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Introduction to
Health Policy
Analysis
DR. KARLYN G. EMILE
SAC360 PUBLIC POLICY AND ADVOCACY
What Is Policy Analysis?
 The systematic examination of a policy problem
from the perspective of a particular stakeholder
with the purpose of helping an
individual/organization/group make a choice
that is reflective of the values of the stakeholder
and the practical and political realities.
What is Policy Analysis?
Subjective
+
Objective
Why Health Policy
Analysis?
Should action be taken to address
a given problem?
If so, what type of action?
Core Elements of a
Policy Analysis
Problem statement/Issue
statement
Background
Landscape
Options
Recommendation
Problem Statement
List of policy issues provided!
Broad or narrow?
What recommendations would you
advise?
Background
Detailed description of the problem
Provides fact base
Summarize evidence
Determine magnitude of the
problem
Why is this important?
Background-Cont’d
 Is the problem changing?
Historical trends?
Future projections?
 Who is affected?
Populations
Geography (national, state, city)
Affected equally?
https://www.youtube.com/watch?v=ipm5Bk10Fio
Example of Public Policy
Process
Landscape
“Tries to diagnose the problem”
 Identify stakeholders
Who’s affected and how? e.g. groups,
organizations, individuals
 Clarify the political landscape
Politically charged? Divisive?
 Provide economic context
Economic causes? Cost of a solution?
Cost of inaction?
Landscape
 Describe social context
Equity
Ethical/moral concerns
 Legal context/considerations
 Administrative feasibility
Teitelbaum & Wilensky, Ch 10, The Art of Structuring and Writing a Health Policy Analysis
Options
Identify evaluation criteria
Identify options (potential solutions)
Evaluate
Justify your final recommendation
Options-Cont’d
 Potential evaluation criteria
 Net benefit
 Cost
 Equity
 Administrative ease
 Legality
 Political feasibility
 Social acceptability
 How do you measure these?
 You may not be able to..high/medium/low, $$$-$
Options-Cont’d
 In identifying options
Be creative
Do some research
We want you to think!
Some typical options: education, mandates,
taxation, subsidies..
 In evaluating options, consider building a
chart/grid for side-by-side comparisons
Recommendation
 Choose a single option
May be a combination of options, but
needs to have been presented &
evaluated as a combination
Why is this the best course of action?
“Analysis not advocacy”
Approved Research Policy
Issues for Policy Analysis Paper
 Abortion Rights
 Immigration Reform
 Regulation of Opioids
 Gun Control
 Homelessness

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SAC410 Intro

  • 1. Introduction to Health Policy Analysis DR. KARLYN G. EMILE SAC360 PUBLIC POLICY AND ADVOCACY
  • 2. What Is Policy Analysis?  The systematic examination of a policy problem from the perspective of a particular stakeholder with the purpose of helping an individual/organization/group make a choice that is reflective of the values of the stakeholder and the practical and political realities.
  • 3. What is Policy Analysis? Subjective + Objective
  • 4. Why Health Policy Analysis? Should action be taken to address a given problem? If so, what type of action?
  • 5. Core Elements of a Policy Analysis Problem statement/Issue statement Background Landscape Options Recommendation
  • 6. Problem Statement List of policy issues provided! Broad or narrow? What recommendations would you advise?
  • 7. Background Detailed description of the problem Provides fact base Summarize evidence Determine magnitude of the problem Why is this important?
  • 8. Background-Cont’d  Is the problem changing? Historical trends? Future projections?  Who is affected? Populations Geography (national, state, city) Affected equally?
  • 10. Landscape “Tries to diagnose the problem”  Identify stakeholders Who’s affected and how? e.g. groups, organizations, individuals  Clarify the political landscape Politically charged? Divisive?  Provide economic context Economic causes? Cost of a solution? Cost of inaction?
  • 11. Landscape  Describe social context Equity Ethical/moral concerns  Legal context/considerations  Administrative feasibility
  • 12. Teitelbaum & Wilensky, Ch 10, The Art of Structuring and Writing a Health Policy Analysis
  • 13. Options Identify evaluation criteria Identify options (potential solutions) Evaluate Justify your final recommendation
  • 14. Options-Cont’d  Potential evaluation criteria  Net benefit  Cost  Equity  Administrative ease  Legality  Political feasibility  Social acceptability  How do you measure these?  You may not be able to..high/medium/low, $$$-$
  • 15. Options-Cont’d  In identifying options Be creative Do some research We want you to think! Some typical options: education, mandates, taxation, subsidies..  In evaluating options, consider building a chart/grid for side-by-side comparisons
  • 16. Recommendation  Choose a single option May be a combination of options, but needs to have been presented & evaluated as a combination Why is this the best course of action? “Analysis not advocacy”
  • 17. Approved Research Policy Issues for Policy Analysis Paper  Abortion Rights  Immigration Reform  Regulation of Opioids  Gun Control  Homelessness

Editor's Notes

  1. The use of reason (informed by judgment, intuition), And evidence (informed by data, studies, precedent) to choose the best, most practical, most feasible policy, That considers the values and goals of your decision maker- e.g. Zika & CDC- they have a specified mandate, specified powers, limited budget and political realities, ala Ebola to confront
  2. Rational and political. Two contrasting models: Rational model: Politics and analysis should be separate; objective analysis can lead to a “correct” answer to a policy problem; politics inserted after analysis is completed. Political reason: “Reasoned analysis is necessarily political…always involves choices to include some things and exclude others and to view the world in a particular way….Policy analysis political argument, and vice versa.” (D.A. Stone. INFORMED ADVICE
  3. We’re all problem solvers. Important to remember that sometimes, the best action is inaction, which may sound crazy, but since most action is coming from the perspective of a governmental official/agency or recommending a specific course of action, makes more sense that not every problem can or should be solved by govt. If an action will be taken, what are the consequences, there are always, e.g. “death panels” we’ve decided that end of life care is an issue that cannot be regulated, or best action is inaction/private action… Why in this class? Apply concepts Go in depth (kind of) Consider alternative perspectives
  4. This is the methods section, there are a number of different frameworks once can use and this is one approach
  5. e.g cybersec- ransonmware & high profile cases, also small practices, small demand amounts ($17K Hollywood pres), possible underreporting
  6. Cybersecurity example. Is the problem changing, yes, example of data hostage programs. Growing. What about the increasing use of mobile technology? Drive to increasing pt engagement? Who’s affected? Everyone potentially? UCLA, MEDSTAR
  7. e.g. Would regulation place an undue burden on small groups that are already struggling? Potential for future litigation with a given course of action?
  8. Tx should naturally follow from your diagnosis in prior section! 3-5 options depending on scope of problem statement Do not propose options before completing analysis! Evaluation criteria are designed to make more deliberate, avoid “pet” options
  9. Not all criteria may be weighted equally depending on decision makers priorities and values
  10. Think about your vision of perfect world…how to get there? Remember, one option may be to do nothing..consider combinations of actions