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課程名稱 |
健康政策管理與行為科學
Health Policy, Management, and Behavioral Sciences |
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開課學期 |
112-1 |
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授課對象 |
公共衛生學院 公共衛生碩士學位學程 |
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授課教師 |
林青青 |
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課號 |
MPH7012 |
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課程識別碼 |
847 M0300 |
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班次 |
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學分 |
3.0 |
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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 |
星期二6,7,8(13:20~16:20) |
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上課地點 |
公衛211 |
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備註 |
MPH107級起核心必修課程。與鍾國彪、葉明叡、李柏翰、張齡尹、黃柏堯合授
限本系所學生(含輔系、雙修生)
總人數上限：40人 |
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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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為確保您我的權利,請尊重智慧財產權及不得非法影印
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課程概述 |
This course provides an overview of health policy, management and organization, and health and behavioral sciences. Topics to be covered include fundamental theories in those specific fields and their applications.
The first half of the class will be focused health policy and management. Key topics include problems identification, policy planning, implementation, and evaluation, management process, organizational behavior in health care, and health care of quality management.
The second half of the class will be focused on behavioral science. The course will apply the Social Ecological Model to introduce students with health determinants at different levels. Additionally, this course will provide students with basic understanding on the contents and application of several important health behavior theories. In the final part of the course, student will learn how to plan, implement, and evaluate public health programs in the community. The importance of cultural competency in the field of public health will also be discussed
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課程目標 |
At the end of the course the students are expected to:
1. Discuss the means by which structural bias, social inequities and racism undermine health and create challenges to achieving health equity at organizational, community and societal levels (MPH-D6)
2. Assess population needs, assets and capacities that affect communities’ health (MPH-D7)
3. Apply awareness of cultural values and practices to the design or implementation of public health policies or programs (MPH-D8)
4. Explain basic principles and tools of budget and resource management (MPH-10)
5. Discuss multiple dimensions of the policy-making process, including the roles of ethics and evidence (MPH-D12)
6. Propose strategies to identify stakeholders and build coalitions and partnerships for influencing public health outcomes (MPH-D13)
7. Evaluate policies for their impact on public health and health equity (MPH-15)
8. Apply principles of leadership, governance and management, which include creating a vision, empowering others, fostering collaboration and guiding decision making (MPH-D16)
9. Apply negotiation and mediation skills to address organizational or community challenges (MPH-D17)
10. Describe the importance of cultural competence in communicating public health content (MPH-D20) |
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課程要求 |
The students are expected to:
1. Have read assigned articles before class and actively participate in class discussion.
2. Finish two individual write-up assignments for (1) proposing a stakeholder analysis for a specific health policy and (2) identifying assets, needs, and social determinants that impact community health. Each write-up is 3–5 pages.
3. Complete two short papers that each addresses a public health topic in (1) health policy and management, and (2) behavioral science. Two lists of topics in those two fields will be provided at the beginning of the semester. Students will select one for each of their own interests. Papers are 8-10 pages, 1.5 lined-space (Mandarin Chinese) or double spaced (English). |
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預期每週課後學習時數 |
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Office Hours |
另約時間 備註： By appointments. |
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指定閱讀 |
1. Shi, Leiyu. Introduction to health policy. Health Administration Press, 2nd edition, 2019.
2. Buchbinder, Sharon B., Nancy H. Shanks, and Bobbie J. Kite. Introduction to health care management. Jones & Bartlett Learning, 2019.
3. Glanz, K., Rimer, B.K., & Viswanath, K. (2015). Health behavior and health education: Theory, research and practice (5th edition). San Francisco, CA: Jossey-Bass Inc. |
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參考書目 |
1. Managing Health Services Organizations and System- Fifth Edition, by Rakich, JS., Longest Jr. BB., Dare, KD. Health Professional Press, Inc. 2014 （中文版：健康照護組織管理，麗文文化事業。）
2. 李 蘭等 (2010)。健康行為與健康教育。台北市：巨流圖書股份有限公司。 |
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評量方式
(僅供參考) |
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No. |
項目 |
百分比 |
說明 |
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1. |
Class participation and in-class case study presentation |
20% |
Read assigned materials articles before class and actively participate in class discussion. Each group also needs to deliver an oral presentation based on the discussion. |
2. |
Assignment #1: Health policy and management write-up (3–5 pages) |
15% |
Students will submit a stakeholder analysis proposal. |
3. |
Assignment #2: Research paper in health policy and management (5–8 pages) |
25% |
Students will select a topic of interest from a list provided by the instructor. |
4. |
Assignment #3: Community assessment and social determinants of health (3–5 pages) |
15% |
Individual paper regarding community assessment and social determinants of health. |
5. |
Assignment #4: Research paper in behavioral sciences (5–8 pages) |
25% |
Final individual paper in behavioral sciences |
6. |
Notes |
0% |
Please see assignment guidelines for details. |
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週次 |
日期 |
單元主題 |
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第1週 |
9/5 |
Course overview. (Chang & Lin)
Introduction to health policy and management. (Lin)
Designated Readings
• Shi, Chapter 1
Guest Lecture: Jeremy Lim
Myth or Magic- The Singapore Health System
Designated Readings
New York Times: What Can the U.S. Health System Learn From Singapore?
