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Increasing or decreasing one results in changes to one or both of the other two. For example, a policy that increases access to health services would lower quality of health care and/or increase cost. The desired state of the triangle, high access and quality with low cost represents value in a health care system. [3]
PLoS Medicine commissioned three articles on the state-of-the-art in HPSR authored by a diverse group of global health academics. These articles critically examined the status of HPSR, current challenges and mapped the need to build capacity in HPSR and support local policy development and health systems strengthening, especially in LMICs. [5]
In the context of public health, risk assessment is the process of characterizing the nature and likelihood of a harmful effect to individuals or populations from certain human activities. Health risk assessment can be mostly qualitative or can include statistical estimates of probabilities for specific populations.
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Unwarranted variations in medical practice refer to the differences in care that cannot be explained by the illness/medical need or by patient preferences. The term “unwarranted variations” was first coined by Dr. John Wennberg when he observed small area (geographic) and practice style variations, which were not based on clinical rationale. [5]
Risk appetite is the level of risk that an organization is prepared to accept in pursuit of its objectives, [1] before action is deemed necessary to reduce the risk. It represents a balance between the potential benefits of innovation and the threats that change inevitably brings.
Health policy can be defined as the "decisions, plans, and actions that are undertaken to achieve specific healthcare goals within a society". [1] According to the World Health Organization, an explicit health policy can achieve several things: it defines a vision for the future; it outlines priorities and the expected roles of different groups; and it builds consensus and informs people.
The first step for the policy analyst is to identify the space in which the policy problem exists. This is generally a broad policy space, such as health policy or environmental policy. Next the analyst defines the specific policy issue area. In keeping with the example, the narrower policy issue area is renewable energy.