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. 2014 Nov 11;3(7):361-3.
doi: 10.15171/ijhpm.2014.122. eCollection 2014 Dec.

On Health Policy and Management (HPAM): mind the theory-policy-practice gap

David P Chinitz  1 , Victor G Rodwin  2
Affiliations

On Health Policy and Management (HPAM): mind the theory-policy-practice gap

David P Chinitz et al. Int J Health Policy Manag. .

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.

Keywords: Health Management Theory; Health Policy; Medical Education.

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References

    1. Weil AR. The winding path to effective policy. Health Aff (Millwood) 2014;33:1310. doi: 10.1377/hlthaff.2014.0799. - DOI - PubMed
    1. Rittel H, Webber M. Dilemmas in a General Theory of Planning. Policy Sci. 1973;4:155–69. doi: 10.1007/bf01405730. - DOI
    1. 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/.
    1. 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. - DOI - PubMed
    1. Arrow KJ. Uncertainty and the Welfare Economics of Medical Care. Am Econ Rev. 1963;53:941–73.

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