課程資訊
課程名稱
社會與健康實務
Issues in Society and Health 
開課學期
105-1 
授課對象
公共衛生學院  健康政策與管理研究所  
授課教師
江東亮 
課號
HPM7071 
課程識別碼
848 M0130 
班次
 
學分
全/半年
半年 
必/選修
必修 
上課時間
星期六6,7(13:20~15:10) 
上課地點
公衛601 
備註
限健管所高階經營碩士在職專班學生選修與鄭雅文合開
限碩士在職專班生
總人數上限:15人 
Ceiba 課程網頁
http://ceiba.ntu.edu.tw/1051HPM7071_ 
課程簡介影片
 
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課程概述

Social inequalities are apparent in most of the disease outcomes. The lower the socioeconomic position and neighborhood resources, the higher the morbidity and disease fatality. Social inequalities are even more evident in occupational health outcomes, because workers who have lower social economic status are more likely to expose to exploitative employment conditions and occupational hazards. This course consists of three parts. The first part introduces the concept of health equity and the role of medical care. The second part examines selected social factors contributing to inequalities in health, including economic development, social class, early life, and gender. In the third part, we will discuss labor and health issues from a social causation perspective, including employment and health, commodification of labor, health promoting workplace, and healthy labor policy. 

課程目標
At the end of this course students should be able to:
• describe the concepts of health equity and health equality;
• illustrate health inequalities from different social dimensions; and
• analyze critically labor and health policy related issues.
 
課程要求
This course meets for two hours once a week and is conducted mainly as a participatory seminar. Students are expected to read the required readings and prepare a one-page note before the class. There will be a short commentary or a short photo voice project report, due January 12, 2017, on social inequalities of health. Students will be graded according to their performance in one-page note (40%), class participation (30%), and the commentary/photo voice project report (30%). 
預期每週課後學習時數
 
Office Hours
另約時間 備註: 請與老師聯繫Office Hour時間 
參考書目
Wilkinson RG, Marmot M (eds). Social Determinants of Health: The Solid Facts
(2nd ed). Geneva: WHO. Available at:

http://www.euro.who.int/document/e81384.pdf  
指定閱讀
Wilkinson RG, Marmot M (eds). Social Determinants of Health: The Solid Facts (2nd ed). Geneva: WHO. Available at:

http://www.euro.who.int/document/e81384.pdf

•Recommended Website
The Gapminder organization--http://www.gapminder.org/
TL Chiang’s Blog: Society and Health--http://2020fha.blog.ntu.edu.tw/
PhotoVoice --http://www.photovoice.org/

 
評量方式
(僅供參考)
 
No.
項目
百分比
說明
1. 
Performance in one-page note 
40% 
每周上課繳交不超過一頁A4的上課心得或當周預習重點。 
2. 
Class participation  
30% 
上課發言與討論 
3. 
The commentary/photo voice project report  
30% 
選擇一社會與健康相關議題評論 或 親自拍一張照片附上小故事與解說(二擇一) 
 
課程進度
週次
日期
單元主題
第2週
9/24  Welcome
江東亮:新世紀、新台灣、人人健康,發表於「臺大對新世紀新政府的期許」,國立臺灣大學,台北,4月29-30日,2000年。
Global Hands - Social Determinants of Health - https://youtu.be/SXcSjTcrskM
 
第3週
10/01  Health Equity
Whitehead M. The concepts and principles of equity and health. Copenhagen: World Health Organization Regional Office for Europe, (EUR/ICP/PRD 414).

Available at:
http://www.who.dk/Document/PAE/conceptsrpd414.pdf

呂宗學、陳端容、江東亮:釐清健康不平等相關名詞。台灣衛誌 2015; 34:115-118。

The Gapminder organization--
http://www.gapminder.org/
 
第4週
10/08  The Role of Medical Care
Bunker JP, Frazier HS, Mosteller F. Improving health: measuring effects of medical care. Milbank Q 1994;72:225-58.
Makary MA, Daniel M. Medical error—the third leading cause of death in the US. BMJ 2016;353:i2139.

Lee YC, Huang YT, Tsai YW, Huang SM, Kuo KN, McKee M, Nolte E. The impact of universal National Health Insurance on population health: the experience of Taiwan. BMC Health Serv Res 2010; 10:225 doi:10.1186/1472-6963-10-225.
 
第5週
10/15  Economic Development
Preston SH. The changing relation between mortality and level of economic development. Popul Stud 1975;29:231-48. (Reprint in Int J Epidemiol 2007;36:484-90).
Wilkinson RG. Income distribution and life expectancy. BMJ 1992;301:65-8.
Chiang TL. Economic transition and changing relation between income equality and mortality in Taiwan: regression analysis. BMJ 1999;319:1162-5.
Deaton A. The Great Escape: Health. Wealth, and the Origins of Inequality. 李隆生、張逸安譯:財富大逃亡:健康、財富與不平等的起源。台北:聯經,2015。*
 
第6週
10/22  Social Class
RMS Titanic-- http://en.wikipedia.org/wiki/RMS_Titanic
Encyclopedia Titanica--http://www.encyclopedia-titanica.org
Black D, Morris JN, Smith C, Townsend P, Whitehead M. Inequalities in Health: the Black Report and the Health Divide. London: Penguin, 1988; Chapter 6.


http://www.sochealth.co.uk/public-health-and-wellbeing/poverty-and-inequality/the-black-report-1980/black-report-6-explanation-of-health-inequalities/
 
第7週
10/29  Early Life/ Life Course
The nine months that made you (BBC, 2012).
Kuh D, Davey Smith G. When is mortality risk determined? Historical insights. Soc Hist Med 1993;6:101-23.
Wu CLJ, Chiang TL. Comparing child health in Taiwan and selected industrialized countries. J Formosan Med Assoc 2007;106:177-80.
Putnam RD. Our Kids: The American Dream in Crisis. 李宗義、許雅淑譯:階級世代窮小孩與富小孩的機會不均等。新北市:衛城,2016。*
 
第8週
11/05  Health for All
江東亮:超越全民健保――挑戰健康之社會決定因素,刊載於:古允文、李龍驣、楊萬發編:厚生20――透視台灣軟實力。台北:厚生基金會,2010。*
江東亮:公共衛生與健康不平等:三個歷史的教訓。台灣衛誌 2015; 34:1-4。
Stucker D, Basu S. The Body Economic: Why Austerity Kills. 譚家瑜、沉重亨譯:失控的樽節。台北:天下文化,2014。*
 
第9週
11/12  SL 1: Gender and health _Dr. CH Chang 
第10週
11/19  SL 2: Social Determinants of Mental Health_Dr. C Chang 
第11週
11/26  Employment and Health
Marmot MG, Bosma H, Hemingway H, Brunner E, Stansfeld S. Contribution of job control and other risk factors to social variations in coronary heart disease incidence. Lancet 1997;350:235-39.

Cheng Y, Chen CW, Chen CJ, Chiang TL. Job insecurity and its association with health among employees in the Taiwanese general population. Soc Sci Med 2005;61:41-52.

Tsai SL, Lan CF, Lee CH, Huang N, Chou YJ. Involuntary unemployment and mortality in Taiwan. J Formos Med Assoc 2004;103:900–907. 
第12週
12/03  Overview of occupational health Policy 
第13週
12/10  Welfare state regime and social determinants of occupational health 
第14週
12/17  Worker compensation policy and occupational health 
第15週
12/24  SL 3: TBA 
第16週
12/31  SL 4: The Role of NGO in Tackling Health Inequity 
第17週
1/07  Student Presentation 
第18週
1/14  Student Presentation/Term Paper Due