Hebrew University-Hadassah, Jerusalem, Israel.
Wagner School of Public Service, New York University, New York, NY, USA.
Int J Health Policy Manag. 2014 Nov 11;3(7):361-3. doi: 10.15171/ijhpm.2014.122. eCollection 2014 Dec.
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.
我们认为，卫生政策和管理（HPAM）领域应该正视理论、政策和实践之间的差距。尽管人们一直在努力改革医疗保健系统，但概念上的障碍相当大，反映了理论-政策-实践之间的差距。我们强调差距的四个方面：1）微观经济思维在卫生政策分析和设计中的主导地位；2）缺乏从管理理论和比较案例研究中学习；3）HPAM 与医疗保健的基层人员相分离；4）未能让医学生接触卫生政策和管理问题。最后，我们提出了一些建议，通过采用更广泛的视角，例如伦理学、城市卫生、系统分析和对医疗保健系统的跨国分析，重新思考卫生政策和管理领域。
