課程資訊
課程名稱
 全球化與健康的社會決定因素
Globalization and Social Determinants of Health 
開課學期
 109-1 
授課對象
 公共衛生學院  健康政策與管理研究所  
授課教師
 鄭雅文 
課號
 HPM7099 
課程識別碼
 848EM1230 
班次
  
學分
 2.0 
全/半年
 半年 
必/選修
 選修 
上課時間
 星期四9,10(16:30~18:20) 
上課地點
 公衛211 
備註
 本課程以英語授課。與江東亮、陳端容、李柏翰合授
總人數上限：50人
外系人數限制：20人 
Ceiba 課程網頁
 http://ceiba.ntu.edu.tw/1091HPM7099_ 
課程簡介影片
 
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課程概述

In this course we examine how globalization affects various types of social determinants of health and health inequalities, which in turn influence individual's health and population health. The course emphasizes on the social and policy aspects of health issues. We will begin with an introduction to the framework of social determinants of health and the typology of policy level interventions to tackle health inequalities. Following that, selected topics will be addressed from a social determinant of health perspective, including health care arrangements, climate change, aging, and employment and work conditions. We will review the state-of-the art knowledge and discuss potential policy interventions to promote health equity both on the domestic and international levels. 

課程目標
 At the end of the course the students are expected to:
1. understand the key concepts of social determinants of health;
2. comprehend the consequences of globalization on social determinants of health and health inequalities;
3. propose and analyze the different types of health policies to tackle health inequalities. 
課程要求
 The course is offered in English. Basic understanding of public health and health policy would be helpful but not a prerequisite. Students are expected to read assigned readings prior to the lecture and submit assignments on a weekly basis. Students are also expected to participate in class discussion, and work on a final project which can be done individually or in pair. 
預期每週課後學習時數
  
Office Hours
  
指定閱讀
 待補 
參考書目
 To be determined. 
評量方式
(僅供參考)
  
No.
項目
百分比
說明
1. 
 Weekly assignments 
50% 
 Students are required to read assigned readings and answer questions in a written format (pick at least 8 sessions). Assignment should be submitted prior to the session.  
2. 
 Participation 
20% 
 Students are expected to attend the class and participate in class discussion.  
3. 
 Final report and oral presentation  
30% 
 Students should write up a short report or commentary on a chosen issue related to "globalization and SDH"(about 2,000 words) and present it to the class. Final report can be done individually or in pair (2 persons).  
 
