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Research
Chau-kiu Cheung
Abstract Public policies can be effective in raising people's social inclusion as intended
only reasonably through their implementation. With respect to the implementation per
spective, this study examines the effectiveness of eight policies as perceived to implement
in Hong Kong, China. The study employs data collected from 1,109 Chinese adults ran
domly sampled in a telephone survey. Results showed that perceived implementation of
three of the policies, concerning elderly healthcare, civic education policy, and social
enterprise, induced significant positive effects on social inclusion that the adult experi
enced. These effects represent externalities created by the policies, such that the policies
are helpful to people other than those targeted. Furthermore, the study identified some
background conditions, such as certain target and disadvantaged groups, for enhancing the
effectiveness of the policy implementation.
1 Introduction
C. Cheung (13)
Department of Applied Social Studies, City University of Hong Kong, Kowloon Tong,
Hong Kong, China
e-mail: ssjacky@cityu.edu.hk
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facilities in socie
Because of the
families, cultur
order to enhanc
policies are to r
different strata
way through the
and individuals a
inherent in the
public policies ta
are to affect the
Such effects, n
Demonstrating t
study, stationed
the effectivene
tiveness is desir
policy making i
inclusion from
The study is to
Hong Kong in 2
refers to sociali
Kong. It relies o
people also indic
The policies are
families, food a
Kong. These pol
Kong, with an
Accordingly, th
Kong, which is
its autonomous
international re
authoritative di
Public policies f
other industria
development ar
lems (Hülse and
multiple aspects
so on (Bask 200
poverty and ec
tackling social
tribution and so
more than econ
welfare, in line
Therefore, vitali
of free
a choice
neoliberal orien
engagement in
which generate e
2001). Paradoxic
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2 Policy Effectiveness
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Cultural zone 0 0 0 0
Sport 0 0 0 0
Social enterprise + 0 + 0
Happy family 0 + + 0
Food aid 0 + + +
Vaccination 0 + + +
Civic education + 0 0 0
+: effective, 0: ineffective
Springer
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marginalized in t
inclusive goals (
enhancing access
also contributes
inclusion. Becau
people's trust to
for social enterp
Hong Kong and
support from th
it usually adher
thus appears to b
advocacy coalitio
the spirit of soc
making and pers
and consumption
the choosy popu
reference to rati
effectiveness, as
enterprise also r
fraudulent pract
The policy of h
mobilizes commu
its focus on the
necessary for th
springs from th
violence, inept pa
community resou
of the policy is t
members. Facilita
families is the m
community care
family policy is
employment, gi
In the happy fam
not a major goal
resources specif
basis are not clea
though the policy
light of advocac
consistency wit
(Ho et al. 2005). E
of the extended
vention into the
of rational choic
its attraction of
various social ser
weaken the effe
The food aid po
inclusion of poo
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The elderly healthcare voucher policy is to provide vouchers to older adults' use of
private practitioners' healthcare services. This policy aims to raise the social inclusion of
older adults by sponsoring their access to healthcare services. The underlying condition is
that older adults suffer in healthcare due to their financial and health difficulties (Dwyer
and Hardill 2011). In Hong Kong, private healthcare services tend to have better quality
than are public ones, which at least require longer waiting time. The voucher policy
therefore enables older adults to access more expensive and better healthcare services.
Besides, the healthcare policy represents an important measure to lever social inclusion by
enhancing caring in society (Glendinning 2008). Importantly, the voucher policy is com
patible with the neoliberal preference for consumer choice and control and rendering
quality services. In terms of social impact theory, the policy does not seem to exert an
immense impact, as it only directly benefits older adults with financial means. Healthcare
for older adults also does not usually embody social inclusion in a sense broader than
personal care. In terms of advocacy coalition theory, the elderly healthcare voucher policy
would be effective due to the traditional virtue of respecting and caring for older people in
Chinese and Hong Kong cultures (Ho et al. 2006). Facilitating healthcare for older adults
therefore would get public support in the cause of social inclusion. The policy relies on
implementation by private healthcare practitioners, who would compete in a way to
optimize the effectiveness of their services and thereby the voucher policy. As such, older
adults would access quality healthcare intended by the social inclusion policy.
