Policy Advocacy

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Community Health Sciences. Policy Advocacy. Jason Cabaj, MD MSc PGY4 PHPM Resident May 28, 2014. A public health trainee’s guide. Session Objectives. Illustrate the relevance of policy advocacy in public health practice Outline the knowledge gap in PHPM residency training
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Community Health SciencesPolicy AdvocacyJason Cabaj, MD MScPGY4 PHPM ResidentMay 28, 2014A public health trainee’s guideSession Objectives
  • Illustrate the relevance of policy advocacy in public health practice
  • Outline the knowledge gapin PHPM residency training
  • Describe apotential solutionfor public health trainees:
  • Learning module incorporated into a wiki-based knowledge management platformBackground
  • Policy
  • Definite course of action selected from among alternatives to guide present and future decisions
  • Public health policy
  • Healthy public policy
  • Advocacy
  • Individual and social action designed to gain political commitment or support for a health goal or program
  • Key method of achieving policy change and protecting/improving health
  • Ottawa Charter strategy
  • Successful Policy Advocacy?PHPM Competencies
  • RCPSC PHPM Objectives of Training
  • 1.2. Identify opportunities for advocacy
  • 2.1.1. Recognize situations where advocacy is required and define strategies to effect the desired outcome
  • 3.3.3. Discuss mechanisms of policy development and methods of implementation, including legislation, regulation, and incentives
  • 3.3.5. Conduct a policy analysis and policy evaluation
  • 3.7.1. Demonstrate competency in advocacyskills
  • 5.2.5. Contribute to the formulation of healthy public policy or legislation at local, provincial or federal level
  • Minimum Competencies for MOHs in Canada (2009)
  • MOH competencies similar but more advanced
  • Highly required skills when working in a political environment
  • PHPM Training
  • PHPM training requirements
  • CanMEDS
  • Knowledge, attitudes, skills
  • Broad and location dependent
  • Variation in academic curriculum
  • Variation in opportunities for application
  • Policy competencies
  • Most residents have little background in political and social sciences
  • Focus on the Policy Cycle and on KT
  • Valuable but limited
  • Policy development is black box
  • Need to understand policy process itself to successfully engage and influence
  • Proposed Solution
  • Development of single consolidated resource
  • Focus on informing public health practice
  • Learning module for PHPM residents
  • Potential utility for other public health trainees
  • Process
  • Two month rotation guided by academic public health physician preceptor (Dr. Lynn McIntyre)
  • Targeted readings
  • Environmental scan
  • Policy briefs and analyses
  • Policy scans
  • Module development
  • Learning Module
  • Learning module content
  • Policy science overview (i.e. policy 101)
  • Policy process theories
  • PHPM physician roles in policy advocacy
  • Advocacy methods,skills, tactics
  • Key policy concepts
  • Competency application opportunities
  • Policy briefs, policy analyses
  • Links to external resources
  • NCCHPP, NCCMT, PHPC, CPHA
  • Knowledge translation overview
  • Policy Science
  • Theories of policy process
  • Policy Cycle
  • i.e. Stages Model/Heuristic
  • “Textbook approach”
  • Advocacy Coalition Framework
  • Paul Sabatier
  • Multiple Streams Framework
  • John Kingdon
  • Physician Roles
  • Public health physicians have many potential roles
  • Decision maker/policy maker
  • Policy entrepreneur
  • Advisor
  • Coalition member
  • Honest broker
  • Medical doctor
  • Government employee
  • Expert
  • Private citizen
  • Association member
  • Key Policy ConceptsFramingAgendaSettingPolicyImplementationValencePolicy EntrepreneursPolicyImplicationsRhetoricPolicyWindowModuleWikiApplications for Module
  • Two models for use
  • Stand alone resource
  • Self-learning module for PHPM resident policy and knowledge translation competency acquisition
  • Elective rotation/directed study course guide
  • Core or supplementary resource guidance document
  • Recently used to good effect by CHS graduate student
  • Summary
  • The world of policy is complex
  • Lack of existing practice focused learning resources
  • Custom learning module provides a concise entry point
  • Thank youQuestions?References and Resources
  • Baumgartner, F.R. (2013). Ideas and policy change. Governance: An International Journal of Policy, Administration, and Institutions. 26:2, 239-258.
  • Canadian Public Health Association - Policy and Advocacy page
  • Moloughny, B. (2012). The use of policy frameworks to understand public health-related public policy processes: a literature review. Prepared for Peel Public Health. Learn about public policies and their effects on health. National Collaborating Centre for Healthy Public Policy
  • National Collaborating Centre for Healthy Public Policy
  • National Collaborating Centre for Methods and Tools
  • Public Health Physicians of Canada - Advocacy Documents
  • Sabatier P. (ed) (2007). Theories of the policy process. Westview Press. Cambridge.
  • Scott, J.M, Rachlow, J.L., Lackey, R.T. (2008). The science-policy interface: What is an appropriate role for professional societies. BioScience 58:9, 865-869.
  • Key Policy Concepts
  • Agenda setting
  • Policy agenda is the issues/problems that decision makers are paying attention to
  • Framing
  • How actors seek to understand and act on complex situations
  • Policy entrepreneur
  • Individuals who may influence policy processes due to position, network, and persistence
  • Policy implementation
  • The process of turning policy into practice
  • Policy implications
  • Social, legal, ethical, environmental, economic, political, and organization factors
  • Policy window
  • Critical period of time when policy streams converge to facilitate policy change
  • Rhetoric
  • The art of effective or persuasive speaking or writing used in policy debates
  • Valence
  • The emotional quality of an idea that makes it more or less attractive
  • Recommended
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