Doctoral programs

Health Systems and Policy Ph.D.

The Doctoral Program in Health Systems and Policy (HS&P) is an interdisciplinary program of study. It is administered through the OHSU - PSU School of Public Health and draws on faculty with educational backgrounds in public health, health policy, health services research, public affairs, management, economics, epidemiology, social work, psychology, systems science, and sociology from the OHSU - PSU School of Public Health, PSU’s College of Urban and Public Affairs, and other academic units at Portland State University (PSU) and Oregon Health & Science University (OHSU). The program is designed to provide doctoral students with advanced knowledge, analytic skills, and competencies in conducting research and developing teaching and learning skills in health systems and policy with foundations in public health, management theory, health services research, and policy analysis. The program provides a unique educational experience for students interested in immediately applying theory to practice as they prepare for careers as researchers and teachers. 

The HS&P curriculum includes core content in health systems and public health, extensive study of policy domains and applications, and intensive training in research methods and research design. This program design helps students to integrate coursework with applied research and practice, and emphasizes community-engaged learning and scholarship reflecting the mission of the SPH. 

Students in the HS&P PhD program will master the following competencies by graduation.

Program Competencies

  • Apply relevant theories and frameworks to issues pertaining to health systems and policies.
  • Select and apply appropriate qualitative and quantitative research techniques to identify strategies to improve health system effectiveness.
  • Formulate a testable research question and propose a relevant study design and analytic approach that has the potential to advance knowledge of health systems and policy.
  • Conduct an independent study that demonstrates synthesis of knowledge and application of research skills.
  • Apply principles of ethics and cultural competence when conducting health systems and policy research and education
  • Evaluate evidence-based public health policy and health systems transformation strategies to identify emerging issues in health systems and policy.
  • Create and deliver effective presentations of scholarly activities to academic and lay audiences.

The HS&P curriculum reflects the vision, mission and competencies of the OHSU-PSU School of Public Health.  It prepares graduates to address the social determinants of health, and lead in the implementation of new approaches and policies to improve the health of populations.  The curriculum is framed around seven competencies that reflect the expectations of doctoral programs in public health.  The HS&P program includes core curricular content in health systems and public health, extensive study of policy domains and applications, and intensive training in research methods and research design. The curriculum is designed to help students integrate coursework with applied research and practice, and emphasizes community-engaged learning and scholarship.

Degree Requirements

Prerequisites

Admitted students who have completed a relevant masters degree in health management/policy will be able to waive portions of the required curriculum. All students are required to fulfill prerequisite courses of the equivalent of Epidemiology I, Introduction to Biostatistics, and Foundations of Public Health; students entering with an MPH will usually have completed such content.

Credit requirements

The program includes 104-116 required credits, including 21-27 credits in required core courses, 19-21 credits in policy courses, 12 credits in health systems courses, and 19-23 credits in research design and analytic methods courses. Students are required to enroll in a one-credit health systems and policy dissertation seminar each quarter during their first two years of coursework to help prepare them for the dissertation process (up to 6 credits). Finally, students complete 27 credits of dissertation preparation. Additional major requirements include a written and oral comprehensive exam at the completion of course requirements and before advancement to the dissertation, a written dissertation proposal with an oral defense, and a final written dissertation with an oral defense.

The credits are distributed as follows:

Required core courses

21-27

Policy courses

19-21

Health systems courses

12

Research design and analytic methods

19-23

Dissertation seminar

6

Dissertation credits

27

Total Credit Hours:104-116
Each admitted student's past masters coursework will be reviewed upon admission and a determination made regarding waiver of courses.  A program of study will then be developed with the assigned advisor.  No waiver of credit will be given for professional experience.

Core coursework

The required core courses (21-27 credits) should be completed early in the program of study.

HSMP 641Organizational Behavior in Health Service Organizations

3

HSMP 671Health Policy

3

HSMP 673Values and Ethics in Health

3

HSMP 674Health Systems Organization

3

HSMP 677Health Care Law and Regulation

3

HSMP 686Introduction to Health Economics

3

HSMP 660Contemporary Research in Health Systems and Policy

3

NOTE: A student who has completed an MPH in health management and policy or a comparable masters degree could potentially waive some or all of the first six courses in the core.

Policy coursework

Three courses are required; students then select three electives based upon their interests in relevant policy domains (19-21 credits total). Relevant electives are listed on the HS&P website and in the HS&P student handbook.

HSMP 575Advanced Health Policy

3

PAP 616Policy Process

3

USP 615Economic Analysis of Public Policy

4

Three policy electives

9-12

Health systems coursework

One course is required; students then select three electives based upon their interests in health systems (12 credits total).  Relevant electives are listed on the HS&P website and in the HS&P student handbook.

PHE 622Health and Social Inequalities

3

Three health systems electives

9

Research design and methods coursework

Students will complete three research design courses (9-11 credits), one of which is required, and three courses on analytic methods (10-12 credits), one of which is required.  Relevant electives are listed on the HS&P website and in the HS&P student handbook.

Research design

HSMP 689Research Design in Health Services

3

Two research design electives

6-8

Analytic methods

PHE 520Qualitative Research Design

3

or

USP 683Qualitative Analysis

4

Two analytic methods electives

6-8

Doctoral seminar in health systems and policy

Students enroll in a one-credit seminar (HSMP 607) each quarter during their first two years to help prepare them for the dissertation process; they are encouraged to continue to attend the seminar throughout their entire program. The seminar meets regularly with a selected faculty mentor to discuss research topics, including critical evaluation of health systems and policy research, framing research questions, proposal writing, the grant application process, data collection and synthesis, human subjects review, dissertation writing and presentation, the review process, program requirements, and publication opportunities. Students present their developing work at the seminar to receive peer feedback. HSMP 607 Seminar may be taken for up to 6 credits.

Comprehensive examination

Students must pass a written and oral comprehensive examination at the conclusion of course requirements before they may proceed to the dissertation.  This examination assesses the student’s competence in integrating, analyzing and critiquing the diverse bodies of knowledge covered in the HS&P curriculum.  The examination committee consists of three HS&P/SPH faculty.

Dissertation research

The dissertation process is designed to evaluate the student’s ability to successfully conduct a substantial, independent, applied research project. The dissertation represents the culmination of a student’s doctoral studies.  The dissertation is critiqued by the dissertation committee, and presented in an oral defense.  The dissertation committee consists of 4-5 relevant HS&P or SPH faculty.  Students register for HSMP 603 Dissertation for a minimum of 27 credits during the research and writing of the dissertation.

Research and Teaching Opportunities

The HS&P program offers students a number of research and teaching opportunities.

Graduate research assistantships

Dependent on available funds, graduate research assistantships are available each year with faculty in the School of Public Health and in various research centers.  Assistantships pay tuition and a small stipend.  Additional summer research opportunities may be available.

Teaching opportunities

Doctoral students may wish to gain experience teaching prior to completing their program. There are a number of opportunities available within the School of Public Health, the Hatfield School of Government, the College of Urban and Public Affairs, and PSU’s University Studies program.  More information is available in the HS&P handbook.