「医疗照护政治学」暨

1、醫療照護政治學暨衛生政策之政治分析課程指引（version on 8/13）請注意：本課於98學年上學期和下學期均開課。99學年起，改於上學期授課。本指引僅供參考，課程內容以開學公佈為準。時 間：98學年第1學期，每週三，1:30PM-3:20PM地 點：醫學二館二樓202室修課學生：碩、博士生授課教師：鄧宗業（醫管所專任副教授，公衛所法律與政策領域合聘副教授，醫學二館二樓226室，x7390，.tw）修課種類：選修，二學分授課方式：每週兩小時，採演講、討論評量方式：碩士生：課堂參與40%，課堂報告40%，期末報告20% 博士生：課堂參與30%，課堂報告30%，期末報告

2、40%課程程度：intermediate level課程說明：1. 這不是衛生政策內容的課。本課旨在深入認識：i. 重要的健康照護議題ii. 政治因素如何影響健康照護及其政策iii. 健康照護及其政策本身的政治性2. 學生必須課前閱讀必教材，輪流課堂報告，主動參與課堂討論，和繳交期末報告。3. 閱讀教材有一定的難度，後半學期的份量更多，建議同學組讀書小組，齊力抗惡魔。上課時，我將先帶領大家讀懂必教材，再依據本課要旨，討論重點，所以，同學讀文章時，要設法了解：i. 這篇論文的目的和結論ii. 這篇論文討論什麼重要的健康照護議題iii. 這篇論文分析什麼政治因素，如何分析iv. 這篇論文討論的健康

3、照護及其政策，本身有何政治性？4. 口頭報告大綱如下，每篇時間限20分鐘內。the title of the paper, the name of student/the authors/outline/the type of research/the purpose of research/conclusions/theories or theoretical framework/research questions or research hypotheses/materials and methods/main findings/your opinions about comments,

4、 significance of the study, and policy and research implications5. 期末報告採A4，中文1.5行距，8-10頁，英文double space，12-15頁。期末報告的題目須先和老師討論。建議博士生寫英文報告。1/22/2009（週五）下午5:00前交至鄧宗業辦公室。6. 期末報告禁止抄襲，違者零分，送校規處分。7. 旁聽學生也須課前閱讀指定教材，課堂報告，和參與課堂討論。8. 進階課程：政治與公共政策、制度與合作、政治經濟文獻選讀。授課進度表日期進度時數授課老師9/16Healthcare, health policies, a

5、nd politics2鄧宗業9/23Understanding the politics of health policy2鄧宗業9/30Political feasibility of health reform2鄧宗業10/7The politics of health policy reform I: The perspective of process and stakeholder2鄧宗業10/14The politics of health policy reform II: The perspective of institutions2鄧宗業10/21The politics

6、 of health budgets2鄧宗業10/28Political effects on health and health policy 2鄧宗業11/4Public opinions and health policy2鄧宗業11/11Health politics of lobby2鄧宗業11/18Health movements2鄧宗業11/25水上運動會（停課一天）2鄧宗業12/2Public disclosure of quality information2鄧宗業12/9The politics of criteria2鄧宗業12/16(TBA)2鄧宗業12/23Repre

7、sentation issues in clinical trials2鄧宗業12/30The politics of health services research2鄧宗業1/6Powers2鄧宗業1/13Term paper due2鄧宗業參考書(BMW)Buse, K, Mays, N, Walt, G. 2005. Making Health Policy. (Milton-Keynes, UK: Open University Press).206 pages, good introduction and overview館購.(MLR)Morone, JA, Litman, TJ

8、, and Robins, LS. 2008. Health Politics and Policy 4th edition. (USA: Delmar).by leading scholars, with the most extensive list of literature about health politics and policy so far館藏Patel, K. and Rushefsky, ME. 2003. The Politics of Public Health in the United States. (New York: M.E. Sharpe).館藏(RHB

9、R)Roberts, MJ., Hsiao, W., Berman, P., and Reich MR. 2004. Getting Health Reform Right: A Guide to Improving Performance and Equity. (Oxford: Oxford University Press).館藏Stone, Deborah. 2002/2007，Policy Paradox，政策弔詭，（台北市：群學）館藏Walt, Gill. 1996. Health Policy: An Introduction to Process and Power. (New

10、 York: Zed Books)館購.Sabatier, PA. ed. 2007. Theories of the Policy Process. (Boulder, CO: Westview Press). 館藏Grindle, Merilee S. and John W. Thomas. 1991. Public Choices and Policy Change: The Political Economy of Reform in Developing Countries. (New York: The Johns Hopkins University Press).館購陳恆安，郭

11、文華，林宜平編著，2009，科技渴望參與，（台北市：群學）。Alan Irwin. and Brian Wynne. eds. 1996. Misunderstanding Science?: The Public Reconstruction of Science and Technology. (Cambridge: Cambridge University Press).館藏Marsh, David and Gerry Stoker. 2002. Theory and Methods in Political Science. 陳義彥等譯，2007，政治學方法論與途徑，（台北市：韋伯文化

12、）。Healthcare, health policies, and politics選 Oliver, TR. 2006. “The politics of public health policy.” Annual Review of Public Health. 27, pp. 195-233.pdf選 Roberts, MJ., Hsiao, W., Berman, P., and Reich MR. 2004. “The health-reform cycle” in Getting Health Reform Right: A Guide to Improving Performa

