About this Course
5.0
4 ratings
2 reviews
100% online

100% online

Start instantly and learn at your own schedule.
Flexible deadlines

Flexible deadlines

Reset deadlines in accordance to your schedule.
Beginner Level

Beginner Level

Hours to complete

Approx. 32 hours to complete

Suggested: 4 weeks, 5-6 hours per week...
Available languages

English

Subtitles: English
100% online

100% online

Start instantly and learn at your own schedule.
Flexible deadlines

Flexible deadlines

Reset deadlines in accordance to your schedule.
Beginner Level

Beginner Level

Hours to complete

Approx. 32 hours to complete

Suggested: 4 weeks, 5-6 hours per week...
Available languages

English

Subtitles: English

Syllabus - What you will learn from this course

Week
1
Hours to complete
22 minutes to complete

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

...
Reading
2 videos (Total 7 min), 2 readings
Reading2 readings
About the universities5m
About the course authors10m
Hours to complete
4 hours to complete

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 videos (Total 46 min), 2 readings, 5 quizzes
Video7 videos
1.2. Governance6m
1.3. Different Views on Governance14m
1.4. Managers vs Leaders in Healthcare5m
1.5. Governance in the Netherlands: Internal Governance5m
1.6. Governance in the Netherlands: External Governance9m
1.7. Review1m
Reading2 readings
Smart Governances
Case Study on Leaderships
Quiz5 practice exercises
Governance10m
Smart governance5m
Management and leadership10m
Case on leadership5m
Assessment30m
Week
2
Hours to complete
4 hours to complete

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 videos (Total 37 min), 2 readings, 5 quizzes
Video6 videos
2.2. How Political are Health Policy and Governance?8m
2.3. Why Has Health Been Regarded as Apolitical?5m
2.4. Ethical Perspectives and Decision-Making in Health Governance6m
2.5. Case of Ukraine: Two Steps Forward, One Step Back11m
2.6. Review2m
Reading2 readings
Towards a Politics of Healths
Competing Views on Healths
Quiz5 practice exercises
Rights-based approach to health policy and governance5m
Politics of health
Approaches to health governance10m
Political determinants of health governance5m
Assessment30m
Week
3
Hours to complete
4 hours to complete

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 videos (Total 37 min), 3 readings, 6 quizzes
Video7 videos
3.2. Drug reimbursement controversies: a case of Lithuania.Winter school 2018 Public health in Ukraine; Edvinas Askolis8m
3.3. Why Engagement?8m
3.4. Different Forms of Knowledge2m
3.5. What Engagement?6m
3.6. Paradoxes of Participatory Experiments6m
3.7. Review1m
Reading3 readings
Different forms of knowing: conflict over herbicide between farmers and regulatory authorities in the UK30m
“We do not always need patient and public participation: example of risk governance”s
Read and compare 2 casess
Quiz6 practice exercises
Patient and public engagement5m
Lay knowledge5m
Ecologies of participation5m
Risks of participatory events5m
Public participation and risk situations5m
Assessment30m
Week
4
Hours to complete
2 hours to complete

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 videos (Total 26 min), 2 readings, 5 quizzes
Video5 videos
4.2. Modern Challenges for Health Care6m
4.3. Whole-of-society and whole-of-government approach7m
4.4. Pursuing Better Health Care7m
4.5. Review1m
Reading2 readings
Case of Viet Nam10m
Conditions for Effective Intersectoral Governance30m
Quiz5 practice exercises
Poor performance of health systems5m
Whole-of-society approach5m
Towards effective and efficient healthcare systems5m
Effective intersectorial governance10m
Assessment30m

Instructors

Avatar

Olga Zvonareva

Assistant Professor Health, Ethics and Society
Maastricht University
Avatar

Tetiana Stepurko

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

About 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....

Frequently Asked Questions

  • Once you enroll for a Certificate, you’ll have access to all videos, quizzes, and programming assignments (if applicable). Peer review assignments can only be submitted and reviewed once your session has begun. If you choose to explore the course without purchasing, you may not be able to access certain assignments.

  • When you purchase a Certificate you get access to all course materials, including graded assignments. Upon completing the course, your electronic Certificate will be added to your Accomplishments page - from there, you can print your Certificate or add it to your LinkedIn profile. If you only want to read and view the course content, you can audit the course for free.

More questions? Visit the Learner Help Center.