Health Policy and Management: In Praise of Political Science; Comment on “On Health Policy and Management (HPAM): Mind the Theory-Policy Practice Gap”

Document Type: Commentary

Author

Centre for Public Policy and Health, School of Medicine, Pharmacy and Health, Durham University, Durham, UK

Abstract

Health systems have entered a third era embracing whole systems thinking and posing complex policy and management challenges. Understanding how such systems work and agreeing what needs to be put in place to enable them to undergo effective and sustainable change are more pressing issues than ever for policy-makers. The theory-policy-practice-gap and its four dimensions, as articulated by Chinitz and Rodwin, is acknowledged. It is suggested that insights derived from political science can both enrich our understanding of the gap and suggest what changes are needed to tackle the complex challenges facing health systems.

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Main Subjects


  1. Hunter DJ. Tackling the health divide in Europe: the role of the World Health Organisation. J Health Polit Policy Law 2012; 37: 867-78. doi. 10.1215/03616878-1672754 
  2. Halfon N, Long P, Chang DI, Hester J, Inkelas M, Rodgers A. Applying a 3.0 transformation framework to guide large-scale health system reform. Health Aff 2014; 33: 2003-11. doi: 10.1377/hlthaff.2014.0485
  3. Chinitz DP, Rodwin VG. On health policy and management (HPAM): mind the theory-policy-practice gap. Int J Health Policy Manag 2014; 3: 361-3. doi: 10.15171/ijhpm.2014.122
  4. Hood C. A public management for all seasons? Public Adm 1991; 69: 3-19.
  5. Greenhalgh T, Howick J, Maskrey N. Evidence based medicine: a movement in crisis? BMJ 2014; 348: g3725. doi: 10.1136/bmj.g3725
  6. HM Government. What works: evidence centres for social policy. London: Cabinet Office; 2013. Available from: https://www.gov.uk/government/uploads/system/             uploads/attachment_data/file/136227/What_Works_publication.pdf
  7. Hunter DJ. A response to Rudolf Klein: a battle may have been won but perhaps not the war. J Health Polit Policy Law 2013; 38: 871-77. doi. 10.1215/03616878-2210512
  8. Evans RG. Health care reform: who’s selling the market, and why? J Public Health Med 1997; 19: 45-9.
  9. Draca M. Institutional corruption? The revolving door in American and British politics. SMF-CAGE Global Perspectives Series: Paper 1. London: Social Market Foundation and Competitive Advantage in the Global Economy; 2014.  
  10. Blackler F. Chief executives and the modernisation of the English National Health Service. Leadership 2006; 2: 5-30.
  11. Virchow R. Quoted in Miller H. Medicine and Society. Oxford: Oxford University Press; 1973.
  12. de Leeuw E, Clavier C, Breton E. Health policy – why research it and how: health political science. Health Res Policy Syst 2014; 12: 55. doi: 10.1186/1478-4505-12-55
  13. Chapman J. System Failure: Why governments must learn to think differently. 2nd edition. London: Demos; 2004.
  14. Alford, RR. Health Care Politics. Chicago: Chicago University Press; 1975.
  15. Sabatier PA, Jenkins-Smith HC. Policy Change and Learning: an Advocacy Coalition Approach.  Boulder, Co: Westview; 1999.
  16. Hannaway CJ, Plsek P, Hunter DJ. Developing leadership and management for health. In: Hunter DJ, editor. Managing for Health. London: Routledge; 2007. p. 148-73.
  17. Hunter DJ. Leading for health and wellbeing: the need for a new paradigm. J Public Health 2009; 31: 202-4.