The MPH concentration in Comparative Health Systems & Policies develops skills and knowledge related to analysis and decision-making for health systems’ organization, financing, and service delivery – in the United States and internationally. The curriculum focuses on health policy analysis and formulation; financing, organization, and oversight of health systems; and policies and programs for disease prevention, injury control, and other public health priorities.
This concentration area is aimed at developing skills, knowledge, and attributes for policy-makers, policy analysts, and senior managers of health systems. The concentration emphasizes planning and managing national and international programs, institution building, and related analysis. Through their coursework, students acquire a solid foundation in policy analysis, an understanding of key health policy issues from a comparative perspective -- and substantive knowledge of health care systems and public policies and programs in the U.S. and in selected low, middle, and high-income countries.
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 policy. The curriculum provides an overview of changes occurring in the U.S. and internationally in health sector policy and financing – comparing countries at different levels of income and with varying health system infrastructures.
Topics include: the role of government in the health sector; sources of revenue for the health sector; health insurance systems; provider organization and payment methods; access to health care; and the policy-making process for the health sector and for specific public health areas -- for example, road traffic injuries and occupational health.
Course of Study
| Students are required to complete the following courses: |
| 300.712 | Health Policy II: Public Health Policy Formulation | 3 units | 2nd term |
| 221.609 | Comparative Health Insurance | 4 units | 4th term |
| 300.714 | Health Policy IV: Health Policy Analysis & Synthesis | 3 units | 4th term |
| Capstone Special Studies (See "Capstone Experience" below) | 2 units | 3rd or 4th terms |
| Students take one of the following courses: |
| 220.601 | Introduction to International Health | 4 units | 1st term [Internet - 4th term] |
| 300.651 | Introduction to the U.S. Healthcare System | 4 units | 2nd term [Internet - 4th term] |
| 223.680 | Global Disease Control Programs & Policies | 4 units | 4th term |
| Students take one of the following courses: |
| 300.713 | Health Policy III: Health Policy Research & Evaluation Methods | 4 units | 3rd term |
| 313.630-631 | Concepts and Applications in Economic Evaluation I & II | 6 units | 3rd & 4th terms |
| 221.620 | Using Summary Measures of Population Health to Improve Health Systems | 4 units | 4th term |
| Additional Recommended Courses (not required) |
| 221.688 | Social & Behavioral Foundations of Primary Health Care* | 4 units | Internet Only - Summer term |
| 222.657 | Food and Nutrition Policy | 2 units | 1st term |
| 300.600 | Introduction to Health Policy | 4 units | Internet Only - 1st term |
| 300.711 | Health Policy I: Social & Economic Determinants of Health | 3 units | 1st term |
| 317.712 | Introduction to the 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 |
| 313.641 | Health Economics | 4 units | 2nd term |
| 180.629 | Environmental & Occupational Health Law & Policy | 4 units | 3rd term |
| 221.614 | International Political Sciences for Public Health Practitioners | 2 units | 3rd term |
| 223.687 | Vaccine Policy Issues | 3 units | 3rd term |
| 300.652 | Politics of Health Policy | 4 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 Prevention: Using Epidemiology to Inform Policy & Programs* | 4 units | 3rd term [Internet - 4th term] |
| 551.605 | Case Studies in Management Decision-Making | 3 units | 3rd term |
| 221.638 | Health Systems Research & Evaluation in Developing Countries | 4 units | 4th term |
| 380.667 | Women's Health Policy | 3 units | 4th term |
| 380.756 | Poverty, Economic Development, and Health | 4 units | 4th term |
Capstone Experience
MPH students in the Comparative Health Systems & Policies concentration will be required to develop a case study of a health systems policy problem, either in the U.S. or internationally. Students should develop the case study over the course of the academic year in close coordination with a faculty advisor. These case studies will be based on in-depth analysis and comparison of problems and alternatives for dealing with the problem. The comparison can be of a similar problem found in two health systems, or a comparison of at least two options for addressing the problem within one health system. Students in the concentration area should sign up for two credits of capstone special studies with their capstone advisor, preferably in the 3rd or 4th terms, for the development of the capstone project. The capstone projects will be presented at an end of the year MPH capstone symposium.
These case studies will be based on research of the issue in question, including analysis of applicable data, and will necessitate choices by decision-makers. The presentation will include leading class discussion through a systematic review of the case, including problem definition, stakeholder review, and consideration of options, including an assessment of their intended and unintended consequences.
Faculty Concentration Directors
Lisa Dubay, PhD, Associate Professor, Health Policy & Management, 410-502-0985
David Peters, MD, DrPH, MPH, Associate Professor, International Health, 410-502-5364
Damian Walker, PhD, Assistant Professor, International Health, 410-955-3928
Hugh Waters, PhD, Associate Professor, Health Policy & Management, 410-955-3928