HeyJaredThe Public Health Practice Gap: Where Evidence Meets Reality
The Public Health Practice Gap examines why evidence-based public health programs often fail in real-world systems, and what it takes to close the gap between research, policy, and practice.Evidence-based public health sounds good, until it collides with politics, funding…
- Indexed episodes, last 90 days
- 10
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- Sep 29, 2026
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- Jul 7, 2026
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The Invisible Implementer: Who Delivers Care at Home? | Ep. 31 (opens the original)
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At three in the morning, a family caregiver is trying to give her mother the right medication. The care plan may be documented, but can the person delivering it carry it out alone? In Part 3 of our serious illness series, Bradley Fevrier examines the family caregiver as the often invisible implementer of care at home. Drawing on the 2025 AARP and National Alliance for Caregiving report, he explores the gap between the clinical tasks caregivers perform and the training they receive—and why even a
The Subtraction Problem: Why “Less Treatment” Sounds Like Giving Up | Ep. 30 (opens the original)
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The words we use in serious illness care matter. "Nothing more we can do." "Withdraw care." "Comfort measures only." "Limit treatment." Nearly all of that language describes what is being taken away. So it should not surprise us when families hear abandonment. In Episode 30 of The Public Health Practice Gap, Dr. Bradley Fevrier examines what he calls the Subtraction Problem: the way serious illness and goals of care conversations are so often built around what will stop rather than what will con
The Conversation That Doesn’t Happen: Why Hospice Comes Too Late | Ep. 29 (opens the original)
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The median hospice stay in the United States is 17 days. Not months. Days. So why do so many patients reach hospice with almost no time left? The answer probably isn't a lack of information. In 1995, researchers ran a $28 million trial called SUPPORT across five teaching hospitals with more than 9,000 seriously ill patients. Physicians received individualized survival estimates. Every patient was assigned a specially trained nurse to elicit preferences and facilitate advance care planning. It ch
The Hidden Math Behind Public Health's Biggest Argument | Ep. 28 (opens the original)
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Nobody ever gets promoted for the outbreak that didn't happen. That invisibility might be the biggest reason prevention keeps losing budget fights it should win on the numbers alone. In Episode 28 of The Public Health Practice Gap, Dr. Bradley Fevrier follows up on last week's episode with the actual math behind upstream investment — including a return-on-investment figure worth memorizing: a dollar spent on prevention is worth roughly fourteen dollars of cure. This episode covers: The research
Public Health Is Not Healthcare: The Difference Everyone Gets Wrong | Ep. 27 (opens the original)
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If a hospital cured every single patient who walked through its doors, would that mean public health had succeeded? Not quite — and the reason why is the whole subject of this episode. In Episode 27 of The Public Health Practice Gap, Dr. Bradley Fevrier draws a hard line between two professions the public constantly confuses: healthcare and public health. Healthcare treats people after problems appear. Public health redesigns the conditions that create those problems in the first place. Using Ir
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