Study Center in Khon Kaen, Thailand

Transcription

1 Study Center in Khon Kaen, Thailand Course name: Pre-Professional Healthcare Issues Course number: PUBH 3004 KKTH Programs offering course: Summer Community Public Health Language of instruction: English U.S. Semester Credits: 4 Contact Hours: 60 Term: Summer 2017 Course Description This course takes a multi-disciplinary approach to examining theory and conceptual frameworks in public health, epidemiology, and healthcare administration. Students will examine the public health management system in Thailand, as well as make comparisons to the American health care system and those of other southeast Asian countries. Foundational concepts, such as epidemiology, health economics, and social determinants of health, are introduced early in the course. Health care reform, health care financing, and health care delivery are studied in more detail, using the Thai system as a case study. Finally, students will discuss and experience health promotion activities to address current health concerns in Thailand. Learning Objectives Throughout the course, and by the end, students will be able to: Course Prerequisites None Identify specific social determinants, epidemiological trends, and biological relationships related to health and illness in Thailand. Recognize social and biological factors related to health Critically discuss the Thai public health and healthcare system, including financing, delivery, prevention, and promotion Analyze ongoing reforms to the Thai healthcare system aimed to address challenges Experience and evaluate current public health initiatives occurring in Thailand Methods of Instruction This course is taught through a combination of approaches, including interactive classroom lectures by Khon Kaen University (KKU) faculty and the course director; trips (site visits) to local healthcare facilities, public health initiatives, or locations where public health principles are applied; and student-led discussion sessions. Weekly student-led discussion sessions will incorporate reading assignments, site visits, and lectures into a consolidated summary of that week s lesson material. Students will also actively engage course material through inclass discussions and review of public health related current events. Students will be expected to complete assigned readings prior to lecture so that they can actively engage the lecturer with questions.

2 Assessment and Final Grade 1. Homework 20% 2. Facilitation of Discussion Session 15% 3. Midterm Exam (Units 1,2): 25% 4. Final Exam (Units 3,4): 25% 5. Attendance and class participation: 15% Course Requirements Homework Throughout the course, students will be assigned homework due to be completed outside the classroom. The homework will reinforce concepts discussed in the classroom. Facilitation of Discussion Session The discussion session is an opportunity for students to gather and critically discuss the lecture topics, readings, and site visits of the unit. Each discussion will have a small group of students assigned to lead and facilitate the discussion. The group will research and present information to classmates about an assigned topic. The purpose of the presentations will be to educate classmates and facilitate discussion about the topic following the presentation. The remaining time is an open classroom discussion, in which the facilitators guide the discussion through pre-planned questions that prompt reflective conversation. The discussion session should identify important conclusions from the week s activities and make connections between what you learned, observed, and read about. Midterm and Final Exam The midterm and final exam will be closed-book exams with a variety a question types, including short answer, multiple choice, matching, and computational. Exam questions will be based on assigned readings, homework assignments, and lecture material. Attendance and Class Participation Attendance is required at all lectures, briefings, debriefings, site visits, and discussion sessions. Arriving more than 15 minutes late will be considered absent. One unexcused absence is allowed. Each subsequent unexcused absence will result in a 20% reduction of your class participation grade. Academic Dishonesty Cheating or plagiarism in any course assignment or exam will not be tolerated and may result in a student failing the assignment or course or being expelled from the class and/or program.

3 Schedule Unit 1 Foundation Concepts Lecture 1 Course Introduction Course Objectives Schedule, Rooms Assignments, Readings, Grading Rubrics Overview of Course Topics Lecture 2 Epidemiology: Basic Concepts and History Definition and Objectives of Epidemiology Definitions: Population, Disease Frequency, Distribution, Determinants, Control Historical Development of Epidemiology Lecture 3 Health Economics Definition of Key Terms: Third Party Purchaser, Provider, Capitation, Gatekeeper Relationships of Purchaser, Provider, and Patient with Global Examples Models for Health Systems: Social Insurance, National Health Service, National Health Care, Private Insurance Cost Controls: Negotiated Prices, Co-Payments, Capitation Unit 2 Thai Healthcare System Lecture 4 Historical Development of Universal Coverage in Thailand Type B Fee Exemption Voluntary Health Card Scheme Workers Compensation Fund and Social Security Scheme Civil Servants Medical Benefits Scheme Thai Rak Thai Political Party and Social Welfare Programs Lecture 5 Universal Coverage in Thailand: A Pluralistic Approach Universal Coverage Scheme: Benefits, Funding Sources National Health Security Office: Role and Responsibilities Social Security Scheme: Benefits, Funding Sources Social Security Office: Role and Responsibilities Civil Servant Medical Benefits Scheme: Benefits, Funding Sources Comptroller and Ministry of Finance: Role and Responsibilities Lecture 6 Thai Healthcare Delivery System District Health System Public and Private Hospitals Health Care Facilities: Health Promoting Hospitals to Regional Hospitals Village Health Volunteers Healthcare Personnel: Allocation, Training, Statistics Site Visit 1 Tha Kraserm Health Promoting Hospital, Nahm Pong District Hospital Site Visit 2 Sri Nagarind Regional Hospital

