European Association for Public Administration Accreditation

VII. Working Group
on Public Health Management and Policy

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

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.

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:
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.
Provide as comprehensive a list as possible of existing training programmes in public health management and policy in selected countries.
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.
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.


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