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
101-2 
授課對象
公共衛生學院  健康促進組  
授課教師
鄭守夏 
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
星期四7,8(14:20~16:20) 
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:5人 
Ceiba 課程網頁
http://ceiba.ntu.edu.tw/1012_GHP 
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, 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 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 May 30, 2013.)
2. Final Exam
 
預期每週課後學習時數
 
Office Hours
另約時間 
參考書目
 
指定閱讀
Main textbook R. Blank and V. Burau, Comparative Health Policy, 3rd. edition. Palgrave Press, 2010. 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
2/21  Introduction to course: Overview of goals and content of course  
第2週
2/28  228 Memorial Day - No class 
第3週
3/07  Trends in medicine: Aging populations, proliferation of medical technologies, heightened expectations and demands, expansion of health care industry, escalating health care costs.
Blank and Burau, Comparative Health Policy, Chapter 1.
 
第4週
3/14  The policy context of comparative health care: Health care as policy, types of health care, health care typologies.
Blank and Burau, Comparative Health Policy, Chapters 1 and 8.
Lee, Chun, Lee and Seo (2008) ‘The National Health Insurance System as One Type of New Typology: The Case of South Korea and Taiwan,’ Health Policy 85 (1): 105-13.
Wendt, Firsina and Rothgang (2009) ‘Healthcare System Types: A Conceptual Framework for Comparison,’ Social Policy and Administration 43 (1): 70-90.
 
第5週
3/21  Cultural and social context of health policy: Political structures and institutions, competing definitions of health, the medical model, alternative medicine, social determinants of health.
Blank and Burau, Comparative Health Policy, Chapter 2.
Rainham (2007) ‘Do Differences in Health Make a Difference?’ Health Policy 84 (2-3): 123-32.
Costa-Font and Hernandez-Quevedo (2012) ‘Measuring Inequalities in Health,’ Health Policy 106: 195-206.
 
第6週
3/28  Funding and provision of health care: National health services, social insurance systems, private insurance systems, contracting health services, role of marketplace.
Blank and Burau, Comparative Health Policy, Chapter 3.
 
第7週
4/04  Children's day and family memorial day - No class 
第8週
4/11  Rationing and allocation issues I: Conflicting goals, types of rationing, individual responsibility for health.
Blank and Burau, Comparative Health Policy, Chapter 4.
Reese et al. (2010). ‘How Should We Use Age to Ration Health Care?’ Journal of the American Geriatric Society 58: 1980-86.
 
第9週
4/18  Rationing and allocation issues II: Priority setting, evidence-based medicine, assessing medical technologies.
Lamm and Blank (2007) Condition Critical, Chapters 2 and 3.
 
第10週
4/25  The medical profession and allied health: Types and settings of health care, central role of doctors in medical model, reforming medical practice, electronic records.
Blank and Burau, Comparative Health Policy, Chapter 5.
 
第11週
5/02  Aging populations and long-term care: Institutional versus home care, declining role of families, informal versus formal care givers.
Blank and Burau, Comparative Health Policy, Chapter 6
 
第12週
5/09  Trends in health systems: Convergence or divergence among health care systems.
Blank and Burau (2006) ‘Setting Health Priorities across Nations: More Convergence than Divergence?’ Journal of Public Health Policy 27 (3): 265-81.
Okma et al. (2010) ‘Six Countries, Six Health Reform Models? Health Care Reform in Chile, Israel, Singapore, Switzerland, Taiwan and The Netherlands.’ Journal of Comparative Policy Analysis: Research and Practice 12 (1-2): 75-113.
 
第13週
5/16  Global Issues in public health I: AIDS and other communicable diseases. Role of WHO and World Bank, etc.
Blank and Burau, Comparative Health Policy, Chapter 7
Bennett and Carney (2010) ‘Law, Ethics and Pandemic Preparedness: The Importance of Cross-Jurisdictional and Cross-Cultural Perspectives,’ Australian and New Zealand Journal of Public Health 34 (2): 106-117.
Mackey and Liang (2012) ‘Lessons from SARS and H1N1/A,’ Journal of Public Health Policy 33: 119-30.
 
第14週
5/23  Global Issues in public health II: The obesity epidemic. Smoking and alcohol policy.
Blank and Burau, Comparative Health Policy, Chapter 7
Withrow and Alter (2011), ‘The Economic Burden of Obesity Worldwide,’ Obesity Reviews, 12: 131–141.
Cawley (2007) ‘The Cost-Effectiveness of Programs to Prevent or Reduce Obesity,’ Archives of Pediatrics and Adolescent Medicine 161: 611-14.
 
第15週
5/30  Global Issues in public health III: Climate change and natural disasters.
Huang et al. (2011) ‘Constraints and Barriers to Public Health Adaptation to Climate Change,’ American Journal of Preventive Medicine 40 (2): 183-90.
Norval et al. (2011) ‘The Human Health Effects of Ozone Depletion and Interactions with Climate Change,’ Photochemical and Photobiological Sciences 10: 199-225.
 
第16週
6/06  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.
Blank (2011) ‘End-of-Life Decision Making Across Cultures.’ Journal of Law, Medicine and Ethics 39 (2): 201-14.
Bellamy (2002) ‘Voluntary Euthanasia and New Zealand,’ Parliamentary Library, August 2002.
 
第17週
6/13  Expanding the boundaries of medicine: A new emphasis on population health. Future of public health care. What have we learned?
Lewis and Leeder (2009) ‘Why health reform?’ Medical Journal of Australia 191 (5): 270-72.
Wen, Tsai and Chung (2008) ‘A 10-Year Experience of Universal Health Insurance in Taiwan: Assessing the Health Impact and Disparity Reduction,’ Annals of Internal Medicine 148 (4): 258-67.
Nolte and McKee (2008) ‘Measuring the Health of Nations,’ Health Affairs 27: 58-71.
 
第18週
6/20  Final Exam