In Defense of a Policy Based Approach to Health.

Abstract

Health policy plays a critical role in shaping individual and population health outcomes through mechanisms that extend beyond clinical care and into the broader social and structural determinants of health. This commentary examines the definition, scope, and significance of health policy, emphasizing its presence across multiple levels of governance, including federal, state, and local jurisdictions, as well as within health systems themselves. Drawing on established frameworks such as Kingdon's Policy Streams Model and Frieden's Health Impact Pyramid, the article argues that upstream policy interventions have the greatest potential for population-level impact. However, a persistent gap exists between research findings and policy implementation, particularly within academic medicine and health care delivery systems. Clinicians and health services researchers are uniquely positioned to inform and influence policy, yet are often underutilized in this space. The commentary highlights the importance of equipping health care professionals with the tools to translate clinical insights and research findings into actionable policy recommendations. It also underscores the ethical imperative of inclusive, evidence-based policy development, as articulated by Faden and Shebaya, who note that policy reflects a society's values and priorities. Ultimately, the article calls for a more intentional integration of clinical expertise and policy engagement, encouraging health professionals to leverage their real-world experience to advance equitable and effective health policies. Strengthening the bridge between health care delivery and health policy is essential for addressing persistent public health challenges and achieving long-term improvements in population health. (PsycInfo Database Record (c) 2025 APA, all rights reserved).