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課程名稱 |
公共衛生倫理
Public Health Ethics |
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開課學期 |
105-1 |
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授課對象 |
醫學院 醫學教育暨生醫倫理研究所 |
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授課教師 |
吳建昌 |
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課號 |
HPM7002 |
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課程識別碼 |
848 M0020 |
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班次 |
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學分 |
1 |
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全/半年 |
半年 |
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必/選修 |
選修 |
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上課時間 |
星期二8,9(15:30~17:20) |
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上課地點 |
公衛201 |
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備註 |
限碩士班以上
總人數上限：100人
外系人數限制：50人 |
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Ceiba 課程網頁 |
http://ceiba.ntu.edu.tw/1051HPM7002_ |
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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 aims at introducing students to the field of public health ethics through learning by doing. The first part reviews the basic ethical tenets of public health practices and the brief history of public health. The second part, providing representative readings of public health ethics debates, intends to train the students to use the newly acquired knowledge to make comments on several important public health issues, which include autonomy and paternalism, justice and health, infectious disease, occupational and environmental regulation, genetics and public health. |
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課程目標 |
At the end of this course students should be able to:
1.describe the nature and scope of public health;
2.compare major theories of public health ethics;
3.identify ethical issues in specific public health events; and
4.prepare ethical analysis of public health policy and practice.
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課程要求 |
This course meets for two hours, once every two weeks in average. For each class students are required to read all assigned readings. On the second part of the course, each student will be assigned to either one of the six panels. Preparing themselves by studying the assigned reading materials and case examples (if any), each panel shall engage in interactions with the teacher at the designated class for the purpose of enhancing learning for all the class participants.
The students shall ask absence according to university regulations if they could not attend class. The teaching assistant might call the roll from time to time. Those students who actively and constructively participate in class discussion shall be rewarded with increased course grades.
On Jan 10, 2017, each student taking the course has to turn in their term paper in electronic format to Dr. Kevin Chien-Chang Wu’s e-mail address: ccwu88@ntu.edu.tw. The designated structure of the term paper is as follows:
1.Locate and describe a public health event in Taiwan;
2.Recognize the situation or decision as one that raises ethical issues or dilemma;
3.Break the ethical issue down to its component part;
(a) Assess the factual information available to the decision maker
(b) Identify the stakeholders in the decision
(c) Identify the values at stake
(d) Identify any relevant ethical, legal or professional guidance
(e) Identify options available
(f) Consider the process of making decision and the value of that process
4.Conducting critical ethical analysis;
5. Justify your decision with sound arguments
The term paper, in the electronic format of Microsoft Word or others, should be 1.5-line-spaced, in no. 12 Times New Roman fonts or 新細明體 characters. The first page of the term paper should contain the title of the paper and the student’s name, school ID number, e-mail address, and the name of the program she or he belongs to. The main text shall not exceed 15 pages. (Those who write too long and do not have good justifications shall be punis |
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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： 平時評量及繳交期末報告 |
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指定閱讀 |
Sep 13 Welcome + Theories of Public Health Ethics I
Callahan D, Jennings B. Ethics and public health - forging a strong relationship. Am J Public Health 2002; 92:169-76.
Bayer R, Fairchild AL. The genesis of public health ethics. Bioethics 2004; 18[6]: 473-492.
Sep 27 Theories of Public Health Ethics II
Beauchamp DE, Steinbock B. Introduction - ethical theory and public health. In: Beauchamp DE, Steinbock B (eds). New Ethics for the Public’s Health. New York: Oxford University Press, 1999, 3-23. (Electronic book available at National Taiwan University Library)
Kass NE. An ethics framework for public health. Am J Public Health 2001; 91:1776-82.
Roberts MJ, Reich MR. Ethical analysis in public health. Lancet 2002; 359:1055-59.
Childress JF, Faden RR, et al.: Public health ethics: mapping the terrain. J Law Med Ethics 2002; 30:170-78.
Oct 11 Theories of Public Health Ethics III
Marmot M, Social determinants of health inequalities, Lancet, 2005; 365: 1099-1105.
Rose G. Sick individuals and sick populations. (International Journal of Epidemiology, 1985, 14[1]: 32-38) In: Public Health Ethics: Theory, Policy, and Practice, 33-44.
Gostin LO, Boufford JI, Martinez RM. The future of the public’s health: vision, values, and strategies. (Health Affairs, 2004, 23[4]: 96-107) In: Public Health Ethics: Theory, Policy, and Practice, 57-70.
Oct 25 Autonomy and Paternalism (Panel 1)
Wikler D, Personal and social responsibility for health. In: Public Health Ethics and Equity, 109-134.
Bayer R, Moreno JD. Health promotion: ethical and social dilemmas of government policy. (Health Affairs, 1986, 5[2]: 72-85) In: Public Health Ethics: Theory, Policy, and Practice, 105-116.
Conly S, Coercive paternalism in health care: Against freedom of choice, Public Health Ethics, 2013, 6[3]: 241-245.
Nov 08 Infectious Disease (Panel 2)
Bayer R, Fairchild AL. Surveillance and privacy. (Science, 2000, 290[5498]: 1898-1899) In: Public Health Ethics: Theory, Policy, and Practice, 255-259.
