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Abstract/Syllabus:
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Introduction to Health Policy
Fall 2007
Staff
Instructor:
Gerard Anderson
Offered By
Department of Health Policy and Management
Description
Introduces the material covered in the Department of Health Policy and Management. Focuses on four substantive areas that form the analytic basis for many of the issues in Health Policy and Management. The areas are: (1) economics and financing, (2) need and demand, (3) politics/ethics/law, and (4) quality/effectiveness. Illustrates these issues using three specific policy issues: (1) injury, (2) medical care, and (3) public health preparedness.
Syllabus
Course Description
Introduces the material covered in the Department of Health Policy and Management. Focuses on four substantive areas that form the analytic basis for many of the issues in Health Policy and Management. The areas are: (1) economics and financing, (2) need and demand, (3) politics/ethics/law, and (4) quality/effectiveness. Illustrates these issues using three specific policy issues: (1) injury, (2) medical care, and (3) public health preparedness.
Course Objectives
The course will provide a framework for developing and analyzing a range of health policy issues. The course begins by introducing an approach for rationally analyzing any public health policy issue. Other models of the policy process are also presented.
Four analytic skills commonly used by policy makers are then introduced. The four skills are:
- Analyzing historical, political, ethical, and legal ramifications
- Assessing need and demand
- Examining economic and financial considerations
- Assessing existing programs and policies
The course will then apply these skills to examine three health policy issues in greater depth.
- Delivering medical care
- Injury prevention and trauma care
- Emergency preparedness
Readings
Required readings, in addition to suggested readings, are available for each module via the Readings page.
Course Requirements
The midterm exam (30% of finald grade) consists of short answer questions (not posted on OpenCourseWare) and a policy analysis paper (maximum of five pages). The short answer section tests students on definitions of key terms. For the midterm policy paper, students apply the policymaking framework to analyze a particular health policy issue. Students are given a choice of five different health policy issues.
The final exam (70% of final grade) consists of short answer questions (not posted on OpenCourseWare) and a policy analysis paper (maximum of ten pages). For the final policy analysis paper, students apply the framework and analytic methods presented in class on a policy issue of their own choosing.
Schedule
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| 1 |
What Public Health Policy Do You Want to Change? (Anderson) |
Lecture 1 |
| 2 |
Assessing Need and Demand for Health Care (Anderson) |
Lecture 2 |
| 3 |
Historical, Legal, and Ethical Perspectives on Public Health Policy (Anderson) |
Lecture 3 |
| 4 |
Economic and Financial Considerations in Health Policy (Anderson) |
Lecture 4 |
| 5 |
Evaluation and Assessment of Health Policy (Anderson) |
Lecture 5 |
| 6 |
Two Frequently Asked Questions (Anderson) |
Lecture 6 |
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| 7 |
Health Policy and the Delivery of Health Care: Case Study 1 (Weiner) |
Lecture 7 |
| 8 |
Health Policy and the Delivery of Health Care: Case Study 2 (Weiner) |
Lecture 8 |
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| 9 |
Setting the Stage: The Burden of Injury and Strategies for Intervention (MacKenzie) |
Lecture 9 |
| 10 |
How Did an Airbag Get Into My Steering Wheel: A Case Study in Injury Prevention Policy (Frattaroli) |
Lecture 10 |
| 11 |
Funding Trauma Centers: Using the Bardach Framework to Develop a Rational Policy (MacKenzie) |
Lecture 11 |
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| 12 |
Public Health Preparedness Policies: Pre-9/11 Policies (Burke) |
Lecture 12 (currently unavailable) |
| 13 |
Public Health Preparedness Policies: Post-9/11 Realities and Future Directions (Burke) |
Lecture 13 (currently unavailable) |
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Further Reading:
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Readings
Printer-Friendly Reading List, including optional readings.
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| What Public Health Policy Do You Want to Change? (Anderson) |
Institute of Medicine , Executive Summary of "The Future of Public Health in the 21 st Century" Washington , D.C: National Academies Press, November 2002).
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| Assessing Need and Demand for Health Care (Anderson) |
Eugene Bardach, A Practical Guide for Policy Analysis: The Eightfold Path to More Effective Problem Solving , Part 1 ( New York : Chatham House, 2000): pp. 1-46.
John Kingdon, Agendas, Alternatives, and Public Policies (New York: Harper Collins, 1995): Pgs 71-89.
Institute of Medicine , Executive Summary of "Insuring America's Health: Principles and Recommendations" (Washington , DC: National Academies Press), January 2004.
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| Historical, Legal, and Ethical Perspectives on Public Health Policy (Anderson) |
Lawrence Gostin, "A Theory and Definition of Public Health Law," in Conceptual Foundations of Public Health Law (Berkeley and Los Angeles , CA : University of California Press and the Milbank Memorial Fund):2001, pp. 3-23.
