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Olga Zvonareva and Tetiana Stepurko
Our societies are changing. On one hand, unprecedented socio-demographic changes are underway: albeit unevenly across various settings, life expectancy continues to rise globally, facilitating the rise of numbers of people living with one or more chronic...
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Our societies are changing. On one hand, unprecedented socio-demographic changes are underway: albeit unevenly across various settings, life expectancy continues to rise globally, facilitating the rise of numbers of people living with one or more chronic diseases. On the other hand, societies are undergoing major political transformations as well. Examples include the massive transition away from communism resulting from the dissolution of USSR and rise of participation societies in the EU, to name just a few. In this shifting environment, the issue of health becomes particularly difficult to deal with. Current approaches to governing processes and structures that define people’s health often fall short in responding to the changing health needs of the populations and in being adequate to shifting societal conditions. How to ensure and improve the health of citizens in times of societal transitions? This course invites learners to explore this question using examples from multiple settings. Aim This course aims to equip learners with the knowledge and skills needed to assess, develop, and implement options for health policies, programs and services in ways that are responsive to changing population health needs and to societal contexts; and to provide learners with analytical insights into the interconnections between societal transformations, health, and governance to facilitate the development of more responsive and contextually adequate health and health governance approaches. After completion of this course you will be able to: 1. Recognize dilemmas in the governance of health and healthcare and the origins of these dilemmas 2. To be aware of different approaches in governance of health and healthcare; identify the trade-offs in these approaches for particular cases 3. Recognize actors and structures pertaining to the governance of health and healthcare on different levels 4. Identify problems in policies, programs, structures, and practices pertaining to the governance of health and healthcare in specific settings 5. Formulate and justify combinations in approaches to health and health governance suitable to various applications in specific settings This course was developed by a consortium of five universities: Maastricht University, National Research Tomsk State University, National University of "Kyiv-Mohyla Academy", National Pirogov Memorial Medical University, Vinnytsya, and Siberian State Medical University within the framework of BIHSENA project. BIHSENA stands for “Bridging Innovations, Health and Societies: Educational capacity building in the Eastern European Neighbouring Areas”. BIHSENA project has been funded with support from the European Commission. This course reflects the views only of the authors, and the Commission cannot be held responsible for any use which may be made of the information contained therein.
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Provides a comprehensive study of health governance in changing societies, building a strong understanding for beginners
Examines the challenges and dilemmas in health governance, enabling learners to identify and address them
Develops analytical insights into the interconnections between societal transformations, health, and governance, preparing learners to respond to shifting societal contexts
Taught by Olga Zvonareva and Tetiana Stepurko, recognized experts in health governance
Designed by a consortium of five universities, bringing together diverse perspectives and expertise in health governance
Part of the BIHSENA project, funded by the European Commission, demonstrating its alignment with current health and societal governance research

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Reviews summary

Governance in healthcare

This course provides a great overview of the dilemmas in the governance of health and healthcare. The content is relevant and engaging, and the instructors provide modern cases as examples. Overall, this is a good course for anyone who is interested in health governance and politics.
Relevant for professionals
"A very relevant course for public health professionals working on improving the quality and governance of the health system."
Great course content
"Great thought provoking course. I have learned so much from this course and would recommend it to anyone who is interested in health governance and politics."
"Good content. I like that the instructors provide modern cases as examples."
Subtitles are messy
"However, the subtitles are messy, it was hard for me to understand the videos from week 1 and I could not even fully comprehend the text of the lectures from that week."