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第2週 |
9/12 |
Policy formulation and implementation, agenda setting, policy analysis, and stakeholder analysis. (Lin)
# In-class case study: Planning for policy evaluation for expanding telehealth coverage
Designated Readings
• Shi, Chapter 2
References
• Cheng, S. H., & Chiang, T. L. (1997). The effect of universal health insurance on health care utilization in Taiwan. Results from a natural experiment. Journal of American Medical Association, 278(2), 89–93.
• 全民健康保險遠距醫療給付計畫
• Kammi Schmeer. (1999). WHO Guidelines for Conducting a Stakeholder Analysis, Section 2
• Lu, L. W., Chang, S. F. & Da, P. J. (2018). Exploring the Interactions and Conflicts of Telecare Service Stakeholders, Journal of Taiwan Association for Medical Informatics, 27(3), 49–62
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第3週 |
9/19 |
Stakeholder analysis (Lin)
Designated Readings
• Shi, Chapter 3
• H. Barrett, D., W. Ortmann, L., Dawson, A., Saenz, C., Reis, A., & Bolan, G. (Eds.). (2016). Public Health Ethics: Cases Spanning the Globe. Springer.
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第4週 |
9/26 |
Healthcare organization management/ Strategic management. (Lin)
Assignment #1: A stakeholder analysis proposal. Due on 2022/9/29 (Friday) 23:59
# In-class case study: vision, mission statement and organizational change
Designated Readings
• Jonathon, S., Rakich, Beaufort B. Longest, Jr, Kurt Darr. Managing Health Services Organization and Systems. Chapter 6
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第5週 |
10/3 |
Financial management and planning. (Lin)
# In-class case study: strategic planning with SWOT analysis
# In-class case study: break-even analysis
Designated Reading:
• Stephen P. Robbins, Mary K. Coulter. Management (GE)(15E). Chapter 18 & Planning and Control Techniques Module.
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第6週 |
10/10 |
國慶日放假 |
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第7週 |
10/17 |
Ethics in health system decision-making; Comparative healthcare system. (Professor. MING-JUI YEH)
# In-class case study: Ethics debate
Designated Readings
• H. Barrett, D., W. Ortmann, L., Dawson, A., Saenz, C., Reis, A., & Bolan, G. (Eds.). (2016). Public Health Ethics: Cases Spanning the Globe. Springer.
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第8週 |
10/24 |
Quality performance and management. (Professor. KUO-PIAO CHUNG)
Designated Readings
• Mosadeghrad A. M. (2014). Essentials of total quality management: a meta-analysis. International journal of health care quality assurance, 27(6), 544–558.
• Chung, K. P., & Yu, T. H. (2012). Are quality improvement methods a fashion for hospitals in Taiwan? Journal of the International Society for Quality in Health Care, 24(4), 371–379.
• Massoud R, Askov K, Reinke J, Franco LM, Bornstein T, Knebel E, MacAulay C. A modern paradigm for improving healthcare quality. QA Monograph Series.
• Yu, T. H., & Chung, K. P. (2014). Is the implementation of quality improvement methods in hospitals subject to the neighbourhood effect. Journal of the International Society for Quality in Health Care, 26(3), 231–239.
• Chung, KP., Yu, TH. (2015). Do relationships exist between the scope and intensity of quality improvement activities and hospital operation performance? A 10-year observation in Taiwan. BMC Health Service Research, 15, 327.
• Sun, H. (2012). A systems research on quality management under the MBNQA framework, Human Resource Management International Digest, 20(3).
• Wen-Ta Chiu. The experience of implementing quality control and awarding the National Quality Award in Wanfang Hospital.
Writing research paper in health policy and management (Lin)
Assignment #2 Due on 2022/11/3 (Friday) 23:59
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第9週 |
10/31 |
Introduction to Health Behavior and Social Ecological Model (Chang)
Designated Readings
• Glanz, K., Rimer, B.K., & Viswanath, K. (2015). The scope of health behavior. In Glanz, K., Rimer, B.K., & Viswanath, K. (Eds). Health behavior and health education: Theory, research and practice (pp. 3–22). San Francisco, CA: Jossey-Bass Inc.
