Public property accesses fields and internal class code through exposed getter and setter methods. A public field acesses the field directly.
Using propertys offers the potential to provide a layer of abstraction and design (ability to make set accessor protected, private).
When a property is specified and no body present an underlying private field is created by the compiler that is used to store the value against. Essentially:
private int item = 0;
public int Item {
get { return item; }
set {item = value; }
}
In general I tend to use properties for public exposed variables and fields for private. I might consider using a field if that field was accessed many times and speed was a crucial design requirement.