Activities

Be better prepared before your course. Deepen your understanding during and after it. Supplement your coursework and achieve mastery of the topics covered in Health and healthcare in transition: dilemmas of governance with these activities:
Review key concepts in health policy
Reviewing key concepts will help you to better understand and apply the material presented in the course.
Show steps
  • Read the course syllabus and identify the key concepts.
  • Review your notes from previous courses or readings.
  • Use online resources or textbooks to refresh your understanding.
Complete online tutorials on health policy analysis
Completing online tutorials will help you to develop the skills needed to analyze health policy.
Show steps
  • Find online tutorials that cover the topics of health policy analysis.
  • Complete the tutorials and take notes on the key concepts.
  • Apply the concepts you have learned to analyze a real-world health policy issue.
Solve practice problems on population health policies
Practice applying the concepts of population health policies by solving problems.
Browse courses on Health Policy
Show steps
  • Identify the key concepts of population health policies.
  • Analyze real-world scenarios and apply the concepts to solve problems.
Five other activities
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Show all eight activities
Complete a coding challenge
Coding challenges provide practice in applying the policy frameworks to real-world scenarios.
Show steps
  • Identify a problem or issue in health policy.
  • Develop a conceptual model of potential solutions.
  • Use coding to create a prototype of a solution.
Read 'The Health Gap: Disparities in Health and Health Care'
This book provides a comprehensive overview of health disparities and their impact on society.
Show steps
  • Read the book and take notes.
  • Identify the key arguments and evidence presented in the book.
  • Consider the implications of the book for health policy and practice.
Write a blog post about a health policy issue
Writing a blog post allows you to synthesize and communicate your understanding of the course material.
Show steps
  • Identify a specific health policy issue.
  • Research the issue and gather evidence.
  • Write a blog post that presents your findings and analysis.
Participate in a health policy case competition
Participating in a case competition will allow you to apply your knowledge and skills to a real-world problem.
Show steps
  • Find a health policy case competition that is relevant to your interests.
  • Form a team and develop a solution to the case.
  • Present your solution to a panel of judges.
Create a study guide for the final exam
Creating a study guide will help you to organize and review the material for the final exam.
Show steps
  • Review the course syllabus and identify the key topics that will be covered on the final exam.
  • Go through your notes and readings and identify the most important information.
  • Organize the information into a logical and easy-to-follow format.

