課程信息
5.0
4 個評分
2 個審閱
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立即開始,按照自己的計劃學習。
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初級

初級

完成時間(小時)

完成時間大約為25 小時

建議:4 weeks, 5-6 hours per week...
可選語言

英語(English)

字幕:英語(English)...
100% 在線

100% 在線

立即開始,按照自己的計劃學習。
可靈活調整截止日期

可靈活調整截止日期

根據您的日程表重置截止日期。
初級

初級

完成時間(小時)

完成時間大約為25 小時

建議:4 weeks, 5-6 hours per week...
可選語言

英語(English)

字幕:英語(English)...

教學大綱 - 您將從這門課程中學到什麼

1
完成時間(小時)
完成時間為 22 分鐘

Introduction to the course "Health and healthcare in transition: dilemmas of governance"

...
Reading
2 個視頻(共 7 分鐘), 2 個閱讀材料
Reading2 個閱讀材料
About the universities5分鐘
About the course authors10分鐘
完成時間(小時)
完成時間為 4 小時

Dilemma 1. Definitions: Governance vs Management vs Leadership in Health

This course module focuses on the main challenges and global shifts in the healthcare sector, which, in turn, create a demand for more systemic approaches to governance, management, and leadership. It appears to be difficult to differentiate these concepts (governance, management, and leadership) clearly due to their interrelations and complexity. This module will introduce different ways of defining and relating these concepts in order to illustrate challenges to finding a consensus between such definitions. First, you will delve into discussions about definitions of governance and about how to understand good governance. You will then also explore different leadership approaches in healthcare and to discern from specific examples how effective management can improve the performance of a healthcare facility. ...
Reading
7 個視頻(共 46 分鐘), 2 個閱讀材料, 5 個測驗
Video7 個視頻
1.2. Governance6分鐘
1.3. Different Views on Governance14分鐘
1.4. Managers vs Leaders in Healthcare5分鐘
1.5. Governance in the Netherlands: Internal Governance5分鐘
1.6. Governance in the Netherlands: External Governance9分鐘
1.7. Review1分鐘
Reading2 個閱讀材料
Smart Governance分鐘
Case Study on Leadership分鐘
Quiz5 個練習
Governance10分鐘
Smart governance5分鐘
Management and leadership10分鐘
Case on leadership5分鐘
Assessment30分鐘
2
完成時間(小時)
完成時間為 4 小時

Dilemma 2. Health as a Political vs Apolitical Concept

Assessing health system governance and performance requires ethical reflection on the following questions: 1) Who is responsible for health? 2) Who are the beneficiaries? There are different approaches in seeking answers to these questions. Healthcare policies entail scientific data, technologies, and expert recommendations that can appear non-political, as well as cultural norms and respect to individual liberty. But, on the other hand, health can become political in the context of decision-making that entails the distribution of resources and the selection of priorities and modes of action. So, in this module we will delve into these complexities and will work to understand what stands behind health policy and governance decisions. We will take a look at different ethical concepts that may underpin political decisions on health governance, health care reforms, or demands for redistributive policies....
Reading
6 個視頻(共 37 分鐘), 2 個閱讀材料, 5 個測驗
Video6 個視頻
2.2. How Political are Health Policy and Governance?8分鐘
2.3. Why Has Health Been Regarded as Apolitical?5分鐘
2.4. Ethical Perspectives and Decision-Making in Health Governance6分鐘
2.5. Case of Ukraine: Two Steps Forward, One Step Back11分鐘
2.6. Review2分鐘
Reading2 個閱讀材料
Towards a Politics of Health分鐘
Competing Views on Health分鐘
Quiz5 個練習
Rights-based approach to health policy and governance5分鐘
Politics of health分鐘
Approaches to health governance10分鐘
Political determinants of health governance5分鐘
Assessment30分鐘
3
完成時間(小時)
完成時間為 4 小時

