What is the difference between "Public Health" and "Health Policy"?

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lebam

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What is the difference between "Public Health" and "Health Policy"?

Please excuse my naivete, does anyone know what the answer to this question is?


Also, what would you call the doctors who work in hospitals? They aren't necessarily "private practice"...

what "senario" would that apply to:
1. Private Practice

2. Health Policy

3. Academic Medicine

4. Public Health

5. Health Care Administration




This all has to do with the Stanford secondary application... I know, I'm really behind. :(

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Saluki

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lebam said:
What is the difference between "Public Health" and "Health Policy"?

Please excuse my naivete, does anyone know what the answer to this question is?


Also, what would you call the doctors who work in hospitals? They aren't necessarily "private practice"...

what "senario" would that apply to:
1. Private Practice

2. Health Policy

3. Academic Medicine

4. Public Health

5. Health Care Administration

This all has to do with the Stanford secondary application... I know, I'm really behind. :(

Probably very soon, someone much wiser than me will post better answers, but here are my guesses.
I think that public health has a lot more to do with either education or epidemiology, though you can do a policy focus in an MD/MPH.
I don't know that the doctors who work in hospitals have any special title unless they're faculty at the associated institution or the head of some department. I think some of them are in private practice in addition to being on staff with the hospital...
I'm not completely sure what the second part of your question is asking, so I guess I'm going to stop my message here...
 

lebam

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thanks for your help. The second part of my question was asking where hospital physician would fit in under the choices:

1. Private Practice

2. Health Policy

3. Academic Medicine

4. Public Health

5. Health Care Administration


none of these options seem right, but maybe I am misunderstanding something.
 
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Saluki

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lebam said:
thanks for your help. The second part of my question was asking where hospital physician would fit in under the choices:

1. Private Practice

2. Health Policy

3. Academic Medicine

4. Public Health

5. Health Care Administration


none of these options seem right, but maybe I am misunderstanding something.
I think a hospital physician could fit in several of these categories. For instance, at Cleveland Clinic one of the professors is doing research on the epidemiology and transmission of schistosomiasis in Africa. His research would fit under both public health and academic medicine, and it's possible that his suggestions might be used in making health policy in those nations. Several professors at pediatric hospitals actually due research on health disparities among minority groups so that would also fit under public health, health policy and health care administration. A neurologist could do work and research at the hospital and also have a private practice, so that's a situation where a physician would fit under both private practice and acadmice medicine. Also, I think a physician who was the head of a department could possibly be doing academic medicine, private practice, and health care administration...
 

Jaider

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Do you simply want to treat patients (in a hospital, a physician group, or your independent practice, etc)? Then choose "Private Practice."
 

lebam

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Thanks for your responses. Yeah, I think there is considerable overlap as well. My aunt is a radiologist who works at Harborview Medical Center in WA, she is considered a government employee. So she works at a hospital but is not in private practice...

I guess I should pick one, then try my best to explain my goals in a way that makes sense.

If anyone else has some insight on this topic, please respond, this is very helpful...
 

LizzyM

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Some physicians are in private practice. This means that they see patients in an office or clinic and usually follow their patients when they are in the hospital. They bill for their services or receive capitated payments from an HMO (often a blend of the two).

Some physicians are full time faculty at a medical school, they are academic physicians. Many see patients in out-patient (office) and in-patient (hospital) settings, teach medical students and/or residents and often do some research as well.

Some private practice physicians are "voluntary faculty" on a medical school which means that they support themselves by caring for patients but they do some teaching at the bedside or provide small group training in things like physical diagnosis skills in exchange for the prestige of a "teaching appointment". This usually goes along with admitting privledges at a "teaching hospital".

Some (very few) physicians are employed by hospitals (or are technically "private practice" and bill for their services) but work only in the hospital setting, taking care of patients in the hospital so that the "private practice doc" can stay in the office seeing patients rather than running back & forth between the office & the hospital. This is called a "hospitalist" and it is a growing area but one that is controversial with clinicians and patients.

Health policy people may or may not be docs. They are interested in the rules, regulations, laws, etc that go into the way health care is delivered. What will happen if the State goes to an HMO-model for the care of Medicaid patients? That's the sort of issue that health policy wonks deal with.

Health administration is the actual business end of running a hospital or other service provider. They are thinking about "market share", "market penetration", competition, recruiting and staffing, salaries and benefits (for allied health professionals and other workers), what it will take to computerize this and that, the effect that St. Elsewhere" new cardiac unit is going to have on admissions to their own unit. Many who are docs have an MBA or an MPH. Some people in health administration have a degree in public health (some schools offer a concentration in hospital administration) or business but aren't docs.

Public health involves the community as the "patient". Some public health folks study outbreaks of disease and risk factors for disease. These are epidemiologists. Others are concerned with health administration issues around providing a safety net of services to those who are otherwise without care. Some are involved in health policy decisions, either helping to craft laws and regulations or in advocacy for population groups who would benefit from changes in public policy (e.g. prohibitions of smoking in restaurants as it impacts on the health of restaurant workers). Some people in public health are administrators of small or large groups of employees who do the work a public health department such as restaurant & septic system inspections, regulation of day care facilities and barbers, keeping of vital statistics (information on birth & death certificates and analysis of that data).
 
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