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-Diane Francisco
Health Systems & Policy
The MPH concentration in Health Systems and Policy aims to develop a broad understanding of health systems and approaches to the development and implementation of health policy. Students will learn about key health policy issues, health care systems and public policies and programs in the U.S. and in select low-, middle-, and high-income countries. It is possible for students in the concentration to follow either a U.S.-focused course of study, or one that addresses health systems and policy in low and middle income countries.
Through their coursework, students acquire a solid foundation in methods pertaining to policy analysis, the analysis of health systems (particularly, systems for health financing) and the application of economics and evaluation techniques in the health sector. The required curriculum provides students with a sound knowledge of the processes through which public policy decisions are made; training in basic quantitative and analytic methods; and the skills needed to use and critique data, research findings, and program evaluations in the development of health policies.
The curriculum provides an overview of changes occurring in the U.S. and internationally in health sector policy and financing.
Concentration meetings and extra-curricular activities conducted as part of the concentration aim to build a community of practice among students, introduce students to possible career paths for professionals in this field and expose them to the workings of a variety of organizations concerned with health systems and policies.
Course of Study
Students are required to complete the following courses:
| Health Systems- one of: | |||
| 300.651 | Introduction to the U.S. Healthcare System | 4 units | 2nd term [Internet - 4th term] |
| 309.670 | Comparative Health Insurance | 3 units | 3rd term |
| 221.646 | Health Systems in Low and Middle-Income Countries | 3 units | 2nd term [Internet - 2nd term] |
| 221.652 | Health Financing in Low and Middle Income Countries | 3 units | 3rd term |
| Health Policy Analysis- one of: | |||
| 221.614 | International Political Science for PH Practitioners | 2 units | 2nd term |
| 300.712 | Health Policy II: Public Health Policy Formation | 3 units | 2nd term |
| 300.714 | Health Policy IV: Health Policy Analysis & Synthesis | 3 units | 4th term |
| 221.650 | Health Policy Analysis in Low & Middle Income Countries | 3 units | 3rd term |
| 305.607 | Public Health Practice | 4 units | 2nd term |
| 300.652 | Politics of Health Policy | 4 units | 3rd term |
| 308.602 | Role of Government in Health Policy | 3 units | 4th term |
| 301.645 | Health Advocacy | 3 units | 4th term |
| Econometrics/Evaluation- two of: | |||
| 221.645 | Large Scale Effectiveness Evaluation of Health Programs | 3 units | 4th term [Internet - 4th term] |
| 221.620 | Using Summary Measures of Population Health to Improve Health Systems | 4 units | 4th term |
| 313.790 | Economic Evaluation I | 3 units | 2nd term |
| 313.641 | Health Economics (Prerequisites: 313.639 or 313.670) | 4 units | 2nd term |
| 380.611 | Fundamentals of Program Evaluation | 3 units | 3rd term |
| 300.713 | Health Policy III: Research & Evaluation Methods for Health Policy | 4 units | 3rd term |
| 313.644 | Health Economics II (Prerequisite: 313:641) | 3 units | 3rd term |
| 313.631 | Economic Evaluation II (Prerequisite: 313.790) | 3 units | 3rd term |
| 221.647 | Comparative Evaluation for Health Policy in International Health (Prerequisite: 220.601) | 3 units | 3rd term |
| 313.632 | Economic Evaluation III (Prerequisite: 313.631) | 4 units | 4th term |
| 221.651 | Econometrics I | 4 units | 4th term |
| 221.644 | Econometric Methods for the Evaluation of Health Programs (Prerequisites: 140.623 or 140.653) [students are advised to take the masters' level class] | 4 units | 4th term |
| 221.638 | Health Systems Research & Evaluation in Developing Countries | 4 units | 4th term |
| 380.756 | Poverty, Economic Development, and Health | 4 units | 4th term |
| 552.650 | MBA Fundamentals in Health Care Economics | ||
| 552.750 | Advanced Health Care Economics | ||
| Students with international interests are strongly recommended to take: | |||
| 220.601 | Introduction to International Health | 4 units | 1st term |
| Students with domestic interests are strongly encouraged to take: | |||
| 300.711 | Health Policy I: Social and Economic Determinants of Health | 3 units | 1st term |
| Additional Recommended Courses (not required) | |||
| 222.657 | Food and Nutrition Policy | 2 units | 1st term |
| 300.600 | Introduction to Health Policy | 4 units | Internet Only - 1st term |
| 317.600 | Introduction to Risk Sciences and Public Policy | 3 units | 1st term [Internet - 3rd term] |
| 410.611 | Health, Poverty and Public Policy in the U.S. | 3 units | 1st term |
| 410.618 | Integrating Social & Behavioral Theory into Public Health. Part I: Foundations* | 4 units | 1st term |
| 180.651 | Energy Policy Choices and Public Health | 2 units | 3rd term |
| 306.650 | Public Health and the Law | 3 units | 3rd term |
| 380.665 | Family Planning Policies & Programs | 4 units | 3rd term |
| 380.761 | STI in Public Health Practice* (Prerequisite: 550.640 or equivalent) | 4 units | 3rd term [Internet - 4th term] |
| 410.721 | Translating Research into Public Health Programs I | 2 units | 3rd term |
| 180.629 | Environmental and Occupational Health Law and Policy | 4 units | 3rd term |
| 223.687 | Vaccine Policy Issues (Prerequisite: 223.622 recommended) | 3 units | 3rd term |
| 308.678 | Chronic Conditions: A Key Policy Problem for the 21st Century | 3 units | 3rd term |
| 223.680 | Global Disease Control Programs and Policies (Prerequisite: 340.601) | 4 units | 4th term |
| 380.667 | Women's Health Policy | 3 units | 4th term |
| 410.722 | Translating Research into Public Health Programs II | 2 units | 4th term |
Capstone Experience
MPH students in the Health Systems and Policy concentration will be required to develop a project based on a health systems or health policy problem in the U.S. or internationally. Students should develop their project over the course of the academic year in close coordination with a faculty advisor.
Students are required to register for the 2-unit MPH Capstone Course (XXX.800) in the fourth term under the direction of their capstone advisor. The capstone projects will be presented at an end-of-year MPH Capstone Symposium. Possible topics, grouped by general area of policy interest include:
- Evaluating the impact of legislation of health behaviors or outcomes
- Identifying and addressing financial, geographic, and cultural barriers to access to health care and developing policies to address these barriers and to improve equity
- Improving coordination (including information systems, contracting, and payment mechanisms) among the public sector, the private sector, and social security systems
- Expanding financial protection in health systems through for example, health insurance -- both public and private -- including raising revenues, pooling revenues, contracting for services and payment options, and setting levels of co-payments.
- Changing the organization of the health system, possibly including changes in the public-private mix of provision and/or financing of health care
- Use of information and incentives to effect changes in the behavior of health care providers and/or patients
- Developing appropriate policies and regulations for public health priority programs -- such as road traffic injuries, HIV/AIDS, obesity, and tobacco control.
Faculty Concentration Directors
Sara Bleich, PhD, Assistant Professor, Health Policy and Management, 410-502-6604, sbleich@jhsph.edu
Asha George, PhD, Assistant Professor, International Health, 410-502-6023, asgeorge@jhsph.edu











