health policy and management: in praise of political science; comment on “on health policy and management (hpam): mind the theory-policy practice gap”
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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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Health Policy and Management: In Praise of Political Science; Comment on “On Health Policy and Management (HPAM): Mind the Theory-Policy Practice Gap”
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 Chini...
full textOn Health Policy and Management (HPAM): Mind the Theory-Policy-Practice Gap
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 desi...
full texton health policy and management (hpam): mind the theory-policy-practice gap
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full textAn American Plague: Pro-Market Believers in Health Policy; Comment on “On Health Policy and Management (HPAM): Mind the Theory-Policypractice Gap”
Although American health policy debates address similar problems to other developed nations, it has factual and ideological specificities. I agree with Chinitz and Rodwin on the dominance of micro-economics thinking. However, I am not certain that learning from management theory or modifying medical education will be powerful enough to change the system. The vested interests of the stakeholders...
full textOn Health Policy and Management (HPAM): mind the theory-policy-practice gap.
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 desi...
full textAn American plague: Pro-market believers in health policy: Comment on "On Health Policy and Management (HPAM): mind the theory-policy-practice gap".
Although American health policy debates address similar problems to other developed nations, it has factual and ideological specificities. I agree with Chinitz and Rodwin on the dominance of micro-economics thinking. However, I am not certain that learning from management theory or modifying medical education will be powerful enough to change the system. The vested interests of the stakeholders...
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Journal title:
international journal of health policy and managementPublisher: kerman university of medical sciences
ISSN
volume 4
issue 6 2015
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