The vaccination policy is to provide free vaccination to children and older adults to
prevent various epidemics from afflicting these people. This is a policy to enhance social
inclusion by expediting these people's access to preventive healthcare. The policy again
realizes social inclusion through caring for vulnerable people (Glendinning 2008). This is
because health and health services are essential criteria for social inclusion (Nederveen
Pieterse 2010). The social impact of the policy, nevertheless, is limited, because the policy
benefits people selectively and temporarily. Such preventive healthcare is mainly a form of
personal care, without gathering people for the cause of social inclusion. The policy is
therefore not directly relevant to people who do not receive the free vaccination. Social
impact theory would then anticipate a low level of effectiveness for the policy to raise
social inclusion. In terms of advocacy coalition, the policy would be effective because of
its consistency with the value to take care of vulnerable people. That is, Hong Kong people
generally endorse caring for children and older adults and public support for healthcare
(Lai and Tao 2006). According to rational choice theory, the vaccination policy would be
effective because its implementation goes through both public and private channels of
Çà Springer
healthcare. That
public or privat
simplest healthc
achieve its goal
The policy of c
and national ed
strengthening o
thereby aims at
Mainland China.
among students
by public fundin
primary target
crucial driver f
one, resources e
because education
individuals with
parents around
education would
of social inclusi
impact theory.
theory. This is b
Kong, when a nu
2007; Zheng and
from China (Es
education policy
support for the
appreciable, as v
not expect the c
centralized and
3 Differential P
The effectivene
teristics, just as
Two possible way
the effectiveness
of policy and soc
policy would be g
Second, the effec
disadvantaged, a
concern for pub
policy is also fai
Rawls 1999). On
unlikely a sacrif
valuable and ind
that both the p
ory explains the
that the person
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Interactive Age Residency Educ. Non-religious Adults Never Wealth Prior social
predictor married inclusion
N+ N- S+ N- S- N+ N- N+ N- N
S- N+ N- S+ N- N+ N- N+ S+ N- N
Enterprise S+ N+ S— N— S- N— N+ N— N+ S- N— S— N—
S+ N+ S- N- S- N- N+ S- N- S- N+ S- N- S- N
S+ N+ S- N- S- N- N+ N- N+ S- N- N
S+ N+ N- N- N+ N- N+ N- N
S+ N+ N- N- N+ N- N+ N- N
N+ N- N- N+ N- S- N+ N- N
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lower in social
These people ju
social inclusio
Wojcieszak an
The above the
of the eight n
doubt, resort
there is no def
4 Methods
The empirical investigation relied on a survey of 1,109 Hong Kong Chinese residents
18 or above, in December of 2010. This survey approached residents in households
on randomly sampled residential telephone numbers extracted from telephone direc
covering Hong Kong. The respondents were randomly selected household membe
selected by the latest birthday method. This survey tried to contact the household mem
repeated until the completion of the survey interview, identification of the house
numbers as invalid, or rejection by the household members. Trained interviewers recr
from a local university conducted the survey interviews in weekday evenings. An inte
lasted for 12 min on average. The resultant response rate of 31.1 % based on 3,56
households contacted. Such a response rate was comparable favorably to other telep
surveys that did not use extra means to boost the response rate (Keeter et al. 2006).
somewhat favorable response might be attributable to the legitimacy of the survey as
conducted by the university to address current policies. In addition, the survey
questions in two differently randomized orderings in order to minimize the bias d
question order. The two orderings had roughly equal proportions of responses (55.5
44.5 %). The randomized ordering also reduced the risk that the response to one
depended on the response to the preceding item (Tourangeau et al. 2000).
In order to represent the adult population in Hong Kong better, a weighting proc
assigned weights to cases to even out the chance of selection and according to the
distribution of age and gender in Hong Kong. The former assigned a higher weigh
case sampled from a household with more adult members, whereas the latter assig
higher weight to a case that under-represented the joint distribution of age and ge
With the weighted data, the sample showed average years of 42.5 in age, 37.2 in reside
in Hong Kong, and 10.7 in formal education (see Table 3). In the weighted sample, 5
were female, 64.0 % married, 33.7 % never married, 68.5 % being employees, 28.3
working, 82.7 % being nonreligious, and 74.0 % being born in Hong Kong. Beside
15.1 % were in poor families, identified as those spending more than one-third of inco
on food (Joassart-Marcelli 2005; Lott and Bullock 2007). In addition, the survey inv
the following measures.
Awareness of policy implementation had eight items, each about one of the ei
policies for social inclusion, concerning the development or provision of the cultural z
sport, social enterprise, happy families, food aid, elderly healthcare vouchers, vaccinat
and civic education. Each item concerned the extent of awareness of implementa
during the 3 months preceding the survey. An example was, "how much were you
about the implementation of the policy of culture zone development?" Responses to
item were in five steps, with the lowest step (very little) generating a score of 0, s
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Variable Scoring M SD
step (rather little) a score of 25, third step (average) a score of 50, fourth step (rather a lot) a
score of 75, and highest step (very much) a score of 100.
