The Public Health Practice Gap: Where Evidence Meets Reality

Hospitals are built to treat acute illness—so why do we rely on them to manage chronic diseases shaped by our everyday environments? In this episode of The Public Health Practice Gap , Dr. Bradley Fevrier unpacks a fundamental structural problem in modern healthcare. Chronic diseases now drive the majority of healthcare spending, yet they are developed and managed in workplaces, communities, and f...

Most prevention programs start with undeniable evidence and strong guidelines—so why do so many quietly fail when applied in the real world? In this episode of The Public Health Practice Gap , Dr. Bradley Fevrier unpacks the structural barriers that block evidence-based prevention from achieving real-world success. By applying the Public Health Practice Gap Model , Dr. Fevrier explores the four cr...

Corporate wellness inside hospitals is usually treated as a perk — step challenges, wellness apps, and occasional workshops. But what if that framing is fundamentally wrong? In this episode of The Public Health Practice Gap , Dr. Bradley Fevrier examines why workforce health inside hospital systems should be treated as operational infrastructure , not employee engagement programming. As healthcare...

The hospital has long functioned as the symbolic and operational center of healthcare systems. Funding, workforce pipelines, policy conversations, and performance metrics have historically revolved around it. But healthcare is decentralizing. Chronic disease management increasingly occurs outside hospital walls. Telehealth reshapes access. Employers influence prevention strategy. Community organiz...

Hospital-at-Home, policy incentives, and what breaks when care leaves the building. Hospitals are increasingly treating patients at home instead of admitting them, not as a temporary workaround, but as a structural shift in care delivery. This episode explains why reimbursement policy, not technology, is driving the change and how it reshapes responsibility, equity, and expectations in healthcare....

We rely on evidence-based public health programs to guide policy, protect communities, and improve population health. Yet despite an unprecedented volume of research and best-practice guidance, many public health programs still struggle to achieve their intended impact. In the first episode of The Public Health Practice Gap , public health educator and consultant Bradley Fevrier examines why evide...