課程資訊
課程名稱
健康政策議題之國際比較
Global Health Policy 
開課學期
104-2 
授課對象
公共衛生學院  健康政策與管理研究所  
授課教師
白龍 
課號
HPM7059 
課程識別碼
848EM1150 
班次
 
學分
全/半年
半年 
必/選修
選修 
上課時間
星期四8,9(15:30~17:20) 
上課地點
公衛209 
備註
本課程以英語授課。
限碩士班以上
總人數上限:30人
外系人數限制:10人 
Ceiba 課程網頁
http://ceiba.ntu.edu.tw/1042HPM7059 
課程簡介影片
 
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課程概述

Ageing populations, the spread of medical technologies, increased public demands, and escalating costs are producing challenging problems for all health care systems. Some observers suggest that globalization is leading to a convergence towards increasingly similar health policies across countries, while others argue that national differences in institutional structures, culture and patterns of provision and governance ensure continued policy variation. Only through comparative analysis can we answer this question. One objective of this course, therefore, is to examine trends in funding, provision and governance of health care across an array of health systems, including Australia, Britain, Germany, Japan, New Zealand, the Netherlands, Sweden, Singapore, Taiwan and the USA. After looking at various typologies for categorizing health systems, we will examine the relative emphasis these systems place on the goals of equity (or access), quality, and efficiency and analyze how this affects resource allocation, priority setting and service provision. The second goal of the course is to present various perspectives on current health issues and policies under discussion around the globe. Issues in public health, especially, have become global in nature. In order to illustrate this, we will examine policy issues in communicable disease, the worldwide epidemic of obesity and related diseases such as diabetes, the refugee problem and health problems tied to climate change. Throughout the course an underlying theme is that the predominant “medical model” which places emphasis on acute, curative care and medicalization must be modified toward a more inclusive model where chronic care and public health (especially health promotion) play larger roles. 

課程目標
Teaching Objectives:
1.To explore different models of health and health systems
2.To identify the current challenges confronting health policy makers in developed countries
3.To examine rationing, allocation and priority setting issues
4.To compare the efforts and success of varied types of health systems
5.To provide an introduction to an array of global public health issues
6.To analyze the medical model and its impact on population health
 
課程要求
1. Research paper on any topic relating to health care. (To be submitted by June 2, 2016)
2. Final Exam
 
預期每週課後學習時數
 
Office Hours
另約時間 
參考書目
待補 
指定閱讀
Main textbook R. Blank and V. Burau, Comparative Health Policy, 4th. ed. Palgrave Press, 2013. Selected chapters from The Palgrave International Handbook of Healthcare Policy and Governance, ed. by E. Kuhlmann, R. Blank, I. Bourgeault, and C. Wendt. London: Palgrave, 2015.
All readings and lecture overheads will be made available online.
 
評量方式
(僅供參考)
 
No.
項目
百分比
說明
1. 
Research paper 
50% 
 
2. 
Final Exam 
50% 
 
 
課程進度
週次
日期
單元主題
第1週
2/25  Introduction to course: Overview of goals, organization and content of course.  
第2週
3/03  Trends in medicine: Aging populations, proliferation of medical technologies, medicalization, heightened expectations and demands, expansion of health care industry, escalating health care costs. 
第3週
3/10  The policy context of comparative health care: Health care as policy, types of health care, health care typologies. 
第4週
3/17  Cultural and social context of health policy: Political structures and institutions, competing definitions of health, the medical model, alternative medicine, social determinants of health. 
第5週
3/24  Funding and provision of health care: National health services, social insurance systems, private insurance systems, contracting health services, role of marketplace. 
第6週
3/31  Rationing and allocation issues I: Conflicting goals, types of rationing, individual responsibility for health. 
第7週
4/07  Rationing and allocation issues II: Priority setting, evidence-based medicine, assessing medical technologies. Should age matter? 
第8週
4/14  The medical profession and allied health: Types and settings of health care, central role of doctors in medical model, reforming medical practice, electronic records. 
第9週
4/21  Aging populations and long-term care: Institutional versus home care, declining role of families, informal versus formal care givers.  
第10週
4/28  Trends in health systems: Convergence or divergence among health care systems. 
第11週
5/05  Global Issues in public health I: Ebola, AIDS, SARS and other communicable diseases. Role of WHO and World Bank, etc. 
第12週
5/12  Global Issues in public health II: The obesity epidemic. Smoking and alcohol policy. 
第13週
5/19  Global Issues in public health III: Climate change, wars and natural disasters. 
第14週
5/26  End-of-Life decision making: Cross-national patterns of dying, costs of dying, types of euthanasia, advance directives, brain death, hospices, palliative care and pain management. 
第15週
6/02  Expanding the boundaries of medicine: Need for a renewed emphasis on population health. Future of public health care.  
第16週
6/09  Dragon Boat Festival- No Class 
第17週
6/16  What have we learned? Summary of course material and preparation for exam. 
第18週
6/23  Final Exam