課程進度
週次
日期
單元主題
第1週
 9/17  Introduction: Globalization, Social Determinants of Health, and Health Inequalities (Prof. Yawen Cheng)  
第2週
 9/24  Conceptual Framework of Social Determinants of Health and Typology of Policy Interventions (Prof. Yawen Cheng)
Readings:
1. 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). Geneva, World Health Organization, 2010.
2. Benach, J., Malmusi, D., Yasui, Y., & Martinez, J. M. (2013). A new typology of policies to tackle health inequalities and scenarios of impact based on Rose's population approach. Journal of Epidemiology and Community Health, 67(3), 286-291. doi:10.1136/jech-2011-200363.  
第3週
 10/01  Moon Festival Holiday (No class)  
第4週
 10/08  International health inequities: Uneven distribution of globalization’s impact (Prof. Po-Han Lee)
Readings:
1. Labonté, R., Schrecker, T. Globalization and social determinants of health: Introduction and methodological background (part 1 of 3). Global Health 3, 5 (2007). https://doi.org/10.1186/1744-8603-3-5.
2. Labonté, R., Schrecker, T. Globalization and social determinants of health: The role of the global marketplace (part 2 of 3). Global Health 3, 6 (2007). https://doi.org/10.1186/1744-8603-3-6.
3. Labonté, R., Schrecker, T. Globalization and social determinants of health: Promoting health equity in global governance (part 3 of 3). Global Health 3, 7 (2007). https://doi.org/10.1186/1744-8603-3-7.  
第5週
 10/15  National Health Insurance and health equity (Prof. Tung-Liang Chiang)
Readings:
1. Hsieh, V. C. R., Wu, J. C. L., Wu, T. N., & Chiang, T. L. (2015). Universal Coverage for Primary Health Care Is a Wise Investment: Evidence From 102 Low- and Middle-Income Countries. Asia-Pacific Journal of Public Health, 27(2), NP877-NP886. doi:10.1177/1010539513492562.
2. Lee, Y. C., Huang, Y. T., Tsai, Y. W., Huang, S. M., Kuo, K. N., McKee, M., & Nolte, E. (2010). The impact of universal National Health Insurance on population health: the experience of Taiwan. Bmc Health Services Research, 10, 8. doi:10.1186/1472-6963-10-225.
3. Chiang, T. L. (2014). Health care financing in Taiwan In S. Griffiths, J. Tang, & E. Yeoh (Eds.), Routledge Handbook of Global Public Health in Asia. London: Routledge. 
第6週
 10/22  Globalization, health care and medical tourism (Prof. Yawen Cheng)
Readings:
1. Turner L. (2010). "Medical tourism" and the global marketplace in health services: U.S. patients, international hospitals, and the search for affordable health care. International journal of health services : planning, administration, evaluation, 40(3), 443–467. https://doi.org/10.2190/HS.40.3.d.
2. Eikemo, T. A., & Bambra, C. (2008). The welfare state: a glossary for public health. Journal of Epidemiology and Community Health, 62(1), 3-6. doi:10.1136/jech.2007.066787. 
第7週
 10/29  Inequalities in reproductive health: Gender, body, and intersectionality (Prof. Po-Han Lee)
Readings:
1. UNFPA (2017) State of World Population Report – Worlds Apart: Reproductive health and rights in an age of inequality State of World Population Report. UNFPA:https://esaro.unfpa.org/en/publications/worlds-apart-reproductive-health-and-rights-age-inequality. 
第8週
 11/05  Ageing and social inequality (Prof. Duan-Rung Chen)
Readings:
1. Hall, S., Rennick, K., & Williams, R. (2019). The Perennials: the future of ageing. IPSOS MORI.
2. Lindland, E., Haydon, A., Kendall-Taylor, N., & Fond, M. (2015). Gauging Aging: Mapping the Gaps Between Expert and Public Understandings of Aging in America. FrameWorksInstitute.org.
3. WHO. (2015). World report on Ageing and Health.
4. Scharf, T., Shaw, C., Bamford, S.-M., Beach, B., & Hochlaf, D. (2017). Inequalities in later life: Centre for Ageing Better. 
第9週
 11/12  Employment conditions and social inequalities in occupational health (Prof. Yawen Cheng)  
第10週
 11/19  The role of social security policies in reducing health inequalities (Prof. Yawen Cheng)  
第11週
 11/26  Social marginalization and minority stress against mental health (Prof. Po-Han Lee)
Readings:
1. Pascoe, E. A., & Smart Richman, L. (2009). Perceived discrimination and health: A meta-analytic review. Psychological bulletin, 135(4), 531–554. https://doi.org/10.1037/a0016059.
2.Meyer, I.H. (2003). Prejudice, social stress, and mental health in lesbian, gay and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674-697. doi:10.1037/0033-2909.129.5.674.
3.Paradies, Y. (2006). A systematic review of empirical research on self-reported racism and health, International Journal of Epidemiology, Volume 35, Issue 4, 888–901, https://doi.org/10.1093/ije/dyl056.  
第12週
 12/03  Stigma and Health: An Interactive Process (Prof. Po-Han Lee)
Readings:
1. Link, B.G., & Phelan, J.C. (2006). Stigma and its public health implications. Lancet, 367, 528-529.
2. Herek, G.M. (2004) Beyond “Homophobia”: Thinking about sexual prejudice and stigma in the twenty-first century. Sex Res Soc Policy 1, 6–24. https://doi.org/10.1525/srsp.2004.1.2.6.
3. Scambler, G. (2009), Health‐related stigma. Sociology of Health & Illness, 31: 441-455. doi:10.1111/j.1467-9566.2009.01161.x.  
第13週
 12/10  Human Rights Day: Making health inequalities a human rights issue? (Prof. Po-Han Lee)
Readings:
1. Braveman, Paula A et al. (2011) “Health disparities and health equity: the issue is justice.” American journal of public health vol. 101 Suppl 1: S149-55. doi:10.2105/AJPH.2010.300062
2. Chapman AR. (2010) The social determinants of health, health equity, and human rights. Health Hum Rights. 2010; 12(2):17-30.
3. Hunt, P. (2009). Missed opportunities: human rights and the Commission on Social Determinants of Health. Global Health Promotion, 16(1_suppl), 36–41. https://doi.org/10.1177/1757975909103747. 
第14週
 12/17  Emerging issue: Impacts of information and communication technology on work and health inequalities (Prof. Yawen Cheng)
Readings:
1. Kenney, M., & Zysman, J. (2016). The rise of the platform economy. Issues in science and technology, 32(3), 61. (9 pages).
2. Bajwa, U., Gastaldo, D., Di Ruggiero, E., & Knorr, L. (2018). The health of workers in the global gig economy. Globalization and health, 14(1), 1-4. (3 pages). 
第15週
 12/24  Emerging issue: Social determinants of health, inequalities, and COVID-19 (Prof. Po-Han Lee)
Readings:
1. Burström, Bo & Tao, Wenjing (2020) Social determinants of health and inequalities in COVID-19, European Journal of Public Health, https://doi.org/10.1093/eurpub/ckaa095.
2. Abrams, Elissa M et al. (2020) COVID-19 and the impact of social determinants of health. The Lancet Respiratory Medicine, Volume 8, Issue 7, 659 – 661.
3. Others will be added when more relevant studies are published.  
第16週
 12/31  Students' presentation (I) (Prof Cheng, Prof Lee)  
第17週
 1/07  Students' presentations (II)(Prof Cheng, Prof Lee)