GF Anderson et al., "Doughnut Holes and Price Controls," Health Affairs Web Exclusive, July 21, 2004.
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| Economic and Financial Considerations in Health Policy (Anderson) |
Victor Fuchs, "Problems and Choices" in Who Shall Live? (New York: Basic Books, 1974): pp. 17-26.
Partnership for Solutions, "Chronic Conditions: Making the Case for Ongoing Care" Chartbook (Baltimore: Johns Hopkins University, 2002).
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| Evaluation and Assessment of Health Policy (Anderson) |
Leiyu Shi, "Conceptualizing Health Services," in Health Services Research Methods (New York: Delmar Learning, 1996): pp. 31-57.
JA Groner et al., "The Impact of a Brief Intervention on Maternal Smoking Behavior," Pediatrics Vol. 105, No. 1 Supplement (January 2000): pp. 267-271.
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| Two Frequently Asked Questions (Anderson) |
No Assigned Readings |
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| Health Policy and the Delivery of Health Care: Case Study 1 (Weiner) |
Starfield, B. "Basic concepts in population health and health care." Journal of Epidemiology and Community Health. 2001;55:452-454.
Black, N. "Evidence based policy: proceed with care." British Medical Journal 2001;323:275-279.
Dobrow M, Goel V, Upshur R. E. G. "Evidence- based health policy: context and utilisation." Social Science and Medicine 2004;58:207-217.
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| Health Policy and the Delivery of Health Care: Case Study 2 (Weiner) |
Owen D. "Analytic Tools for Public Health Decision Making." Medical Decision Making supplement 2002 [Sept- Oct]: S3-S10
Russell L, Siegel J, Daniels N, Gold M, Luce B, Mandelblatt, J. (1996). "Cost- Effectiveness Analysis as a Guide to Resource Allocation in Health: Role and Limitations." In M. Gold, J. Siegel, L. Russell, & M. Weinstein (Eds.), Cost Effectiveness in Health and Medicine (New York City, NY: Oxford University Press, 1996): pp. 3-24.
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| Setting the Stage: The Burden of Injury and Strategies for Intervention (MacKenzie) |
Segui-Gomez M, MacKenzie EJ. "Measuring the Public Health Impact of Injuries." Epidemiologic Reviews 2003;25:3-19.
Graham JD, Segui-Gomez M. "Economic Evaluation of Injury Control," in Rivara et al (Eds): Injury Control: A Guide to Research and Program Evaluation (Cambridge University Press, 2001).
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| How Did an Airbag Get Into My Steering Wheel: A Case Study in Injury Prevention Policy (Frattaroli) |
Teret SP. Brief of the American Public Health Association and the National Association for Public Health Policy re: Alexander Evers, Jr. et al vs. General Motors Corporation . November 21, 1984.
Thompson KM, Segui-Gomez M, Graham JD. "Validating Benefit and Cost Estimates: The Case of Airbag Regulation." Risk Analysis 2002;22:803-811.
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| Funding Trauma Centers: Using the Bardach Framework to Develop a Rational Policy (MacKenzie) |
MacKenzie FJ, Hoyt DB, Sacra JC, et al. "National Inventory of Hospital Trauma Centers." JAMA 2003;289:1515-1522.
Taheri PA, Butz DA, Lottenberg L, et al. "The Cost of Trauma Center Readiness." AM J Surg 2004;187:7-13.
Hackey BT. "The Politics of Trauma System Development." J Trauma 1995;39:1045-1053.
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| Public Health Preparedness Policies: Pre-9/11 Policies (Burke) |
Trust for America 's Health. Ready or Not? Protecting the Public's Health in the Age of Bioterrorism: Executive Summary. December, 2003.
Burke T. Letter from the Bioterrorism Working Group of the Advisory Committee to the Director, National Center for Environmental Health. August 2, 1999.
DFI International Government Services. Homeland Defense 2008 and Beyond. March 12, 2004.
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| Public Health Preparedness Policies: Post-9/11 Realities and Future Directions (Burke) |
World Trade Center Report: Executive Summary. 2003.
Center for Disease Control and Prevention. Psychological and Emotional Effects of the September 11 Attacks on the World Trade Center- Connecticut , New Jersey , and New York , 2001. MMWR 2002;51:784-786.
American Schools of Public Health Newsletter. New Study Calls for New Measures to Address the Decline in Confidence and Refocus Preparedness Efforts. August 27, 2004.
Klitzman S, Freudenberg N. Implications of the World Trade Center Attack for the Public Health and Health Care Infrastructures. AJPH. March, 2003: 400-406.
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