Health Policy Framework 2007

Entries in each cell are examples, not complete descriptions. Entries relate to the column in which they are placed (access, cost, or quality), but are not exclusive; e.g. the issue of multiple tiers is significant not just to access but to cost and quality as well. Similarly, "communications" are important interactive tools for cost and quality as well as access.

The basic explanatory link in each cell is the first link, which is identified by the column and row letters (e.g. a/m for the first cell, which concerns "access" and then "measures" related to access).
 
Aspects of Policy
Health policy concerns


Access (A)


Cost (C)


Quality (Q)
Measures & Sources (M) a/m  Uninsured (total and by subpopulations); Available providers, by geography, SES, culture c/m Absolute, % of GDP, By types of care, By types of patients
 q/m Health (community, subgroups); Outcomes of care; Determinants of health (e.g. pollution)
Issues (I)
a/i  Share risk? Multiple tiers? How many? For whom?
c/i Who changes (patients, providers, etc.); Who will pay costs of change?
q/i  quality to reduce costs or cost control that reduces quality/access?
"Hypotheses" (H)
(Presumptions)
a/h Values (public, private) shape access; Shared risk reduces autonomy
c/h Incentives drive costs and care: e.g.  third party payers, tax preferences
q/h Habits shape care and lifestyle: thus health care outcomes and quality of life
Designs & Examples (D)
a/d  Who pays; so what?
Market structure
c/d Continuim of:
Market <----> Government
q/d Enhanced resources; best processes; better health
Politics (P)
a/p Fragmented power and types of policy making
c/p Instability in types of policy making
q/p Incrementalism, within scrce resources
Tools:Quantitative (TQ) a/tq Economic analysis c/tq Financial analysis
q/tq statistics and epidemiology
Tools: Interactive (TI)
a/ti  Administration: public information and involvement
 c/ti Negotiation, as in "Getting to Yes"
q/ti  Habits, etc.: practice patterns, quality improvement