On Health Policy and Management (HPAM): Mind the Theory-Policy-Practice Gap

Document Type : Perspective

Authors

1 Hebrew University-Hadassah, Jerusalem, Israel

2 Wagner 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”

            Abstract | PDF

  • An American Plague: Pro-Market Believers in Health Policy; Comment on “On Health Policy and Management (HPAM): Mind the Theory-Policypractice Gap”

            Abstract | PDF

 

Authors’ Response to the Commentaries

  • The Health Policy and Management (HPAM) Gap- From Diagnosis to Prescription: A Response to Recent Commentaries

            Abstract | PDF

 

 

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Main Subjects

References

  1. Weil AR. The winding path to effective policy. Health Aff (Millwood) 2014; 33: 1310. doi: 10.1377/hlthaff.2014.0799
  2. Rittel H, Webber M. Dilemmas in a General Theory of Planning. Policy Sci 1973;4: 155-69. doi: 10.1007/bf01405730
  3. Porter ME, Lee TH. Why Health Care is Stuck- And How to Fix It [internet]. [updated 2013 Sept 17]. NEMJ/HBR Blog Network. Available from:https://hbr.org/2013/09/why-health-care-is-stuck-and-how-to-fix-it/
  4. 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
  5. Arrow KJ. Uncertainty and the Welfare Economics of Medical Care. Am Econ Rev 1963; 53: 941–73.
  6. Hirschman AO. Exit, Voice, and Loyalty: Responses to Declines in Firms, Organizations, and States. Cambridge, MA: Harvard University Press; 2013.
  7. 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
  8. Berenson RA, Pronovost PJ, Krumholz HM. Achieving the Potential of Health Care Performance Measures [internet]. Urban Institute. 2013. Available from: http://www.rwjf.org/en/research-publications/find-rwjf-research/2013/05/achieving-the-potential-of-health-care-performance-measures.html
  9. Wennberg JE. Dealing with Medical Practice Variations: A Proposal for Action. Health Aff (Millwood) 1984; 3: 6-32. doi: 10.1377/hlthaff.3.2.6

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History

  • Received Date: 28 September 2014
  • Revised Date: 30 October 2014
  • Accepted Date: 09 November 2014
  • First Published Date: 01 December 2014

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