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VII. Working Group
on Public Health Management and Policy

RESEARCH GUIDELINES 2002-2003

I. INTRODUCTION

Objective
The principal goal of the working group will be to research and document the degree to which public health (PH) administration, management, and policy knowledge, skills and competencies are imparted by existing public administration (PA) education and training programs in Central and Eastern Europe (CEE), and to develop recommendations with respect to the desirability, feasibility and modalities for a greater integration between PA and PH administration, management and policy education. The secondary goal of the working group is to develop information abut other experiences that would be of relevance in the designing of public administration education and training programs that would respond to the urgent needs of the CEE countries to produce more effective public health care management and policy.

Background
High quality public health management and policy education represents one of main preconditions of successful realization of health care reforms in CEE countries. Most CEE health care systems are currently in deep crisis, in some countries the health status of inhabitants is significantly decreasing.
According to most sources (ECPR workshops in Grenoble, 2001, EPSNet conference in Cracow 2002) there is very limited, if any, capacity in the CEE countries to formulate effective public health care policy and to implement it. Management of health care establishments is predominantly in the hands of medical doctors, who possess limited, if any, education and training in administration and management. The introduction of new, well-educated professionals with knowledge of administration and management into the health-care systems of the various CEE countries is necessary and may help very much to promote needed reform processes.
According to existing, non-comprehensive data, health care management or health policy university education exists in all CEE countries (many of the programmes were established with important support from USAID). In spite of some isolated attempts, a comprehensive review of programmes does not exist. One is needed to provide a good picture of what is really going on in the area of health administration, management and policy in many if not most countries.
Learning by the exchange of experiences is a very important tool, and by this project we plan to facilitate such a process (a very good example of a similar activity was the EPAN/NISPAcee project which reviewed PA/PM programmes in CEE countries, the outputs of which are commonly used by all CEE and also Western schools). Through the provision of comprehensive information on current programmes in the area of public health administration, management and policy and the formulation of recommendation for the future, the activities of the working group can facilitate the processes of further developing public health administration, management and policy programmes throughout the region.
It is anticipated that the practice (by politicians in national, regional and local parliaments, civil servants in management and policy formulation posts) and scholarship of public administration and public policy in the CEE region will greatly benefit as a result of this project. Information and recommendations collected and drafted by the project shall directly support an increase in the quality of public health management and policy education, and by this positively influence the general quality of health care management and health policy formulation and implementation (and assessments/analysis) in all countries in the following ways:

Exchange of information and experience between schools and public administration,
An inflow of new, better educated administrators into the system,
Improved training of existing health care managers and policy makers,
Improved advisory skills for those in the academic field.

This set of research guidelines covers all phases of the Working Group's research, which aims to:
1.
Provide a full list of the existing degree-granting academic programmes in public health management and policy in selected CEE countries (the list of countries will be decided in the later stage of the project, the main focus will be on less developed regions, but some accession countries should serve as benchmark), including curricula and all other relevant information.
2.
Provide as comprehensive a list as possible of existing training programmes in public health management and policy in selected countries.
3.
To draw summary remarks on current status of public health management and policy education and training in CEE. Special attention will be given to exploring and examining whether and how public health management and training programmes support necessary developments in the public health sector (both nationally and locally) and its reform.
4.
To draw basic recommendations for future improvements of this field of education, and to see if a greater integration between PA and PH management is relevant.

II. FRAMEWORK FOR RESEARCH

Scope of investigation in the first part - gathering of information
While other types of paper proposals will be considered for acceptance, a high priority will be given to individual country studies from the CEE region. Only CEE-based authors of country studies are eligible for consideration for the limited funding that may be available to assist with travel to Working Group activities.