Career center

Learners who complete Health and healthcare in transition: dilemmas of governance will develop knowledge and skills that may be useful to these careers:
Healthcare Consultant
A Healthcare Consultant helps healthcare organizations improve their performance. This course is a great fit for those interested in this career because it provides a comprehensive overview of the healthcare system, including the governance of health and healthcare. The course also covers the different approaches to healthcare governance and the trade-offs in these approaches. This knowledge is essential for Healthcare Consultants, who need to be able to assess the healthcare system and make recommendations for improvement.
Health Policy Analyst
A Health Policy Analyst researches and analyzes health policy issues. This course is a great fit for those interested in this career because it provides a comprehensive overview of the governance of health and healthcare. The course also covers the different approaches to healthcare governance and the trade-offs in these approaches. This knowledge is essential for Health Policy Analysts, who need to be able to understand and analyze health policy issues.
Global Health Specialist
A Global Health Specialist works to improve the health of populations around the world. This course is a great fit for those interested in this career because it provides a comprehensive overview of the governance of health and healthcare. The course also covers the different approaches to healthcare governance and the trade-offs in these approaches. This knowledge is essential for Global Health Specialists, who need to be able to understand and manage health systems in different countries.
Healthcare Administrator
A Healthcare Administrator plans, organizes, and directs the delivery of healthcare services. This course is a great fit for those interested in this career because it provides a comprehensive overview of the governance of health and healthcare. The course also covers the different approaches to healthcare governance and the trade-offs in these approaches. This knowledge is essential for Healthcare Administrators, who need to be able to understand and manage the healthcare system.
Public Health Director
A Public Health Director plans, organizes, and directs public health programs and services. This course is a great fit for those interested in this career because it provides a comprehensive overview of the governance of health and healthcare. The course also covers the different approaches to healthcare governance and the trade-offs in these approaches. This knowledge is essential for Public Health Directors, who need to be able to understand and manage the public health system.
Health Insurance Analyst
A Health Insurance Analyst analyzes health insurance data to identify trends and make recommendations for improvement. This course is a great fit for those interested in this career because it provides a comprehensive overview of the governance of health and healthcare. The course also covers the different approaches to healthcare governance and the trade-offs in these approaches. This knowledge is essential for Health Insurance Analysts, who need to be able to understand and analyze health insurance data.
Health Economist
A Health Economist analyzes the costs and benefits of healthcare interventions. This course is a great fit for those interested in this career because it provides a comprehensive overview of the governance of health and healthcare. The course also covers the different approaches to healthcare governance and the trade-offs in these approaches. This knowledge is essential for Health Economists, who need to be able to understand and analyze the costs and benefits of healthcare interventions.
Medical Writer
A Medical Writer writes and edits medical content. This course is a great fit for those interested in this career because it provides a comprehensive overview of the governance of health and healthcare. The course also covers the different approaches to healthcare governance and the trade-offs in these approaches. This knowledge is essential for Medical Writers, who need to be able to understand and communicate about medical topics.
Health Educator
A Health Educator develops and implements health education programs. This course is a great fit for those interested in this career because it provides a comprehensive overview of the governance of health and healthcare. The course also covers the different approaches to healthcare governance and the trade-offs in these approaches. This knowledge is essential for Health Educators, who need to be able to understand and develop health education programs.
Public Health Nurse
A Public Health Nurse provides health education and services to communities. This course is a great fit for those interested in this career because it provides a comprehensive overview of the governance of health and healthcare. The course also covers the different approaches to healthcare governance and the trade-offs in these approaches. This knowledge is essential for Public Health Nurses, who need to be able to understand and address the health needs of communities.
Health Information Manager
A Health Information Manager manages health information systems. This course is a great fit for those interested in this career because it provides a comprehensive overview of the governance of health and healthcare. The course also covers the different approaches to healthcare governance and the trade-offs in these approaches. This knowledge is essential for Health Information Managers, who need to be able to understand and manage health information systems.
Health Services Researcher
A Health Services Researcher conducts research on health services and systems. This course is a great fit for those interested in this career because it provides a comprehensive overview of the governance of health and healthcare. The course also covers the different approaches to healthcare governance and the trade-offs in these approaches. This knowledge is essential for Health Services Researchers, who need to be able to understand and conduct research on health services and systems.
Registered Nurse
A Registered Nurse provides healthcare services to patients. This course is a great fit for those interested in this career because it provides a comprehensive overview of the governance of health and healthcare. The course also covers the different approaches to healthcare governance and the trade-offs in these approaches. This knowledge is essential for Registered Nurses, who need to be able to understand and work within the healthcare system.
Nurse Practitioner
A Nurse Practitioner provides healthcare services under the supervision of a physician. This course is a great fit for those interested in this career because it provides a comprehensive overview of the governance of health and healthcare. The course also covers the different approaches to healthcare governance and the trade-offs in these approaches. This knowledge is essential for Nurse Practitioners, who need to be able to understand and work within the healthcare system.
Physician Assistant
A Physician Assistant provides healthcare services under the supervision of a physician. This course is a great fit for those interested in this career because it provides a comprehensive overview of the governance of health and healthcare. The course also covers the different approaches to healthcare governance and the trade-offs in these approaches. This knowledge is essential for Physician Assistants, who need to be able to understand and work within the healthcare system.

Reading list

We've selected ten books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in Health and healthcare in transition: dilemmas of governance.
Provides a comprehensive overview of the politics of health policy, with a focus on the ways in which different actors and institutions shape health policy outcomes.
This handbook provides a comprehensive overview of the field of health law.
This handbook provides a comprehensive overview of the field of health economics, with a focus on the economic analysis of health care systems and health policy.
Provides a critical introduction to the sociology of health and illness, with a focus on the ways in which social factors shape health and illness experiences.
Provides a detailed overview of the health system in China, with a focus on the governance and accountability mechanisms in place.

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