tutor Prof. BRESSANELLI, Edoardo
Relatore Prof. NATALI, DAVID
Presidente Prof.ssa LORETONI, ANNA
Membro Prof. DE GUTTRY, ANDREAS M.T.
Membro Prof.ssa HENRY, BARBARA
Membro Prof.ssa CAPONE, FRANCESCA
Membro Prof.ssa ALABRESE, MARIAGRAZIA
Membro Prof. STRAZZARI, FRANCESCO

• EU
• Italy
• multi-level health governance
• vaccines
• WHO

30/11/2022;

completa

The work examines whether, and to what extent, COVID-19 has changed multi-level health governance in Europe, with a specific focus of vaccines’ joint procurement. It does so by drawing from the theoretical lenses of historical institutionalism (HI) combined with the conceptual framework of health governance. Chapter 1 provides the conceptual and theoretical framework: the lenses of HI are chosen because they offer some interesting insights on the role of exogenous shocks in institutional change, and fill the void of the absence of a theory of change in the governance framework. On its part, this latter provides a panoramic view on the “dependent variables”, namely the units of analysis on which change caused by the “independent variable”, i.e. COVID-19, is assessed. As Chapter 3 draws in the methodological section, units of analysis are grouped into five categories: i. modes of governance; ii. rules of governance; iii. actors; iv. instrument; v. allocation of authority. Far from conferring the degree of change, which should be estimated in following years, the work rather estimates the directions of change of health governance during COVID-19. The global, European and national geographical levels are jointly examined, and respectively focus on the role of the World Health Organization (WHO), the European Union and the Italian case. Chapter 2 defines the research design and methodology, which is qualitative and exploratory, and draws from publicly available material and unstructured interviews. It combines deductive and inductive reasoning, as while the impact of COVID-19 is hypothesized, directions of change are empirically observed. Chapter 3, 4 and 5 respectively evaluate the impact of COVID-19 on global, European and Italian health governance in a specular way: after having provided an historical evolution of diseases outbreaks’ history, the management of COVID-19 is chronologically examined at each level from December 2019 to November 2022, with a specific focus on vaccines’ strategies, and results are discussed alongside the five categories in a final section. Conclusions follow.

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