eCite Digital Repository

A Recipe for Success: localism and bounded rationality in lobbying for radiation therapy services in North West Tasmania


West, S and Shannon, E and Crisp, E and Barnett, T, A Recipe for Success: localism and bounded rationality in lobbying for radiation therapy services in North West Tasmania, Asia Pacific Journal of Health Management, 12, (3) pp. 11-15. ISSN 1833-3818 (2017) [Refereed Article]

Restricted - Request a copy

Copyright Statement

Copyright 2017 Australasian College of Health Service Management (ACHSM)

Official URL:

DOI: doi:10.24083/apjhm.2017.002


Objective: Describes where bounded rationality and localism are evident in the debate over the introduction of radiation therapy services in North West Tasmania and how this affected the delivery of the message from each side.

Design: Semi-structured interviews with stakeholders and patients/family over an eight month period in 2016 are contrasted with viewpoints identified via document analysis.

Setting: North West Tasmania.

Main Outcome Measures: The mechanisms for policy change and the policy beliefs of each side are examined with the intention of understanding how bounded rationality and a sense of localism can combine to effect policy change.

Results: In the instance of radiation therapy services in North West Tasmania, a policy debate was originally waged between medical professionals and policy makers opposed to a local service on one side and a handful of policy actors advocating for a local service on the other. Those in favour of a local radiation therapy service harnessed a sense of localism to project the perception of widespread community support for the proposal and secured funding commitments during the 2010 Federal Election campaign.

Conclusions: There is evidence of bounded rationality from both the stakeholder and patient groups, as well as a strong sentiment of localism expressed by patients and community advocates. Through understanding this particular case, health service managers can determine how to better time and target messages to the general public and to policy makers during periods of proposed changes to health services.

Item Details

Item Type:Refereed Article
Keywords:radiation therapy services, health services, health policy, health service management
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Rural and remote health services
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Health policy evaluation
UTAS Author:West, S (Dr Sancia West)
UTAS Author:Shannon, E (Dr Elizabeth Shannon)
UTAS Author:Crisp, E (Dr Elaine Crisp)
UTAS Author:Barnett, T (Associate Professor Tony Barnett)
ID Code:123156
Year Published:2017
Web of Science® Times Cited:1
Deposited By:UTAS Centre for Rural Health
Deposited On:2017-12-19
Last Modified:2018-08-24

Repository Staff Only: item control page