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.
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
Credit requirements
The program includes a minimum of 103 required credits, including 21 credits in required core courses, 18-22 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 |
| | Policy Courses | 18-22 |
| | Health systems courses | 12 |
| | Research design and Analytic methods | 19-23 |
| | Dissertation seminar | 6 |
| | Dissertation credits | 27 |
| Total Credit Hours: | 103-111 |
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.
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 Advanced Principles of Health Behavior; students entering with an MPH will usually have completed such content.
Core coursework
The required core courses (21 credits) should be completed early in the program of study.
| HSMP 642 | Organizational Theory and Health Systems | 3 |
| HSMP 671 | Health Policy | 3 |
| HSMP 673 | Values and Ethics in Health | 3 |
| HSMP 674 | Health Systems Organization | 3 |
| HSMP 677 | Health Care Law and Regulation | 3 |
| HSMP 686 | Introduction to Health Economics | 3 |
| HSMP 660 | Contemporary 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 of the courses in the core.
Policy coursework
Three courses are required; students then select three electives based upon their interests in relevant policy domains (18-22 credits total). Relevant electives are listed on the School of Public Health website and in the HS&P program guide.
| HSMP 675 | Advanced Health Policy | 3 |
| PAP 616 | Policy Process | 3 |
| | | |
| USP 615 | Economic Analysis of Public Policy | 4 |
| | or | |
| HSMP 683 | Economics of Health Systems & Policy | 3 |
| | | |
| | Three policy electives | 9-12 |
Health systems coursework
Two courses are required; students then select two electives based upon their interests in health systems (12 credits total). Relevant electives are listed on the School of Public Health website and in the HS&P program guide.
| PHE 622 | Health and Social Inequalities | 3 |
| HSMP 681 | Population Health: Policy and Practice Implications | 3 |
| | Two health systems electives | 6 |
Research design and analytic methods coursework
Three courses are required; students then select two electives based upon their interests in health systems (19-23 credits total). Relevant electives are listed on the School of Public Health website and in the HS&P program guide.
| HSMP 689 | Research Design in Health Services | 3 |
| Soc 638 | Integrating Qualitative and Quantitative Methods | 4 |
| | | |
| PHE 520 | Qualitative Research Design | 3 |
| | or | |
| USP 683 | Qualitative Analysis | 4 |
| | | |
| | Research Design and Analytic Methods Electives | 9-12 |
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 Doctoral 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, and one external member. Students register for
HSMP 603 Dissertation Research 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 program guide.