Conducting health policy analysis in primary care research: turning clinical ideas into action

Family Medicine and Community Health
Alina EngelmanMichael D Fetters

Abstract

Healthcare guidelines play a prominent role in the day-to-day practice of primary care providers, and health policy research leads to the formation of these guidelines. Health policy research is the multidisciplinary approach to public policy explaining the interaction between health institutions, special interests and theoretical constructs. In this article, we demonstrate how primary care providers can conduct high-impact health policy research using Eugene Bardach's eightfold policy analysis framework in a primary care context. In a medical case, a woman with a history of total hysterectomy had scheduled a visit for a Papanicolaou (Pap) smear screening test as part of a well-woman health check-up with a family medicine resident. Conflicting recommendations on Pap smear screening after total hysterectomy sparked an investigation using the US Preventive Services Task Force criteria for conducting a health policy analysis. We illustrate broadly how clinical care dilemmas can be examined by using Bardach's broadly applicable health policy framework in order to inform meaningful policy change. Bardach's framework includes (1) defining the problem, (2) assembling evidence, (3) constructing alternatives, (4) selecting criteria, (5)...Continue Reading

References

Oct 20, 2006·Journal of Lower Genital Tract Disease·Michael D FettersSeema S Sonnad
Aug 15, 2008·Health Policy and Planning·Gill WaltLucy Gilson
Oct 12, 2010·Lancet·Melanie A WakefieldRobert C Hornik
Jan 14, 2012·Health Services Research·Carolyn M ClancyNicole Lurie
Oct 16, 2015·Annals of Epidemiology·Julie M KappKyle T Schnoring
Jan 23, 2016·Academic Medicine : Journal of the Association of American Medical Colleges·Philip ZazoveMichael D Fetters
Apr 2, 2016·Bulletin of the World Health Organization·Abdul GhaffarJohn-Arne Røttingen
Mar 8, 2017·JAMA : the Journal of the American Medical Association·UNKNOWN US Preventive Services Task ForceChien-Wen Tseng
Aug 14, 2018·Lancet·Elizabeth M VigliantiLisa M Meeks
Nov 16, 2018·The Western Journal of Emergency Medicine·Lisa M MeeksMichael Argenyi

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Citations

Mar 10, 2020·Family Medicine and Community Health·Michael D Fetters, Timothy C Guetterman
Mar 11, 2020·Family Medicine and Community Health·Michael D Fetters, Timothy C Guetterman
Sep 29, 2020·Frontiers in Public Health·Arianna Rubin MeansBryan J Weiner
Oct 20, 2020·International Journal of Africa Nursing Sciences·Abdulaziz Mohsen AlsufyaniSayer Musaad Aljuaid
Jul 13, 2021·Zdravstveno Varstvo·Sally Kendall

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Methods Mentioned

BETA
hysterectomy

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