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Policy Making

How does the external environment (stakeholders, regulations, accrediting agencies, etc.) affect the policymaking process? Please post references
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https://brainmass.com/health-sciences/topics-in-health-and-wellness/policy-making-129676
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Policymakers, national and international alike, face a rapidly changing external environment. A broad wave of economic and political liberalization around the world, together with rapid technological advances, continues to generate profound challenges for public institutions and bureaucrats. The public sector’s inability to adequately absorb and respond to these forces has led to two governance gaps that are evident in public-policy-making today.

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