Dilemma 3. Public Participation vs Top-Down Steering

On the one hand, citizens’ engagement in governance of health and health care is important for the transparency and responsiveness of decision-making, as well as for ensuring trust and cooperation. Moreover, often citizens themselves demand direct engagement, as exemplified by health activism: from local action to addressing environmental health risks, to global action on HIV/AIDS, and access to medicine. On the other hand, critics suggest that laypersons can add inefficiency, irrationality, and incoherence to health policy decision-making. There can be undesirable features in governance models heavily dependent on public engagement like interest-group competition in rule-making and the professionalization of citizen participation, where not all citizens are necessarily equally empowered to make contributions. This week explores the dilemma between engaging and not engaging the public....
Reading
7 個視頻(共 37 分鐘), 3 個閱讀材料, 6 個測驗
Video7 個視頻
3.2. Drug reimbursement controversies: a case of Lithuania.Winter school 2018 Public health in Ukraine; Edvinas Askolis8分鐘
3.3. Why Engagement?8分鐘
3.4. Different Forms of Knowledge2分鐘
3.5. What Engagement?6分鐘
3.6. Paradoxes of Participatory Experiments6分鐘
3.7. Review1分鐘
Reading3 個閱讀材料
Different forms of knowing: conflict over herbicide between farmers and regulatory authorities in the UK30分鐘
“We do not always need patient and public participation: example of risk governance”分鐘
Read and compare 2 cases分鐘
Quiz6 個練習
Patient and public engagement5分鐘
Lay knowledge5分鐘
Ecologies of participation5分鐘
Risks of participatory events5分鐘
Public participation and risk situations5分鐘
Assessment30分鐘
4
完成時間(小時)
完成時間為 2 小時

Dilemma 4: Focus on Whole-of-Society vs Focus on Health Services Provision

Health governance is a field where the search for best solutions is continuous in all corners of the world. Health systems increasingly struggle with rising costs, ensuring adequate numbers of health professionals and providing access to the best life-saving treatments and technologies. You will hardly find a country that would not attempt to improve health system performance through reforming the health sector and improving health care delivery. But people’s health depends on multiple complex factors (from employment and work to transport and housing) and relates to social processes of industrialization, urbanization and globalization and to differential exposures to risks. Drivers of human health are not constrained to the health care system. Therefore, new and wider approaches to health governance appear: they are based on the idea of extending health governance from sectorial focus to the whole-of-society and whole-of-government level. These approaches argue that the improvement of a population’s health necessitates engaging non-health sectors and actors through policies and initiatives at all levels of governance, with or without the involvement of the health sector itself. This creates a dilemma for health governance: should it be focused on improving health service provision only, or embrace the whole of society and all sectors of governance?...
Reading
5 個視頻(共 26 分鐘), 2 個閱讀材料, 5 個測驗
Video5 個視頻
4.2. Modern Challenges for Health Care6分鐘
4.3. Whole-of-society and whole-of-government approach7分鐘
4.4. Pursuing Better Health Care7分鐘
4.5. Review1分鐘
Reading2 個閱讀材料
Case of Viet Nam10分鐘
Conditions for Effective Intersectoral Governance30分鐘
Quiz5 個練習
Poor performance of health systems5分鐘
Whole-of-society approach5分鐘
Towards effective and efficient healthcare systems5分鐘
Effective intersectorial governance10分鐘
Assessment30分鐘

講師

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Olga Zvonareva

Assistant Professor Health, Ethics and Society
Maastricht University
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Tetiana Stepurko

Assistant Professor
the School of Public Health, National University of Kyiv-Mohyla Academy

關於 National Research Tomsk State University

National Research Tomsk State University is the largest classical university in the Asian part of Russia. For over 135 years TSU has been training the scientific and managerial elite, based on the integration of academic process and fundamental scientific research. It is a renowned center of education, science, innovations and attraction for creative talents, a generator of advanced ideas, and a paragon of adherence to the best traditions of Russian higher education. There are 23 departments and learning institutes, 1 University branch, Institute of Distance Education, Institute of Innovations in Education operating at TSU, and more than 17,000 students studying at the University, with 135 subject areas and specialties to choose from. TSU offers 136 Master’s programmes in 55 areas of academic studies and counting. The number of international students is constantly increasing, now with more than 1300 TSU students coming from countries such as the USA, UK, Germany, France, Australia, Italy, Poland, Mongolia, China, Vietnam, Korea, Columbia, Turkey and others....

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