ABSTRACT Understanding what drives broad, system change is fundamental, as societies seek to adapt to challenges. We highlight the role that policy entrepreneurs can play as catalysts of such change by linking micro-level strategies and broad, system change which remains understudied. Applying a historical perspective, we analyse the adoption of social health insurance programs in India to identify the role played by policy entrepreneurs in driving the adoption of these programs, even as broader structural and institutional factors established the context for policy change. Further analysis of this kind could advance knowledge of what drives broad, system change in other areas.

中文翻译：

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政策企业家是广泛制度变革的催化剂：印度采用社会医疗保险的案例

摘要随着社会寻求适应挑战，了解推动广泛发展的因素是系统变革的根本。我们通过将微观战略与广泛的，系统的变革联系在一起，强调了政策企业家在推动这种变革中所扮演的角色。从历史的角度来看，我们分析了印度采用社会健康保险计划的情况，以确认政策企业家在推动采用这些计划的过程中所扮演的角色，即使更广泛的结构和制度因素为政策变革奠定了基础。对这种类型的进一步分析可以增进对推动其他领域广泛的系统变化的知识。