Chinitz, D., Rodwin, V. (2014). On Health Policy and Management (HPAM): Mind the Theory-Policy-Practice Gap. International Journal of Health Policy and Management, 3(7), 361-363. doi: 10.15171/ijhpm.2014.122
David Chinitz; Victor G Rodwin. "On Health Policy and Management (HPAM): Mind the Theory-Policy-Practice Gap". International Journal of Health Policy and Management, 3, 7, 2014, 361-363. doi: 10.15171/ijhpm.2014.122
Chinitz, D., Rodwin, V. (2014). 'On Health Policy and Management (HPAM): Mind the Theory-Policy-Practice Gap', International Journal of Health Policy and Management, 3(7), pp. 361-363. doi: 10.15171/ijhpm.2014.122
Chinitz, D., Rodwin, V. On Health Policy and Management (HPAM): Mind the Theory-Policy-Practice Gap. International Journal of Health Policy and Management, 2014; 3(7): 361-363. doi: 10.15171/ijhpm.2014.122
On Health Policy and Management (HPAM): Mind the Theory-Policy-Practice Gap
2Wagner School of Public Service, New York University, New York, NY, USA
Abstract
We argue that the field of Health Policy and Management (HPAM) ought to confront the gap between theory, policy, and practice. Although there are perennial efforts to reform healthcare systems, the conceptual barriers are considerable and reflect the theory-policy-practice gap. We highlight four dimensions of the gap: 1) the dominance of microeconomic thinking in health policy analysis and design; 2) the lack of learning from management theory and comparative case studies; 3) the separation of HPAM from the rank and file of healthcare; and 4) the failure to expose medical students to issues of HPAM. We conclude with suggestions for rethinking the field of HPAM by embracing broader perspectives, e.g. ethics, urban health, systems analysis and cross-national analyses of healthcare systems.
Highlights
Commentaries Published on this Paper
Health Policy and Management: In Praise of Political Science; Comment on “On Health Policy and Management (HPAM): Mind the Theory-Policy Practice Gap”
Chinitz D, Rodwin VG. What passes and fails as health policy and management. J Health Polit Policy Law 2014; 39: 1113-26. doi: 10.1215/03616878-2813719
Arrow KJ. Uncertainty and the Welfare Economics of Medical Care. Am Econ Rev 1963; 53: 941–73.
Hirschman AO. Exit, Voice, and Loyalty: Responses to Declines in Firms, Organizations, and States. Cambridge, MA: Harvard University Press; 2013.
Dixon J, Chantler C, Billings J. Competition on outcomes and physician leadership are not enough to reform health care. JAMA 2007; 298: 1445-7. doi: 10.1001/jama.298.12.1445
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