课程信息
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4 个评分
2 个审阅
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初级

初级

完成时间(小时)

完成时间大约为25 小时

建议:4 weeks, 5-6 hours per week...
可选语言

英语(English)

字幕:英语(English)...
100% online

100% online

立即开始,按照自己的计划学习。
可灵活调整截止日期

可灵活调整截止日期

根据您的日程表重置截止日期。
初级

初级

完成时间(小时)

完成时间大约为25 小时

建议:4 weeks, 5-6 hours per week...
可选语言

英语(English)

字幕:英语(English)...

教学大纲 - 您将从这门课程中学到什么

1
完成时间(小时)
完成时间为 22 分钟

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

...
Reading
2 个视频(共 7 分钟), 2 个阅读材料
Reading2 个阅读材料
About the universities5分钟
About the course authors10分钟
完成时间(小时)
完成时间为 4 小时

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 个视频(共 46 分钟), 2 个阅读材料, 5 个测验
Video7 个视频
1.2. Governance6分钟
1.3. Different Views on Governance14分钟
1.4. Managers vs Leaders in Healthcare5分钟
1.5. Governance in the Netherlands: Internal Governance5分钟
1.6. Governance in the Netherlands: External Governance9分钟
1.7. Review1分钟
Reading2 个阅读材料
Smart Governance分钟
Case Study on Leadership分钟
Quiz5 个练习
Governance10分钟
Smart governance5分钟
Management and leadership10分钟
Case on leadership5分钟
Assessment30分钟
2
完成时间(小时)
完成时间为 4 小时

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 个视频(共 37 分钟), 2 个阅读材料, 5 个测验
Video6 个视频
2.2. How Political are Health Policy and Governance?8分钟
2.3. Why Has Health Been Regarded as Apolitical?5分钟
2.4. Ethical Perspectives and Decision-Making in Health Governance6分钟
2.5. Case of Ukraine: Two Steps Forward, One Step Back11分钟
2.6. Review2分钟
Reading2 个阅读材料
Towards a Politics of Health分钟
Competing Views on Health分钟
Quiz5 个练习
Rights-based approach to health policy and governance5分钟
Politics of health分钟
Approaches to health governance10分钟
Political determinants of health governance5分钟
Assessment30分钟
3
完成时间(小时)
完成时间为 4 小时

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 个视频(共 37 分钟), 3 个阅读材料, 6 个测验
Video7 个视频
3.2. Drug reimbursement controversies: a case of Lithuania.Winter school 2018 Public health in Ukraine; Edvinas Askolis8分钟
3.3. Why Engagement?8分钟
3.4. Different Forms of Knowledge2分钟
3.5. What Engagement?6分钟
3.6. Paradoxes of Participatory Experiments6分钟
3.7. Review1分钟
Reading3 个阅读材料
Different forms of knowing: conflict over herbicide between farmers and regulatory authorities in the UK30分钟
“We do not always need patient and public participation: example of risk governance”分钟
Read and compare 2 cases分钟
Quiz6 个练习
Patient and public engagement5分钟
Lay knowledge5分钟
Ecologies of participation5分钟
Risks of participatory events5分钟
Public participation and risk situations5分钟
Assessment30分钟
4
完成时间(小时)
完成时间为 2 小时

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 个视频(共 26 分钟), 2 个阅读材料, 5 个测验
Video5 个视频
4.2. Modern Challenges for Health Care6分钟
4.3. Whole-of-society and whole-of-government approach7分钟
4.4. Pursuing Better Health Care7分钟
4.5. Review1分钟
Reading2 个阅读材料
Case of Viet Nam10分钟
Conditions for Effective Intersectoral Governance30分钟
Quiz5 个练习
Poor performance of health systems5分钟
Whole-of-society approach5分钟
Towards effective and efficient healthcare systems5分钟
Effective intersectorial governance10分钟
Assessment30分钟

讲师

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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

关于 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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