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課程名稱 |
健康照護體系與政策
Health Care System and Policy |
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開課學期 |
107-2 |
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授課對象 |
醫學院 護理學研究所 |
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授課教師 |
張 媚 |
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課號 |
NURSE8032 |
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課程識別碼 |
426 D4460 |
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班次 |
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學分 |
2.0 |
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全/半年 |
半年 |
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必/選修 |
必修 |
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上課時間 |
星期一6,7(13:20~15:10) |
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上課地點 |
護討論室2 |
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備註 |
與胡文郁合授
限博士班
總人數上限：15人 |
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Ceiba 課程網頁 |
http://ceiba.ntu.edu.tw/1072NURSE8032_2019 |
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課程簡介影片 |
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核心能力關聯 |
核心能力與課程規劃關聯圖 |
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課程大綱
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課程概述 |
Course description : The course is designed to guide students to understand the key issues of health care system in Taiwan, and explore the impacts of health policies on health services and their outcomes. The process of policy development, key skills to enhance effectiveness, and evaluation of nursing policy will also be discussed and scrutinized. Students will be assigned to selected nursing policy issues as policy project for further re-examination and re-work up. At the end of the course, students will be expected to gain insight into the role and responsibility of a contemporary nursing leader in bringing changes to the betterment of health care delivery system in Taiwan. |
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課程目標 |
Objectives :
1. to build an comprehensive understanding toward the organization, management and outcomes of health care system in Taiwan.
2. to recognize the crucial role of critical thinking, prioritization and decision making in the process of policy formation.
3. to improve understanding and ability in formulating, implementing and evaluating nursing policy.
4. to conduct an in-depth analysis on a selected nursing policy in Taiwan. |
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課程要求 |
1. Class participation 20%
Students will be evaluated in terms of her/his breadth and depth of understanding and comprehension toward current health care system and the policy making process; and in terms of .her/his strength of making comments/reflection onto the health issues inherent in the real world of health care services in Taiwan and internationally.
2. Class presentation 20%
Students will be evaluated in terms of her/his breadth and depth of the understanding and comprehension toward the presenting topic; in terms of her/his strength in making independent judgment/ideas on the topic presented; and in terms of her/his logical reasoning in analyzing and synthesizing the issues in the presenting topic based on evidences. In addition, students will also be evaluated in terms of her/his ability in connecting the content of the presenting topic to the issues/problem/policy which is nursing-focus, nursing-oriented and sensitive to nurses in general.
3. Written assignments 60 %
Mid-term paper- Policy Analysis Report:
Individual student will select a health care problem/issue in Taiwan, to analyze
the impact of health policy or health problem. Students will be expected to demonstrate their ability in applying the knowledge and skills of the process of making health policy based on the class presentation, discussion and the related literatures
Term paper-
Every student will be expected to complete a written proposal on a nursing
policy based on the health issue/problem used in the Mid-term paper. In this paper,
a comprehensive analysis/scanning of the issue/problem and potential solutions for the problems that include setting the goals of the policy, describing strategies and
resources used in the policy, and the indicators used for evaluation. Students will be
expected to demonstrate her ability to synthesis and application of all concepts and
skills learned in this course.