4 Unit 3 Trends in Thai Healthcare Lecture 7 Health Promotion Thai Health Promotion Foundation Taxation on Alcohol and Cigarettes Major Health Promotion Activities: Issues, Strategies, and Settings Primary Health Care: Health Promotion Hospitals and Village Health Volunteers Decentralization in Healthcare Lecture 8 Challenges to Thai Healthcare System Aging Society Increased Access to Technology and Higher Costs Overstressed Medical Facilities Brain Drain of Medical Personnel Medical Tourism Lecture 9 Healthcare Reforms Current Political Climate and its Impact on Healthcare NHSO and MoPH Conflicts Universal Emergency Care Private Hospital Price Controls Site Visit 3 Khon Kaen Social Security Office Site Visit 4 Lawa Lake: A Community-Based Approach to Battling Liver Fluke Unit 4 Public Health in Southeast Asia Lecture 10 Trends in Southeast Asian Health Demographic Trends in Southeast Asia (Aging, Migration, Urbanization) Disease Trends in Southeast Asia (Chronic Diseases, Mortality) Chronic Non-Communicable Diseases: Changing Diets and Habits Human Resources: Shortages, Distributional Challenges and International Trade Health Financing Reforms Lecture 11 HIV/AIDS Physiology of Disease History of HIV/AIDS in Southeast Asia Major Accomplishments in Treatment and Prevention Current Prevention and Treatment Programs in Thailand Peer Education Programs in Khon Kaen Lecture 12 Drug-Resistant Malaria Malaria Exposure Pathways Types of Mosquitos Drugs Used Against Malaria: Quinine, Chloroquine, Amodiaquine, Mefloquine, etc. Emergence and Spread of Drug-Resistant Strains Determinants of Drug Resistance Burden of Malaria to Developing Countries Lecture 13 Diabetes Basics of Disease: Physiology, Effects Disease Risk Factors: Nutrition, Exercise, and Genetics Growth of Disease in Southeast Asia Risk Factors Unique to Northeast Thailand Current National and Local Efforts to Reduce Incidence and Provide Treatment Site Visit 5 Mobile Diabetes Clinic Site Visit 6 Interview with Sex Worker and HIV Peer Educator

5 Course Materials Ashengrau, A. and Seage, G. (2008). The Approach and Evolution of Epidemiology. In Essentials of Epidemiology in Public Health (pp. 1-32). Sudbury, MA: Jones and Bartlett. Blomqvist, A. (2011). Public-Sector Health Care Financing. In The Oxford Handbook of Health Economics. Eds. Glied, S. and Smith, P. Chongsuvivat, V, Phua, K., Yap, M., Pocock, N., Hashim, N. Wilopa, S., Lopez, A. (2011). Health and health-care systems in southeast Asia: diversity and transitions. The Lancet 377 (9763), Frogner, B., Hussey, P. Anderson, G. (2011). Health Systems in Industrialized Countries. In The Oxford Handbook of Health Economics. Eds. Glied, S. and Smith, P. Hanvoravongchai, P. (2013). Health Financing Reform in Thailand: Toward Universal Coverage under Fiscal Constraints. UNICO Study Series 20. The World Bank, Washington, DC. January Hughes, D. and Leethongdee, S. (2007). Universal Coverage in the Land of Smiles: Lessons from Thailand s 30 Baht Health Reforms. Health Affairs, 26(4), International Labor Organization SRO for East Asia (2008). Thailand: Universal Health Care Coverage through Pluralistic Approaches. Retrieved from: soc_sec/documents/publication/wcms_secsoc_6612.pdf Kanchanachitra, C., Lindelow, M., Johnston, T., Hanvoravongchai, P., Lorenzo, F., Huong, N., Wilopo, S., dela Rosa, J. (2011). Human resources for health in southeast Asia: shortages, distributional challenges, and international trade in health services. The Lancet 377(9767), Srithamrongsawat, S., Aekplakorn, W., Jongudomsuk, P., Thammatach-aree, J., Patcharanarumol, W., Swasdiworn, W., Tangcharoensathien, V. (2010). Funding health promotion and prevention the Thai experience. Work Health Report Background Paper 45. World Health Organization. Retrieved from: ThailandNo45FINAL.pdf Tangcharoensathien, V., Patcharanarumol, W., Ir, P., Aljunid, S., Mukti, A., Akkhavong, K., Banzon, E., Huong, D., Thabrany, H., Mills, A. (2011). Health-financing reforms in southeast Asia: challenges in achieving universal coverage. The Lancet 377(9768), Media Resources ThaiHealth Promotion Foundation Resource Center. Retrieved from: Towards Healthy Thailand An Introduction to ThaiHealth. ThaiHealth Promotion Foundation. Retrieved from: