Informações sobre o curso

100% online

Comece imediatamente e aprenda em seu próprio cronograma.

Prazos flexíveis

Redefinir os prazos de acordo com sua programação.

Nível iniciante

Aprox. 32 horas para completar

Sugerido: 4 weeks, 5-6 hours per week...

Inglês

Legendas: Inglês

100% online

Comece imediatamente e aprenda em seu próprio cronograma.

Prazos flexíveis

Redefinir os prazos de acordo com sua programação.

Nível iniciante

Aprox. 32 horas para completar

Sugerido: 4 weeks, 5-6 hours per week...

Inglês

Legendas: Inglês

Programa - O que você aprenderá com este curso

Semana
1
22 minutos para concluir

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

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2 vídeos ((Total 7 mín.)), 2 leituras
2 leituras
About the universities5min
About the course authors10min
4 horas para concluir

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.

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7 vídeos ((Total 46 mín.)), 2 leituras, 5 testes
7 videos
1.2. Governance6min
1.3. Different Views on Governance14min
1.4. Managers vs Leaders in Healthcare5min
1.5. Governance in the Netherlands: Internal Governance5min
1.6. Governance in the Netherlands: External Governance9min
1.7. Review1min
2 leituras
Smart Governance1h
Case Study on Leadership1h
5 exercícios práticos
Governance10min
Smart governance5min
Management and leadership10min
Case on leadership5min
Assessment30min
Semana
2
4 horas para concluir

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.

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6 vídeos ((Total 37 mín.)), 2 leituras, 5 testes
6 videos
2.2. How Political are Health Policy and Governance?8min
2.3. Why Has Health Been Regarded as Apolitical?5min
2.4. Ethical Perspectives and Decision-Making in Health Governance6min
2.5. Case of Ukraine: Two Steps Forward, One Step Back11min
2.6. Review2min
2 leituras
Towards a Politics of Health1h
Competing Views on Health1h
5 exercícios práticos
Rights-based approach to health policy and governance5min
Politics of health
Approaches to health governance10min
Political determinants of health governance5min
Assessment30min
Semana
3
4 horas para concluir

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.

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7 vídeos ((Total 37 mín.)), 3 leituras, 6 testes
7 videos
3.2. Drug reimbursement controversies: a case of Lithuania.Winter school 2018 Public health in Ukraine; Edvinas Askolis8min
3.3. Why Engagement?8min
3.4. Different Forms of Knowledge2min
3.5. What Engagement?6min
3.6. Paradoxes of Participatory Experiments6min
3.7. Review1min
3 leituras
Different forms of knowing: conflict over herbicide between farmers and regulatory authorities in the UK30min
“We do not always need patient and public participation: example of risk governance”1h
Read and compare 2 cases1h
6 exercícios práticos
Patient and public engagement5min
Lay knowledge5min
Ecologies of participation5min
Risks of participatory events5min
Public participation and risk situations5min
Assessment30min
Semana
4
2 horas para concluir

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?

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5 vídeos ((Total 26 mín.)), 2 leituras, 5 testes
5 videos
4.2. Modern Challenges for Health Care6min
4.3. Whole-of-society and whole-of-government approach7min
4.4. Pursuing Better Health Care7min
4.5. Review1min
2 leituras
Case of Viet Nam10min
Conditions for Effective Intersectoral Governance30min
5 exercícios práticos
Poor performance of health systems5min
Whole-of-society approach5min
Towards effective and efficient healthcare systems5min
Effective intersectorial governance10min
Assessment30min

Instrutores

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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

Sobre Universidade Estadual deTomsk

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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