• Sallis, J. F. and Owen, N. (2015). Ecological Models of Health Behavior. In Glanz, K., Rimer, B.K., & Viswanath, K. (Eds). Health behavior and health education: Theory, research and practice (pp. 43–64). San Francisco, CA: Jossey-Bass Inc.
• Golden et al. (2015). Upending the Social Ecological Model to Guide Health Promotion Efforts Toward Policy and Environmental Change. Health Education & Behavior, 42(1S): 8S–14S
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第10週 |
11/7 |
Models of Individual and Interpersonal Health Behavior: Health Belief Model; Social Cognitive Theory (Chang)
Designated Readings
• Skinner C. S., Tiro, J., and Champion, V. L. (2015). The Health Belief Model. In Glanz, K., Rimer, B.K., & Viswanath, K. (Eds). Health behavior and health education: Theory, research and practice (pp. 75–97). San Francisco, CA: Jossey-Bass Inc.
• Kelder, S. H., Hoelscher, D., Perry, C. L. (2015). How individuals, environments, and health interact. Social Cognitive theory. In Glanz, K., Rimer, B.K., & Viswanath, K. (Eds). Health behavior and health education: Theory, research and practice (pp. 159–181). San Francisco, CA: Jossey-Bass Inc. |
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第11週 |
11/14 |
Community Development & Social Determinants of Health. (Chang)
Designated Readings
• Foot, J. & Hopkins, T. (2009). A glass half-full: how an asset approach can improve community health and well-being. Improvement and Development Agency (IDeA). Available https://www.local.gov.uk/asset-approach-community-wellbeing-glass-half-full
• Solar O, Irwin A. A conceptual framework for action on the social determinants of health. Social Determinants of Health Discussion Paper 2 (Policy and Practice)
Reference readings
• 呂宗學、陳端容、江東亮 (2015)。釐清健康不平等相關名詞。台灣衛誌, 34 (2)：115–118。
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第12週 |
11/21 |
Planning and Evaluating Health Promotion Programs. (Chang)
Designated Readings
• Bartholomew, L. K., Markham, C., Mullen, P., and Fernandez, M. E. (2015). Planning Models for Theory-based Health Promotion Interventions. In Glanz, K., Rimer, B.K., & Viswanath, K. (Eds). Health behavior and health education: Theory, research and practice (pp. 359–388). San Francisco, CA: Jossey-Bass Inc.
Assignment #3 Due on 2023/11/24 (Friday) 23:59
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第13週 |
11/28 |
Guest Lecture
Sustaining Public Health Programs: A Case Study of the Tuberculosis Program in Mongolia
Prof Chunling Lu
Associate Professor of Global Health Economics
Department of Global Health and Social Medicine
1. WHO. (2005). Sustainable health financing, universal coverage and social health insurance. World Health Assembly Resolution 58.33. Geneva: World Health Organization
2. Pencheon D. (2013). Developing a sustainable health and care system: lessons for research and policy. Journal of Health Services Research & Policy, 18(4), 193–194.
3. Bennett, S., Rodriguez, D., Ozawa, S., Singh, K., Bohren, M., Chhabra, V., & Singh, S. (2015). Management practices to support donor transition: lessons from Avahan, the India AIDS Initiative. BMC Health Services Research, 15, 232.
4. Lu C, Ishikawa N, Morishita F, & Tamangan R. (2017). Sustainable financing of the priority public health programmes in Mongolia: a case study on HIV and TB programees. WHO Regional Office for the Western Pacific.
5. Mongolia country profile. USAID. https://www.usaid.gov/mongolia/documents/country-profile
6. Stop TB Partnership. Mongolia Tuberculosis Situation in 2020. https://www.stoptb.org/static_pages/MNG_Dashboard.html
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第14週 |
12/5 |
Social Media and Health Behavior. (Professor. Po-Yao Huang)
Designated Readings
• Covello V.T. (1992). Risk Communication: An Emerging Area of Health Communication Research. Annals of the International Communication Association, 15(1): 359–373.
• Mowlabocus S., Haslop C., & Dasgupta, R. K. (2016). From Scene to Screen: The challenges and opportunities of commercial digital platforms for HIV community outreach. Social Media + Society, 1–8.
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第15週 |
12/12 |
Cultural Competence (Professor. Po-Han Lee)
Designated readings
• Betancourt, J. R., Green, A. R., Carrillo, J. E., & Ananeh-Firempong, O. (2003). Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Report, 118: 293–302.
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第16週 |
12/19 |
Final Paper Discussion and Preparation
Assignment #4 Due on 2023/12/26 (Tuesday) 23:59
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