To provide an appreciation of the principles and objectives guiding health policy and health reform and their application.
To appraise published evidence of the effectiveness and efficiency of health policy interventions and their impact on equity and expenditure control.
To identify and apply methods of evaluating health policy interventions using the principles of health services research. This includes use of RCTs in policy settings, and, where this is unfeasible, using quasi-experimental and other methods.
Module learning outcomes
At the end of the module participants should be able to:
Understand the principles guiding health policy and healthcare reform.
Appreciate similarities and differences in different countries' approach to funding and organisation of healthcare.
Identify intended and unintended consequences of health policy interventions.
Appraise critically published opinion and evidence about the impact of health policy interventions.
Understand similarities and differences in evaluating policy interventions compared with clinical interventions.
Design appropriate methods for evaluating health policy interventions.
Module content
The module will apply scientific methods to health policy, focusing on quantitative evaluation of historic and current health policy interventions, in the UK and other health care systems. The principles of healthcare delivery and reform will be discussed, and a brief history of the NHS described. Theory of experimental and quasi-experimental techniques for evaluating health policy interventions will be reviewed, and quantitative methods applied to evaluation of interventions in primary and secondary care
Indicative assessment
Task
% of module mark
Essay/coursework
100
Special assessment rules
None
Indicative reassessment
Task
% of module mark
Essay/coursework
100
Module feedback
Written feedback for summative assessment is provided on the standard proforma, within the timescale specified in the programme handbook.
Indicative reading
Detailed reading lists are provided for each lecture. However, useful background reading includes:
For a background on health care systems and reforms:
Maynard, A. (Ed.). (2005). The public private mix for health. The Nuffield Trust.
For information on evaluative methods in health policy:
Cook, T.D. and Campbell, D.T . (1979). Quasi-experimentation: design and analysis issues for field settings. Chicago: Rand McNally.
Shadish, W.R., Cook, T.D. and Campbell, D.T. (2002). Experimental and Quasi-Experimental Designs for Generalized Causal Inference. Boston: Houghton Mifflin.
Fulop, N., Allen, P., Clarke, A. and Black, N. (2001). Studying the organisation and delivery of health services: research methods. London: Routledge.