Public-Private-People Participation

Transcription

1 Trends Training for Health Policy & Management in Asia PHUA Kai Hong AB cum laude SM(Harvard), PhD(LSE) Lee Kuan Yew School of Public Policy The University s Participation with Public Health Stakeholders Government University Business Civil Society Public-Private-People Participation Health and Primary Care 1

2 Roles of Universities in Health Policy & Management Teaching training and education of professionals - managers and policy-makers, certification and credentialing, pedagogical methods & curricula Research health systems and policy analysis - methodology, experimental trials, evaluation Service appointments ( joint, adjunct, advisory), consultancy, knowledge broking, clearinghouse, reference centre, repository, libraries, data sources Societal authority, legitimacy, cultural symbol, intellectual leadership, status and independence Multi- and Inter-Disciplinary Training in Health Policy & Management Public Health Public Policy Epidemiology/Biostatistics Public Administration Environmental Health Law and Government Nutrition Public Economics Maternal & Child Health Public Finance Health Education Management Science Medical Sociology Political Science Ethics & Legislation International Relations International Health Development Studies Health Policy & Management Health Systems/Services Research Healthcare Management/Administration Health Economics/Financing Health and Primary Care 2

3 Training in Health Policy & Management: Towards Strengthening Health Systems To develop elop scientifically sound, socially relevant and ethically acceptable standards for more effective, efficient, equitable and sustainable health systems To share innovative and workable solutions in health systems development related to improving access, cost and quality Role of Public Health Research Training: Evidence for Health Policy & Management To provide training in evidence-based health policy and management To conduct useful research and evaluate the evidence for policy-making To support policy-makers with relevant information that can help them to make better and rational choices Health and Primary Care 3

4 Policy-makers are from Mars and Researchers are from Venus! Different focus Different training Different time scales Different aims and objectives Different rewards and motivation Different values, processes and outcomes Health policy studies to provide the bridge and travel between the two galaxies.. Training for Evidence-based Policy or Policy-based Evidence? Conducive environment for evidence ideological values aligned with scientific Credibility and track record of academic institutions, teachers and researchers Commitment and mutual trust between policy-makers and academics Timeliness/costs of academic studies Political sensitivities and contexts Health and Primary Care 4

5 Evidence for Health Policy & Management? There is nothing a politician likes so little as to be well-informed, it makes decisionmaking so complex and difficult - John Maynard Keynes There is nothing a manager likes so much as to be well-informed, it makes decision- making (and control) so simple and easy! - Kai Hong Phua Roles of Public Health Institutions in Evidence-based Policy & Management Produce information conduct research, collect, analyze and synthesize evidence Communicate evidence dissemination or publication, media/pr, social marketing Build capacity train policy researchers, broker knowledge transfer and partnerships Promote/advocate t policy and action - engage with stakeholders/policy-makers - monitor take-up by policy-makers - evaluate policy implementation Health and Primary Care 5

6 Health Policy & Systems Studies: Selected Regional Collaborative Networks World Health Organization Alliance for Health Systems and Policy Research WHO Observatory for Health Systems and Policy Regional Networks Asia Pacific Academic Consortium for Public Health (APACPH) Asia-Pacific Health Economics Network (APHEN) A-P National Health Accounts Network (APNHAN) Asian Health Systems Reform Network(DRAGONET) Asia-Pacific Rim Universities (APRU) World Institute AWI Public Health Research Collaboration EVIPNet Asia Steering Group Health Policy and Systems Research: Regional Studies in Asia Healy J, Maxwell J, Phua KH and Lin V, 2007 Responding to Requests for Information on Health Systems from Policy Makers in Asian Countries, Alliance for Health Policy & Systems Research, WHO: Geneva Comparative study of 7 ASEAN countries + China - health policy-makers (demand) - health policy & systems research centres (supply) Review models of health knowledge networks Propose options for an Asian Regional Observatory for Health Policy and Systems Research, to support national health systems research and training Health and Primary Care 6

7 Health Policy & Management Training at the National University of Singapore NUS Medical School Department of Epidemiology & Public Health - MPH Program and Short Courses Duke-NUS Graduate Medical School Department of Health Services Research - PhD in Health Services Research (planned) NUS Business School - MBA (Health Care Management specialization) - Executive Programs in Hospital Management Lee Kuan Yew School of Public Policy - MPP/MPA Electives in Health & Public Policy - Executive Education Programs in Health Policy - PhD in Public Policy (Health Policy specialization) New Topics in Health Policy & Management Health Policy/Systems Analysis Health Systems/Services Research (HSR) Health Technology Assessment (HTA) Health Economics/Financing/Economic Evaluation Health Care Management - Strategic Planning/Leadership Development - Organizational Behaviour - Human Resource Management - Financial Management/Accounting - (Social) Marketing/Health Promotion -Management Information Systems (MIS) - Total Quality Management (TQM)/Quality Assurance (QA) Health Governance - Public Values and Ethics - Corporate Social Responsibility (CSR) - Public-Private Private Participation (PPP) - Civil Society Engagement Health and Primary Care 7

8 Public Policy Tools for Transforming Health Policy and Management? Decision-Making Models - Rational Action - Organizational Processes - Bureaucratic Politics Stakeholder Analysis - Political Mapping - Power Strategies - Perception Strategies Change Teams/Change Agents - Policy Analysis - Policy Advocacy Paradigm Shifts in Public Policy Education and Training Democratization Public Value/ Governance Civil Society Globalization Public Policy Government Business Public Administration Public Management Corporatization Health and Primary Care 8

9 Future Public Health Training for Health Policy & Management? Health Democratization Governance Globalization Civil Society Public Health Government Business Health Administration Healthcare Management Corporatization Conclusion In the rapidly changing contexts in Asia, health transitions and health sector reforms are driving forces for more relevant training for public health policy-makers and managers Comparative health systems/policy research can inform policy-makers and managers of the options for optimal public choice & value Shifts from old Public Health Administration to new Health Policy & Management training i Need for integrated trans-disciplinary and globally-oriented oriented policy research & teaching From medical and business to public policy TOWARDS GLOBAL HEALTH GOVERNANCE? Health and Primary Care 9

10 What is Good Governance? Rule of Law and Predictability legal frameworks are fair and enforced impartially Transparency Free flow of information guaranteed; processes and institutions are directly accessible Participation Differing interest are mediated and broad consensus is reached on political, social and economic priorities Accountability decision-makers in public, private and civil society organizations are answerable to the public and institutional stakeholders Efficiency, Effectiveness and Equity processes and institutions that produce outcomes to meet specific needs using optimal resources Health and Primary Care 10