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Английский

Субтитры: Английский

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Прибл. 32 часа на выполнение

Предполагаемая нагрузка: 4 weeks, 5-6 hours per week...

Английский

Субтитры: Английский

Программа курса: что вы изучите

Неделя
1
22 минуты на завершение

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

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2 видео ((всего 7 мин.)), 2 материалов для самостоятельного изучения
2 материала для самостоятельного изучения
About the universities5мин
About the course authors10мин
4 ч. на завершение

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. ...
7 видео ((всего 46 мин.)), 2 материалов для самостоятельного изучения, 5 тестов
7 видео
1.2. Governance6мин
1.3. Different Views on Governance14мин
1.4. Managers vs Leaders in Healthcare5мин
1.5. Governance in the Netherlands: Internal Governance5мин
1.6. Governance in the Netherlands: External Governance9мин
1.7. Review1мин
2 материала для самостоятельного изучения
Smart Governance
Case Study on Leadership
5 практического упражнения
Governance10мин
Smart governance5мин
Management and leadership10мин
Case on leadership5мин
Assessment30мин
Неделя
2
4 ч. на завершение

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....
6 видео ((всего 37 мин.)), 2 материалов для самостоятельного изучения, 5 тестов
6 видео
2.2. How Political are Health Policy and Governance?8мин
2.3. Why Has Health Been Regarded as Apolitical?5мин
2.4. Ethical Perspectives and Decision-Making in Health Governance6мин
2.5. Case of Ukraine: Two Steps Forward, One Step Back11мин
2.6. Review2мин
2 материала для самостоятельного изучения
Towards a Politics of Health
Competing Views on Health
5 практического упражнения
Rights-based approach to health policy and governance5мин
Politics of health
Approaches to health governance10мин
Political determinants of health governance5мин
Assessment30мин
Неделя
3
4 ч. на завершение

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....
7 видео ((всего 37 мин.)), 3 материалов для самостоятельного изучения, 6 тестов
7 видео
3.2. Drug reimbursement controversies: a case of Lithuania.Winter school 2018 Public health in Ukraine; Edvinas Askolis8мин
3.3. Why Engagement?8мин
3.4. Different Forms of Knowledge2мин
3.5. What Engagement?6мин
3.6. Paradoxes of Participatory Experiments6мин
3.7. Review1мин
3 материала для самостоятельного изучения
Different forms of knowing: conflict over herbicide between farmers and regulatory authorities in the UK30мин
“We do not always need patient and public participation: example of risk governance”
Read and compare 2 cases
6 практического упражнения
Patient and public engagement5мин
Lay knowledge5мин
Ecologies of participation5мин
Risks of participatory events5мин
Public participation and risk situations5мин
Assessment30мин
Неделя
4
2 ч. на завершение

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?...
5 видео ((всего 26 мин.)), 2 материалов для самостоятельного изучения, 5 тестов
5 видео
4.2. Modern Challenges for Health Care6мин
4.3. Whole-of-society and whole-of-government approach7мин
4.4. Pursuing Better Health Care7мин
4.5. Review1мин
2 материала для самостоятельного изучения
Case of Viet Nam10мин
Conditions for Effective Intersectoral Governance30мин
5 практического упражнения
Poor performance of health systems5мин
Whole-of-society approach5мин
Towards effective and efficient healthcare systems5мин
Effective intersectorial governance10мин
Assessment30мин

Преподаватели

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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

О Национальный исследовательский Томский государственный университет

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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