4.Vigne |
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預期每週課後學習時數 |
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Office Hours |
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指定閱讀 |
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參考書目 |
A. In English:
1.Health care delivery system and the roles of nurses in Taiwan
Bodenheimer, T.S. & Grumbach, K (2012)．Understanding health policy
McGraw-Hall Companies, Chapter 5. How health care is organized-I
http://accessmedicine.mhmedical.com/book.aspx?bookId=394
楊志良(2008)．健康保險 台中市：華格那企業有限公司 第二章 健康照護體系(2-2~23)。
2. Understanding policy
Mason, D.J. Leavitt, J.K. & Chaffee, M.W. (2012) Policy & Politics in Nursing and Health Care. St. Louis: Saunders, an imprint of Elsevier Inc. Chap 1. A framework for action in policy and politics,
ICN (2005)．Health policy Package: A guide for policy development. Geneva, Switzerland Unit 1
3. Participating in policy development
Mason, D.J. Leavitt, J.K. & Chaffee, M.W. (2012) Policy & Politics in Nursing and Health Care. St. Louis: Saunders, an imprint of Elsevier Inc. Chap 7. The policy process
ICN (2005)．Health policy Package: A guide for policy development. Geneva, Switzerland Unit 2
4. Key skills to enhance effectiveness (I)
ICN (2005)．Health policy Package: A guide for policy development. Geneva, Switzerland. Unit 3
Mason, D.J. Leavitt, J.K. & Chaffee, M.W. (2012) Policy & Politics in Nursing and Health Care. St. Louis: Saunders, an imprint of Elsevier Inc Chapter 8 Political analysis and strategies
5. Key skills to enhance effectiveness (II)
Pastrana T; Centeno C; De Lima L (2015). Palliative Care in Latin America from the Professional Perspective: A SWOT Analysis. Journal Of Palliative Medicine, 18 (5): 429-37
Mason, D.J. Leavitt, J.K. & Chaffee, M.W. (2012) Policy & Politics in Nursing and Health Care. St. Louis: Saunders, an imprint of Elsevier Inc. Chapter 11 Communication skills for political success
6. Transforming research to health policy
Mason, D.J. Leavitt, J.K. & Chaffee, M.W. (2012) Policy & Politics in Nursing
and Health Care. St. Louis: Saunders, an imprint of Elsevier Inc Chapter 41. Health Services Research: Translating Research to Policy
7. Monitoring and evaluation
ICN (2005)．Health policy Package: A guide for policy development. Geneva, Switzerland. Unit 4 monitoring and evaluation
Longest, B.B.(2002) Health policymaking in the United States. Chicago
IL: Health Administration Press Chap.6 Policymaking outcomes and consequences (pp.171-206)
Lu, Der-Fa (2003). Policy analysis for AHCPR Cancer Pain Management Guidelines. 慈濟護理雜誌第2卷第1期，pp.27-33
Sheldon MR (2016) Policy-Making Theory as an Analytical Framework in Policy Analysis: Implications for Research Design and Professional Advocacy. Physical Therapy, 96 (1): 101-10
8. Nursing workforce in Taiwan
Nickitas, DM. Middaugh, D.J. Aries,N.(2011) Policy and politics for nurses and other health professions : advocacy and action. Sudbury, Mass : Jones and Bartlett Publishers. Chap.4 Nurse
WHO (2003) Nursing and Midwifery Workforce Management:
Conceptual Framework . New Delhi: Regional Office for South-East Asia
10. Current issues of nursing education in Taiwan
Mason, D.J. Leavitt, J.K. & Chaffee, M.W. (2012) Policy & Politics in Nursing and Health Care. St. Louis: Saunders, an imprint of Elsevier Inc Chapter 50. Nursing Education Policy: The Unending Debate Over Entry into Practice and the New Debate over Doctoral Degrees
B. In Chinese
吳定(1996) 公共政策。台北：華視文化事業股份有限公司
張媚、余玉眉、趙可式(2012) 從民眾健康需要看台灣護理教育的挑戰與對策. 護
理雜誌, 59(5)：10-15
國家衛生研究院 (2010)．護理人力及專科護理師制度：願景與挑戰 苗栗：財團法人國家衛生研究院 (委託五南文化廣場及國家書店銷售)
國家衛生研究院 (2009)．2020健康國民白皮書技術報告 苗栗：財團法人國家衛生研究院 |
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評量方式
(僅供參考) |
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週次 |
日期 |
單元主題 |
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Week 1 |
2/18 |
Introduction to the course |
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Week 2 |
2/25 |
1.Health care delivery system and the roles of nurses in Taiwan |
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Week 3 |
3/04 |
2. Analyzing one of health care issues relevant to nursing policy in your nursing field and nurse’s roles in this issue |
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Week 4 |
3/11 |
3.Understanding policy |
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Week 5 |
3/18 |
4.Participating in policy development |
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Week 6 |
3/25 |
5.Key skills in enhance effectiveness (I) |
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Week 7 |
4/01 |
6.Key skills in enhance effectiveness (II) |
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Week 8 |
4/08 |
7.Monitoring and evaluation |
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Week 9 |
4/15 |
8.transforming research to health policy |
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Week 10 |
4/22 |
9.Analyzing one of health care issues relevant to nursing policy |
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Week 11 |
4/29 |
10.Presentation and discussion of mid-term paper |
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Week 12 |
5/06 |
11.Presentation and discussion of mid-term paper |
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Week 13 |
5/13 |
12.Nursing workforce in Taiwan |
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Week 14 |
5/20 |
13.Analyzing one of health care issues relevant to nursing policy |
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Week 15 |
5/27 |
14.Current issues of nursing education in Taiwan |
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Week 16 |
6/03 |
15.Presentation of final paper |
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Week 17 |
6/10 |
Course evaluation |
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