Country Study Papers
In the interest of ensuring a measure of comparability and coherence, authors who are preparing CEE country studies should follow a standard format when preparing the country research paper. When conducting their empirical research, authors should refer to the standard paper format and seek to address all of the main points. The final country research paper should consist of the following main sections:

1.
Introduction and overview: will provide a brief overview of key points relative to the text of the paper focusing on the general status of the health care system within the country as well as the impact of current public sector programmes on the health care system (approximately 2 pages)
2.
Country profile: will allow for the collection of basic information in each country regarding recent initiatives to improve the quality of public administration, the legislative and institutional framework as well as current practice (approximately 3 pages).
3.
Health care system in the country profile: will help to understand the system and its main problems (approximately 3 pages).
4.
Overview of public administration education practices: a brief overview of public administration education and training practice within the country - whether delivered through universities or training schools and/or administrative law programs and the extent to which such programmes have a focus on issues of health care administration, management and policy (approximately 3 pages).
5.
Overview of other current education practices in the area of health care administration, management and policy; a general discussion of current educational practice in terms of preparing individuals in the area of health care administration, management and policy and recommendations for new initiatives (approximately 3-5 pages)
6.
Appendices:
 
A.
Comprehensive list of academic programmes in public health management and policy in the country with information on accreditation: this list shall include name of the programme, affiliation, accreditation information, contact addresses and people, link to respective PA programme (if exists), curricula, time data (establishment, etc.), numbers of students and/or graduates, degrees awarded, main partners, impact in the country, etc.
 
B.
Comprehensive list of training programmes in public health management and policy in the country: the report shall include as comprehensive list as possible, describing existing training courses in the field. The main information provided shall be name of the course, organisers, contact addresses, participants, length and curricula, admission, resources, impacts (with emphasis on exploring and examining whether and how the program supports necessary developments in the public health sector - locally or nationally - and its reform).
 
C.
Bibliography: will list the titles (in original language and English), date and place of publication, and publisher of all materials (in English).

Methodology for the first part
When conducting their empirical research, Working Group members may adopt any relevant methodology on the condition that it is clearly described. Nevertheless, quantitative/qualitative data analysis is preferred.

The second phase of the project
In the second phase, a summary paper with conclusions and recommendations will be produced by selected authors from the Working Group. The main methods for these papers will be analysis and synthesis.

The Working Group shall prepare a report, describing in details:
A/ Existing academic programmes in public health management and policy in selected CEE countries, including curricula, experience, country and foreign partners, and all other relevant information. As comprehensive list as possible of programmes shall be provided, with information on accreditation.
B/ Existing training programmes in public health management and policy in selected countries. As comprehensive list as possible, with relevant details (curricula, length, participants, selection criteria, resources) shall be provided.

Additional summary and recommendation papers will evaluate the current situation, prospects for future development, identify promising practices and offer recommendations for schools and policy-makers to improve the quality of preparation of professionals in the area of health care administration, management, and policy.

III. PROGRAMME OF WORK

Selection of participants
All those interested in participating in the research activities of the Working Group are requested to express the willingness to prepare the country report by 22 October, 2002 to the Working Group co-coordinators and to the NISPAcee Secretariat. The request shall indicate clearly the name/names of the author(s), contact details (including email address), CV, institutional affiliation, experience, abstract of a paper focusing on key issues of proposed country study.

The Working Group coordinators will select country reporters, and inform all applicants by the end of November via the NISPAcee Secretariat.

The Working Group coordinators can select smaller group of project principal contributors from applicants, or outside, to review all papers and to work on summary and recommendation part of the project.

The detail outline of papers of the country reports are to be sent to the Working Group coordinators and to the NISPAcee Secretariat in electronic form by January 15, 2003 and completed papers by March 15, 2003.

Plenary meeting
The plenary meeting of the Working Group will be held from 10 - 12, April 2003 during the NISPAcee Conference (Bucharest, Romania). This meeting will focus on the presentation and group discussion of research results by WG members. The WG will also discuss plans for future activities: the publication of research results, definition of the research agenda for the following year and discussion of future activities.

Following the plenary meeting, authors will be requested to revise their research papers to publishable quality on the basis of the WG co-coordinators' reviews for publication by May 15, 2003.


IV. CONTACT DETAILS

For further information regarding the research activities of the Working Group, please contact the co-ordinators:

Juraj Nemec, Faculty of Finance, UMB Banska Bystrica, Slovakia,
 e-mail: nemec@financ.umb.sk

Allan Rosenbaum, Director, Institute for Public Management & Community Service, Florida International University, Miami, FL, USA,
 e-mail: rosenbau@fiu.edu


V. APPLICATIONS

Applicants are to submit by October 22, 2002:

 - completed application form
 - Abstract of a paper focusing on key issues of proposed country study
 - Curriculum Vitae

To the NISPAcee secretariat: Juraj Sklenar, email: sklenar@nispa.org


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