Health policy analysis

Health policy analysis

Health policy analysis is the process of assessing and choosing among spending and resource alternatives that affect the health care system, public health system, or the health of the general public. Health policy analysis involves several steps: identifying or framing a problem; identifying who is affected (stakeholders); identifying and comparing the potential impact of different options for dealing with the problem; choosing among the options; implementing the chosen option(s); and evaluating the impact. The stakeholders can include government, private healthcare providers (e.g. hospitals, health plans, office-based clinicians), industry groups (e.g., pharmaceutical, biotechnology, and medical device manufacturers), professional associations, industry and trade associations, advocacy groups, and consumers.

History of health policy

Public health policy today

"'Relationship between health policies and health"'

Health care financing

Health care can be financed in combinations of four basic ways. Provision can be public or private. Finance can be public or private.

:A. Public Provision / Private Finance:B. Public Provision / Public Finance:C. Private Provision / Private Finance:D. Private Provision / Public Finance

A self-employed doctor working for the National Health Service is an example of private provision with public finance (D). A private hospital which is financed by private health insurance schemes is an example of private finance and provision (C). Private insurers can buy services from publicly owned hospitals (A) and finally health can be provided by publicly financed staff in publicly financed hospitals,(B) as in the Spanish National Health system. [Donaldson, c. & Gerard. K. Economics of Health Care Financing.London: Macmillan, 1993] Different systems may coexist in the same country.

Each means of financing of course has implications for efficiency and equity. A system can be progressive and so more equitable or regressive and less equitable. Transfers of wealth can be from the sick to the healthy or from rich to poor. There is a fundamental problem with direct payment or Fees for Service (FFS) systems in that if you are ill you are often unable to work and earn the money needed to pay for treatment.

*Health insurance
**Single Payer
**Employer Based Coverage
**Mixed financing systems.

It is debatable which type of financing is best. However, one study [Glied, Sherry A. [ "Health Care Financing, Efficiency, and Equity."] "National Bureau of Economic Research," March 2008. Accessed March 20th, 2008. ] based on data from the OECD concluded that all types of health care finance "are compatible with" an efficient health care system. The study also found no relationship between financing and cost control.

Delivery system

Health informatics or medical informatics is the intersection of information science, medicine and health care. It deals with the resources, devices and methods required to optimize the acquisition, storage, retrieval and use of information in health and biomedicine. Health informatics tools include not only computers but also clinical guidelines, formal medical terminologies, and information and communication systems.

Policy concerns regarding informatics include those of information privacy (see HIPAA), contagious disease tracking, and disaster management.

Healthcare disparities

Health disparities refer to gaps in the quality of health and health care across racial and ethnic groups. The Health Resources and Services Administration defines health disparities as "population-specific differences in the presence of disease, health outcomes, or access to health care."

ee also

*Health economics
*Globalization and health
*Health services research
*Healthcare reform
*Health care reform in the United States
*Health insurance
*Managed care
*Institute of Medicine
*Public health
*Public health law
*Journal of Health Care for the Poor and Underserved

General References

* [ WHO Definition of Health] Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, 1946
*Control of Communicable Diseases Manual edited by James B. Chin, APHA, 2000
*Encyclopedia of public health edited by Lester Breslow, Macmillan Reference 2002
*Munger, Michael C. "Analyzing Policy: Choices, Conflicts, and Practices." New York: Norton, 2000.
*Donaldson, c. & Gerard. K. Economics of Health Care Financing.London: Macmillan, 1993.
*Navarro, Vincente, "The Politics of Health Policy: The U.S. Reforms, 1980-1994", Blackwell Publishing, 1994. ISBN 1557863180
* James A. Morone, Theodor J. Litman, Leonard S. Robins: "Health Politics and Policy", Delmar Learning, 2006, ISBN 1418014281

pecific references

Wikimedia Foundation. 2010.

Поможем решить контрольную работу

Look at other dictionaries:

  • National Center for Policy Analysis — Abbreviation NCPA Motto Ideas Changing the World Formation 1983 …   Wikipedia

  • Office of Program Policy Analysis and Government Accountability — Agency overview Formed July 1, 1994 Headquarters 111 West Madison Street, Suite 312 Tallahassee, Florida 32399 1475 Agency executive Philip Tw …   Wikipedia

  • Health economics — For the journal, see Health Economics. Economics …   Wikipedia

  • Health care reform debate in the United States — See also: Health care reform in the United States, Health care in the United States, and Uninsured in the United States Health care in the United States Public health care Federal Employees Health Benefits Program Indian Health Service… …   Wikipedia

  • Health care reform in the United States — ] Current estimates put U.S. health care spending at approximately 16% of GDP. [ NHE Fact Sheet.asp#TopOfPage National Health Expenditure Data: NHE Fact Sheet, ] Centers for Medicare and Medicaid… …   Wikipedia

  • Health care reform — This article is about political movements affecting the delivery of health care and health care systems. For more information about movements to improve health, see Health reform. Health care reform is a general rubric used for discussing major… …   Wikipedia

  • Health psychology — is concerned with understanding how biology, behavior, and social context influence health and illness. Health psychologists work alongside other medical professionals in clinical settings, teach at universities, and conduct research. Although… …   Wikipedia

  • Health and intelligence — are two closely related aspects of human well being. The impact of health on intelligence is one of the most important factors in understanding human group differences in IQ test scores and other measures of cognitive ability. Several factors can …   Wikipedia

  • Health disparities — (also called healthcare inequality in some countries) refer to gaps in the quality of health and health care across racial (see Race and health), ethnic, and socioeconomic groups. [U.S. Department of Health and Human Services (HHS), Healthy… …   Wikipedia

  • Health care provider — A health care provider is an individual or an institution that provides preventive, curative, promotional or rehabilitative health care services in a systematic way to individuals, families or communities. An individual health care provider (also …   Wikipedia

Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”