On Health Policy and Management (HPAM)

Mind the theory-policy-practice gap

David P. Chinitz, Victor G. Rodwin

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)361-363
Number of pages3
JournalInternational Journal of Health Policy and Management
Volume3
Issue number7
DOIs
StatePublished - 2014

Fingerprint

Theory of Mind
Health Policy
Systems Analysis
Delivery of Health Care
Urban Health
Policy Making
Medical Students
Ethics
Professional Practice Gaps
Learning

Keywords

  • Health management theory
  • Health policy
  • Medical education

ASJC Scopus subject areas

  • Health Policy

Cite this

On Health Policy and Management (HPAM) : Mind the theory-policy-practice gap. / Chinitz, David P.; Rodwin, Victor G.

In: International Journal of Health Policy and Management, Vol. 3, No. 7, 2014, p. 361-363.

Research output: Contribution to journalArticle

@article{ba3144db65cc473b8e48b5ab266dc957,
title = "On Health Policy and Management (HPAM): Mind the theory-policy-practice gap",
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",
author = "Chinitz, {David P.} and Rodwin, {Victor G.}",
year = "2014",
doi = "10.15171/ijhpm.2014.122",
language = "English (US)",
volume = "3",
pages = "361--363",
journal = "International Journal of Health Policy and Management",
issn = "2322-5939",
publisher = "Kerman University of Medical Science",
number = "7",

}

TY - JOUR

T1 - On Health Policy and Management (HPAM)

T2 - Mind the theory-policy-practice gap

AU - Chinitz, David P.

AU - Rodwin, Victor G.

PY - 2014

Y1 - 2014

N2 - 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.

AB - 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.

KW - Health management theory

KW - Health policy

KW - Medical education

UR - http://www.scopus.com/inward/record.url?scp=85002131903&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85002131903&partnerID=8YFLogxK

U2 - 10.15171/ijhpm.2014.122

DO - 10.15171/ijhpm.2014.122

M3 - Article

VL - 3

SP - 361

EP - 363

JO - International Journal of Health Policy and Management

JF - International Journal of Health Policy and Management

SN - 2322-5939

IS - 7

ER -