SYSTEMS AND POLICIES TO IMPROVE HEALTH
2018/2019, Semester 2
Saw Swee Hock School of Public Health (Saw Swee Hock School of Public Health)
Modular Credits: 4
In terms of health systems, Singapore consistently tops rankings for its efficiency and efficacy. But, what exactly is a health system? And why is it important that we know how health systems operate? The aim of this course is to provide students with an introductory overview of health systems and policies that have the ability to shape an individual’s and the population’s wellbeing. The course will use Singapore’s healthcare system as a case study to explain the organization of health systems and the policy responses to public health challenges that arise within the context of these systems. Students will also have the opportunity to observe local healthcare stakeholders in action through a field trip during the semester. Readiness to actively participate in class is expected, however, no disciplinary background is assumed, nor is any special familiarity with the field of health care required.
At the end of the module, the student is expected to:
Understand the roles of health policies and systems in improving the health of population.
Differentiate between primary, secondary and tertiary prevention; health and healthcare; population health and public health.
Describe the World Health Organisation (WHO) health systems framework, its usefulness and limitations.
Understand the principles of Universal Health Coverage, Person-Centered Care and Value-based Care..
Able to describe the various policies for the control of CD and NCD and the protection and promotion of health of the working population.
Understand Singapore’s healthcare system and its challenges.
This is a 13-sessions introductory module on health systems and policies using the Singapore Healthcare System as a case study. Each 3-hour session will consist of an introductory lecture (LT) followed by small group work (GW) and ending with a plenary discussion (PD).
Time: 2pm- 5pm every Wednesday
Venue: Tahir Foundation Building (MD1), Level 8, Seminar Room 1
Introduction to Singapore’s healthcare system (i)
LT: using patient journey to describe the healthcare system. (RTA & cancer patient)
GW: What do you want if you have a RTA, if you are diagnosed with cancer
PD: Healthcare system from a patient, provider and policy maker perspective
Chia Kee Seng (CKS)
Introduction to Singapore’s healthcare system (II)
LT: Life-course perspective of healthcare system; primary, secondary and tertiary prevention; population health, public health
GW: Primary, secondary and tertiary prevention of breast cancer, TB and mesothelioma
PD: similarities & differences between health and healthcare, population health and public health
Introduction to Singapore’s healthcare system (III)
LT: Evolution of Public Health and Healthcare in Singapore: from “Improving healthcare accessibility, quality and affordability” to the Three Beyonds
GW: Compare Singapore’s Healthcare 2020 and the Three Beyonds.
PD: Drivers of healthcare reforms
Chinese New Year
Introduction to health systems
LT: WHO health systems framework
GW: Debate on the motion: “Singapore should continue with the 3 RHSs”.
PD: Applying the WHO Health Systems Framework in Singapore
Healthcare Financing and Value-based Care
LT: Healthcare financing models and healthcare financing in Singapore
Introduction to Policy formulation
LT: Policy formulation process, drafting policy papers
GW: Role-play of policy formulation process
PD: Stakeholder engagement
Systems and Policies in the management of infectious diseases
LT: Basics of infectious diseases. Immunization policies. Outbreak management and pandemic preparedness. One Health.
GW: Tabletop outbreak exercise
PD: Non-health impact of outbreaks and role of non-health agencies in outbreaks.
Systems and Policies in the management of non-communicable diseases
LT: Challenge of NCDs. Singapore’s War on Diabetes
GW: Gaps in KAP
PD: Challenges in health promotion: unintended consequences
Systems and Policies in managing the health and safety of working population
LT: Spectrum of health issues in working population. Role of employers in workplace health protection and health promotion.
GW: How to motivate employers? How to integrate government ministries?
PD: Total Workplace Safety and Health
Presentation of field trips
Mock exam for the module
LT= introductory lecture; GW= small group work; PD= plenary discussion
Assessment for this class will be
Class participation (20%)
Evaluation will be based on group presentation of each lecture topic (GW), active discussion and participation of in-class activities. Peer-evaluation.
Field trip Presentation (20%)
Each group will prepare a Powerpoint presentation that will be awarded a group mark.
Final assessment (60%)
Four short essay questions
Workload Components : A-B-C-D-E
A: no. of lecture hours per week
B: no. of tutorial hours per week
C: no. of lab hours per week
D: no. of hours for projects, assignments, fieldwork etc per week
E: no. of hours for preparatory work by a student per week