課程大綱

課程資訊

課程名稱

醫療政策與全民健保
Health Care Policy and Universal Health Insurance

開課學期

108-2

授課對象

公共衛生學院健康政策與管理研究所

授課教師

董鈺琪

課號

HPM7085

課程識別碼

848 M0240

班次

學分

2.0

全/半年

半年

必/選修

選修

上課時間

星期一3,4(10:20~12:10)

上課地點

公衛209

備註

與吳全峰合授
限碩士班以上
總人數上限：30人
外系人數限制：5人

Ceiba 課程網頁

http://ceiba.ntu.edu.tw/1082HPM7085_UHI

課程簡介影片

核心能力關聯

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課程大綱

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課程概述

本課程介紹醫療政策與全民健保之國際發展，討論當前重要的醫療政策議題，及評估健康政策實施之影響。
This course provides an overview of international development of health policy and universal health coverage, discussion of important current health policy issues, and evaluation of the impact of the implementation of health policies.

課程目標

在本課程結束後，學生將能夠：
1.了解全民健保的概念。
2.比較國際與國內醫療服務的財源籌措及提供之模式。
3.分析醫療政策的重要議題。
At the conclusion of this course, students will be able to:
1. Understand the concept of universal health coverage.
2. Compare international vs. domestic financing and delivery models of healthcare services.
3. Analyze the important issues of health policy.

課程要求

無

預期每週課後學習時數

Office Hours

另約時間

指定閱讀

Bodenheimer, T., & Grumbach, K. (2016). Understanding Health Policy: A Clinical Approach 7e (Ed.) Retrieved from http://accessmedicine.mhmedical.com/book.aspx?bookid=1790

參考書目

1.於課前提供
2.楊志良等. (2019). 健康保險. 台北: 文華.

評量方式
(僅供參考)

No.	項目	百分比	說明
1.	課堂參與	30%
2.	課堂報告	30%
3.	期末報告 (口頭與書面報告)	40%

課程進度

週次	日期	單元主題
第1週	3/2	課程介紹醫療政策與全民健保[董]
第2週	3/9	醫療人權[吳]
第3週	3/16	醫療資源分配正義[吳]
第4週	3/23	全民健康覆蓋之財源籌措方式 1. Ch 2: Paying for Health Care; 2.World Health Organization. (2013). Arguing for universal health coverage; 3.Herzlinger, R. E., Richman, B. D., & Boxer, R. J. (2017). Achieving universal coverage without turning to a single payer: Lessons from 3 other countries. JAMA, 317(14), 1409-1410. [董]
第5週	3/30	醫療服務之給付與可近性 1. Ch 3: Access to Health Care; 2. Stock, S., Schmidt, H., Büscher, G., Gerber, A., Drabik, A., Graf, C., et al. (2010). Financial incentives in the German statutory health insurance: new findings, new questions. Health Policy, 96(1), 51-56.; 3. 2015 Bonus Programme [董]
第6週	4/6	部分負擔制度 Remler, D. K., & Greene, J. (2009). Cost-sharing: a blunt instrument. Annu Rev Public Health, 30, 293-311. [董]
第7週	4/13	支付制度 1. Ch 4: Paying Health Care Providers; 2. Busse, R., Geissler, A., Aaviksoo, A., Cots, F., Häkkinen, U., Kobel, C., et al. (2013). Diagnosis related groups in Europe: moving towards transparency, efficiency, and quality in hospitals? BMJ, 346, f3197.; 3. Tung, Y. C., Chang, H. Y., & Chang, G. M. (2018). Impact of bundled payments on hip fracture outcomes: a nationwide population-based study. Int J Qual Health Care, 30(1), 23-31. [董]
第8週	4/20	分級醫療 1. Ch 5: How Health Care Is Organized—I: Primary, Secondary, and Tertiary Care ; 2. World Health Organization. (2004). What are the advantages and disadvantages of restructuring a health care system to be more focused on primary care services? [董]
第9週	4/27	緊急/高風險醫療-區域化/集中化 1. Birkmeyer, J. D., Siewers, A. E., Marth, N. J., & Goodman, D. C. (2003). Regionalization of high-risk surgery and implications for patient travel times. JAMA, 290(20), 2703-2708.; 2. Carr, B. G., Matthew Edwards, J., Martinez, R., & Academic Emergency Medicine consensus conference, B. R. I. N. o. C. (2010). Regionalized care for time-critical conditions: lessons learned from existing networks. Acad Emerg Med, 17(12), 1354-1358. [董]
第10週	5/4	急性後期/精神醫療-社區照護 1. Roe, B., Daly, S., Shenton, G., & Lochhead, Y. (2003). Development and evaluation of intermediate care. J Clin Nurs, 12(3), 341-350.; 2. Barbato, A., Civenti, G., & D’Avanzo, B. (2017). Community residential facilities in mental health services: A ten-year comparison in Lombardy. Health Policy, 121(6), 623-628. [董]
第11週	5/11	價值為基礎的健康照護體系-協調/整合 1. Ch 6: How Health Care Is Organized—II: Health Delivery Systems; 2. Porter, M. E., & Lee, T. H. (2013). The strategy that will fix health care. [Article]. Harvard Business Review, 91(10), 50-70. [董]
第12週	5/18	客座演講：健保資料的前瞻應用 (健保署企劃組組長) [董]
第13週	5/25	客座演講：社會保險政策與長期照顧服務及醫療服務合作之研議 (衛福部社保司司長) [董]
第14週	6/1	期末口頭報告1[董] 報告組別:第1-3組
第15週	6/8	期末口頭報告2[董] 報告組別:第4-6組
第16週	6/15	合理論責機制[吳]
第17週	6/22	期末書面報告[董]
第18週	6/29	期末書面報告[董]