Social inclusion experienced in society was a composite (i.e., factor score) of six items
to reflect the case both in the recent 3 months and in the first 6 months in 2010, with
reference to some sources (Boone and Leadbeater 2006; Phillips 2006). The six items were
Springer
"socializing wit
"socializing wit
isolated in socie
in five steps, w
little) a score of
75, and highest
latter three ite
on factor analy
3 months was .
Wealth was a c
income, family
ately high shar
Marcelli 2005; L
of wealth was .691.
Acquiescence was a control variable identified to minimize the bias due to the common
use of rating in social inclusion and policy implementation awareness (Fernando and
Lorenzo-Seva 2010). The variable was the average of all rating items, representing the
tendency to rate everything highly and indiscriminately.
Linear regression analysis was appropriate to analyze social inclusion, as social
inclusion showed a normal distribution (skewness = .231, kurtosis = —.048, Jarque-Bera
Normality test p value = .030 > .01). The analysis proceeded in five cumulative steps.
First, the regression analysis entered background characteristics to show their total effects,
without any mediation by policy implementation. Second, the analysis entered perceived
policy implementations found to be significant by a stepwise selection procedure to
highlight the effects of significant policy implementations. Third, the analysis entered all
perceived policy implementations to observe the unique effects of the implementations.
Fourth, the analysis entered earlier social inclusion to unfold changes in social inclusion
due to the policy implementations. This series of analysis displayed the effects of policy
implementation, controlling for different sets of factors. Fifth, the analysis separately
added each interaction between each perceived policy implementation and each back
ground characteristic to reveal the interaction effect.
Notably, gender, age, residency, education, religiousness, adults in the family, marital
status, wealth, employment status or social class, acquiescence, and the survey version and
survey time were background characteristics. They were important for both policy and
controlling purposes. Their impacts on social inclusion are plausible, in view of existing
research. Such research has shown that the experience of social inclusion is higher in the
male, older person, married person, person with longer residency, higher education, and
wealth (Backman and Nilsson 2011; Wojcieszak and Mutz 2009). Besides, awareness
about policy has appeared to be higher in people who are male, older, staying in the place
longer, and higher in education (Flutchings 2003). As common causes of both social
inclusion and policy awareness, background characteristics were reasonably control vari
ables to unveil the true effect of policy awareness on social inclusion experienced.
5 Results
Based on simple averaging, latest social inclusion experienced by Hong Kong Chinese w
at a modest level (M = 59.4, see Table 3). Earlier social inclusion in the first 6 months
2010 was at a similar level (M = 58.0). In contrast, awareness about implementation
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the inclusion of
Controlling for
implementations
positive changes
multicollinearit
Similarly, perce
played signific
analysis. The ef
tations into the
mentation of ha
inclusion. These
policy reduced s
the effect of th
social inclusion a
and latest socia
cultural zone dev
social inclusion
Perceived imple
significant posi
positive effects
In contrast, imp
a significant po
positive effects
that implementa
new arrival and
policy, which i
involved signific
with higher soc
policy manifest
implementation
social inclusion
significantly mo
Table 5 Additional a
social inclusion exp
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6 Discussion
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theories of im
implementatio
proposal for h
development h
and strong adv
unable to dem
family, food ai
appreciable so
invisible in mo
vaccination on
relevance to so
relevance to so
Moreover, fami
in raising socia
of the difficult
concomitant w
and happy fam
unintended am
needy and unha
weakened soci
Nevertheless,
different peop
impact theory,
relevant to th
effectiveness o
effectiveness o
of the happy f
household mem
would benefit
people would
cultural prefer
activities (Kat
would benefit
In addition, n
benefit more f
about the diffe
from the happ
social enterpris
benefit more f
benefit more f
inclusion earlie
However, som
and need fulfil
happy family p
benefit more f
the food aid p
vaccination po
need enjoy gre
favor of stren
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7 Further Research
Further research would do a more crucial job in verifying the relevance of imple
mentation theories to explanation for policy effectiveness in social inclusion advancement.
Accordingly, direct tests of the impacts of factors proposed in social impact theory,
advocacy coalition theory, rational choice theory, and other implementation theories are
necessary to justify the implementation impacts. To be obiective and rieornns such tests
Springer
would capitalize
data. More reve
theory, need fu
ditions for eac
building theory
dition is the di
they may benef
Conversely, wh
in return for th
building theory
an active and s
(Malekoff 2004
fulfillment the
8 Implications
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Acknowledgments The paper evolves from a research grant by the City University of Hong Kong (Project
number: 7002405).
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