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課程名稱 |
健康體系
Health Systems |
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開課學期 |
109-1 |
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授課對象 |
公共衛生學院 健康政策與管理研究所 |
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授課教師 |
董鈺琪 |
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課號 |
HPM7094 |
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課程識別碼 |
848 M0280 |
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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 |
星期一1,2(8:10~10:00) |
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上課地點 |
公衛213 |
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備註 |
8:40-10:30上課與葉明叡、楊銘欽合授
限碩士班以上
總人數上限：50人
外系人數限制：20人 |
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Ceiba 課程網頁 |
http://ceiba.ntu.edu.tw/1091HPM7094_HS |
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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 |
有系統的介紹健康體系的基本原理和概念，瞭解台灣健康體系的現況及議題。
Introduce the basic principles and concepts of health systems in a systematic fashion. Understand the current state and issues of Taiwan’s health systems. |
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課程目標 |
1. 瞭解健康體系的宏觀架構。 Understand the macro-structure of health systems.
2. 熟悉台灣各種健康體系，包括預防保健、醫療照護、長期照顧等。 Be familiar with Taiwan’s various health systems, including preventive health services, medical care, long-term care, and so on. |
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課程要求 |
無 |
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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： 依需要和教師約時間 |
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指定閱讀 |
每週上課前會提供需要研讀與討論的文章
Papers to be presented will be provided in advance |
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參考書目 |
於課前提供 |
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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. |
課堂參與 Class participation |
20% |
課堂報告每次一組，一組報告20分 |
2. |
期中報告 Midterm report |
20% |
針對台灣健康體系議題訂定題目，進行問題界定，一組報告5分 |
3. |
期末報告 Final report |
60% |
針對期中報告選定之題目，進行完整報告，一組報告30分 |
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週次 |
日期 |
單元主題 |
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第1週 |
9/14 |
課程介紹 健康體系 [董]
Introduction to Health System [Tung] |
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第2週 |
9/21 |
健康體系績效評估 [楊]
Performance Assessment of Health System [Yang]
Christopher J.L. Murray & Julio Frenk. A framework for assessing the performance of health systems. Bulletin of the World Health Organization, 2000, 78 (6):717-731.
Irene Papanicolas. International Frameworks for Health System Comparison. in Irene Papanicolas and Peter C. Smith (ed) Health system performance comparison: An agenda for policy, information and research. Open University Press, 2013, PP.31-74. |
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第3週 |
9/28 |
健康體系財源籌措 [董]
Health System Financing
Tung YC, Chang GM, Cheng SH. Long-term effect of fee-for-service-based reimbursement cuts on processes and outcomes of care for stroke: interrupted time-series study from Taiwan. Circulation: Cardiovascular Quality and Outcomes 2015; 8:30-7.
Tung YC, Chang HY, Chang GM. Impact of bundled payments on hip fracture outcomes: a nationwide population-based study. International Journal for Quality in Health Care 2018; 30:23-31. |
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第4週 |
10/5 |
醫療照護(初級、專科、住院) [楊]
Medical Care: Primary, Specialty and Inpatient Care) [Yang]
陳秋如、朱昭美、林軒璋、璩大成、黃勝堅、黃遵誠 (2018) 急診轉診直入病房之分級醫療新模式。北市醫學雜誌; 15(2): 059-069。
Varsha G. Vimalananda, Mark Meterko, Molly E. Waring, Shirley Qian, Amanda Solch, Jolie B. Wormwood, and B. Graeme Fincke (2019) Tools to Improve Referrals From Primary Care to Specialty Care. Am J Manag Care; 25(8):e237-e242. |
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第5週 |
10/12 |
急診及緊急醫療 [董]
Emergency Department and Emergency Medical Services [Tung]
Tung* YC, Jeng JS, Chang GM, Chung KP. Processes and outcomes of ischemic stroke care: the influence of hospital level of care. International Journal for Quality in Health Care 2015; 27:260-6.
Tung* YC, Chang GM. The relationships among regionalization, processes, and outcomes for stroke care: A nationwide population-based study. Medicine 2016; 95:e3327. |
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第6週 |
10/19 |
急性後期/中期照護 [楊]
Post-acute Care/Intermediate Care [Yang]
李威儒、林明憲、陳亮恭 (2016) 急性後期照護與中期照護。臨床醫學，78(6)：326-330。
Eduard E. Vasilevskis, Joseph G. Ouslander, Amanda S. Mixon, Susan P. Bell, Mary Lou Jacobsen, Avantika A. Saraf, Daniel Markley, Kelly C. Sponsler, Jill Shutes, Emily A. Long, Sunil Kripalani, Sandra F. Simmons, and John F. Schnelle. Potentially Avoidable Readmissions of Patients Discharged to Post-Acute Care: Perspectives of Hospital and Skilled Nursing Facility Staff. Journal of American Geriatrics Society (2017) 65:269–276. |
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第7週 |
10/26 |
安寧緩和療護 [楊]
Hospice and Palliative Care [Yang]
翁瑞萱、徐愫萱、施至遠、黃勝堅（2015）．臺灣社區安寧居家療護之現在與未來．護理雜誌，62（2），18-24。
翁瑞萱、施至遠、洪香蓮、劉旭華、李佩璇、洪毓謙、賴俊夫、趙家德、劉嘉仁、黃勝堅、徐愫萱（2015），居家生命末期照顧新思維：以台大醫院金山分院社區居家安寧為例，安寧療護雜誌，20（3），258-268。 |
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第8週 |
11/2 |
台灣長期照顧體系(外賓演講：老盟張淑卿秘書長) [董]
Guest Speech: Long-term Care System [Tung] |
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第9週 |
11/9 |
期中報告 [董]
Midterm Report [Tung] |
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第10週 |
11/16 |
健康財務改革的政治經濟學 [葉]
Sparkes SP, Bump JB, Özçelik EA, Kutzin J, Reich MR. Political economy analysis for health financing reform. Health Systems & Reform 2019; 5:183-94.
Lu JF, Chiang TL. Evolution of Taiwan's health care system. Health Economics, Policy and Law 2011; 6:85-107. |
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第11週 |
11/23 |
健康體系改革：比較的觀點 [葉]
Saltman RB. The role of comparative health studies for policy learning. Health Economics, Policy and Law 2012; 7:11-13.
Cuadrado C, Crispi F, Libuy M, Marchildon G, Cid C. National Health Insurance: A conceptual framework from conflicting typologies. Health Policy. 2019; 123:621-9.
Supplemental Reading: Rechel B. et al. A Framework for Health System Comparisons: the Health Systems in Transition (HiT) Series of the European Observatory on Health Systems and Policies. In: Sobolev B., Levy A., Goring S. (eds) Data and Measures in Health Services Research. Health Services Research. Springer, Boston, MA. 2016. https://doi.org/10.1007/978-1-4899-7673-4_15-1 |
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第12週 |
11/30 |
傳染病防治(外賓演講：疾管署劉定萍) [楊]
Guest Speech: Infectious Disease Prevention [Yang] |
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第13週 |
12/7 |
精神照護 [董]
Mental Health Care [Tung] |
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第14週 |
12/14 |
小組專題報告 [董]
Team Report [Tung] |
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第15週 |
12/21 |
小組專題報告 [董]
Team Report [Tung] |
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第16週 |
12/28 |
小組專題報告 [董]
Team Report [Tung] |
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第17週 |
1/4 |
小組專題報告 [董]
Team Report [Tung] |
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第18週 |
1/11 |
期末報告 [董]
Final Report [Tung] |
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