Gostin LO, Bayer R, Fairchild AL. Ethical and legal challenges posed by severe acute respiratory syndrome: implications for the control of severe infectious disease threats. (JAMA 2003, 290[24]: 3229-3237) In: Public Health Ethics: Theory, Policy, and Practice,. 261-277.
Diekema DS, Marcuse EK. Ethical issues in the vaccination of children. (in GR Burgio and JD Lantos eds., Primum Non Nocere Today, 2nd ed. [Amsterdam: Elsevier, 1998]) In: Public Health Ethics: Theory, Policy, and Practice, 279-288.
Nov 22 Environmental and Occupational Health (Panel 3)
Douglas Weed, Precaution, prevention and public health ethics, Journal of Medicine and Philosophy, 2004, 29(3): 313-332.
Carl C Cranor, Regulating Toxic Substances: A Philosophy of Science and the Law, (New York: Oxford University Press, 1993, pp.44-48 [excerpts]). In Public Health Ethics: Theory, Policy, and Practice, 313-318.
Norman Daniels, “Doth OSHA protect too much?” (in Daniels, Just Health Care [Cambridge, Cambridge University Press, 1985]), chapter 7 (excerpts), Public Health Ethics: Theory, Policy, and Practice, 327-348.
Dec 6 Justice and Health (Panel 4)
Deaton A. Policy implications of the gradient of health and wealth. (Health Affairs, 2002, 21[2]: 13-30) In: Public Health Ethics: Theory, Policy, and Practice, 171-86.
Wilkinson RG. Putting the picture together: prosperity, redistribution, health, and welfare. (in Michael Marmot and Richard G Wilkinson, eds., Social Determinants of Health [Oxford, Oxford University Press, 1999], 256-274) In: Public Health Ethics: Theory, Policy, and Practice, 187-204.
Daniels N, Kennedy BP, Kawachi I. Why justice is good for our health: the social determinants of health inequalities. (Daedalus, 1999, 128[4]: 215-251) In: Public Health Ethics: Theory, Policy, and Practice, 205-30.
Dec 20 Public health Research ethics (Panel 5)
The Nuremberg Code (1949), accessed at:
http://www.ushmm.org/information/exhibitions/online-features/special-focus/doctors-trial/nuremberg-code
The Belmont Report (1979) , accessed at : http://www.hhs.gov/ohrp/humansubjects/guidance/belmont.html
Council for International Organizations of Medical Sciences, International Ethical Guidelines for Biomedical Research Involving Human Subjects (2002), accessed at:
http://www.cioms.ch/publications/layout_guide2002.pdf
The Declaration of Helsinki (2013), accessed at:
http://www.wma.net/en/30publications/10policies/b3/
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參考書目 |
【Recommended Textbook】
1.
Bayer R, Gostin LO, Jennings B, and Steinbock B eds., Public Health Ethics:
Theory, Policy, and Practice. New York: Oxford University Press, 2007.
2.
Anand S, Peter F, and Sen A eds., Public Health, Ethics, and Equity, Oxford:
Oxford University Press, 2006. (An electronic book available at the National
Taiwan University Library)
3.
Coughlin, SS, Case Studies in Public Health Ethics, Washington D.C.: American
4.
Public Health Association, 2009. (An electronic book available at the National
Taiwan University Library)
【Recommended Websites】
1.
Association of Schools of Public Health, Ethics and Public Health Model
2.
Curriculum-- http://www.asph.org/document.cfm?page=782
3.
Public Health Ethics-- http://phe.oxfordjournals.org/ |
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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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第1週 |
9/13 |
Welcome + Theories of Public Health Ethics I |
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第3週 |
9/27(颱風假移至10/11上課) |
Theories of Public Health Ethics II
有一篇：Beauchamp DE, Steinbock B. Introduction - ethical theory and public health. In: Beauchamp DE, Steinbock B (eds). New Ethics for the Public’s Health. New York: Oxford University Press, 1999, 3-23. (Electronic book available at National Taiwan University Library)。
同學們自己上圖書館網站搜尋，就可以看到了。
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第5週 |
10/11 |
Theories of Public Health Ethics III |
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第7週 |
10/25 |
Autonomy and Paternalism (Panel 1)
Daniel Wikler 這一篇，請同學上網到臺大圖書館電子書進行閱讀：
Anand S, Peter F, and Sen A eds., Public Health, Ethics, and Equity, Oxford: Oxford University Press, 2006. (An electronic book available at the National Taiwan University Library)
另外，Why It's Time to Stop Worrying About Paternalism in Health Policy只有摘要，請同學線上閱讀：http://phe.oxfordjournals.org/content/early/2011/10/17/phe.phr028.abstract |
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第9週 |
11/08 |
Infectious Disease (Panel 2) |
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第11週 |
11/22 |
Environmental and Occupational Health (Panel 3) |
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第13週 |
12/06 |
Justice and Health (Panel 4) |
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第15週 |
12/20 |
Public health Research ethics (Panel 5) |
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第17週 |
1/10 |
Turning in the term paper |
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