13、nce and Equity. (Oxford: Oxford University Press) pp. 21-39.館藏Understanding the politics of health policy必 Oliver, TR. 2006. “The politics of public health policy.” Annual Review of Public Health. 27, pp. 195-233.pdf選 Gilson, L. and Raphaely, L. 2008. “The terrain of health policy analysis in low an

14、d middle income countries: A review of the literature 1994-2005.” Health Policy and Planning, 23, pp. 294-307.pdf選 Mebane, F. and Blendon, RJ. 2001. “Political strategy 101: how to make health policy and influence political people.” Journal of Child Neurology. 16(7), pp.513-9.pdfPolitical feasibilit

15、y of health reform必 Roberts, MJ., Hsiao, W., Berman, P., and Reich MR. 2004. “The health-reform cycle” and “political analysis and strategies” in Getting Health Reform Right: A Guide to Improving Performance and Equity. (Oxford: Oxford University Press) pp. 21-39, 61-89.館藏選 Glassman, AM, Reich, MR.,

16、 Laserson, K., and Rojas, F. 1999. “Political analysis of health reform in the Dominican Republic.” Health Policy and Planning 14(2), pp. 115-126.pdf選 Varvasovszky, Z. and McKee, A. 1998. “An analysis of alcohol policy in Hungary. Who is in charge?” Addition 93(12), pp. 1815-1827.pdf選 Aliyu, ZY. 200

17、2. “Policy mapping for establishing a national emergency health policy for Nigeria.” BMC International Health and Human Rights 2(5), pp. 1-6.pdf選 Reich, MR. and Cooper, D. 1996. PolicyMakers. Software tool, available online from .選 Varvasovszky, Z. and Brugha, R. 2000. “How

18、 to do (or not to do)A stakeholder analysis.” Health Policy and Planning 15(3), pp. 338-345.pdf選 Walt, G., Shiffman, J., Schneider, H., Murray, SF., Brugha, R. and Gilson, L. 2008. “Doing health policy analysis: methodological and conceptual reflections and challenges.” Health Policy and Planning. 2

19、3, pp. 308-317.pdf選 Dror, Y. 1969. The Prediction of Political Feasibility. (Santa Monica, CA: The RAND Corporation).none in tws libThe politics of health policy reforms I: The perspective of process and stakeholders必 Kwon, S. and Reich, MR. 2005. “The changing process and politics of health policy

20、in Korea.” Journal of Health Politics, Policy and Law. 30(6), pp. 1003-26. pdf選 BMW. 2005. pp.19-136.館購.選 Reich MR. 1995. “The politics of health sector reform in developing countries: three cases of pharmaceutical policy.” Health Policy. 32(1-3), pp.47-77.pdf選 Jacobs, Lawrence R. and Robert Y. Shap

21、iro. 2000. Politicians Dont Pander: Political Manipulation and the Loss of Democratic Responsiveness. (Chicago and London: The University of Chicago Press)館藏The politics of health policy reform II: The perspective of institutions必 Immergut, Ellen M. 1992. “The rules of the game: the logic of health

22、policy-making in France, Switzerland, and Sweden.” in Sven Steinmo, Kathleen Thelen, and Frank Longstreth eds. Structuring Politics : Historical Institutionalism in Comparative Analysis. (New York: Cambridge University Press). pp. 57-89.必 Navarro, Vicente. 1989. “Why some countries have national hea

23、lth insurance, others have national health services, and the U.S. has neither” Social Science and Medicine. 28(9), pp. 887-898.無選 Lee, K., Lush, L., Walt, G., and Cleland, J. 1998. “Family planning policies and programmes in eight low-income countries: A comparative policy analysis.” Social Science

24、and Medicine. 47, pp. 949-959.pdf選 Hall, Peter A. and Rosemary C. R. Taylor. 1996. “Political science and the three new institutionalisms.” Political Studies, XLIV, pp. 936-957.pdfThe politics of health budgets必 Kousser, T. 2002. “The politics of discretionary Medicaid spending, 1980-1993.” Journal

25、of Health Politics, Policy and Law. 27(4), pp. 639-71.pdf選 Wildavsky, Aaron, and Naomi Caiden. 1997. The New Politics of the Budgetary Process. (New York: Longman).Effects of politics on health and health policy必 Chung H and Muntaner C. 2006. “Political and welfare state determinants of infant and c

26、hild health indicators: an analysis of wealthy countries.” Social Science and Medicine 63(3), pp. 829-842.pdf必 Chung H and Muntaner C. 2007. “Welfare state matters: a typological multilevel analysis of wealthy countries.” Health Policy 80(2), pp. 328-339.pdf選 Kawachi I, Kennedy BP, Lochner K, and Pr

27、othrow-Stith D. 1997. Social capital, income inequality, and mortality. American Journal Public Health. 87(9), pp. 1491-8.pdf選 Vicente Navarro and Carles Muntaner. 2004. Political and Economic Determinants of Population Health and Well-Being: Controversies and Developments. (Baywood Publishing Compa

28、ny).館購選 Navarro V, Muntaner C, Borrell C, Benach J, Quiroga A, Rodriguez-Sanz M, Verges N, and Pasarin MI. 2006. “Politics and health outcomes.” Lancet. 16; 368(9540), pp.1033-1037.pdfPublic opinions and health policy必 Brodie, Mollyann and Robert J. Blendon. 2008. “Public opinion and health policy.”

29、 In Morone JA, Litman TJ, and Robins LS eds. Health Politics and Policy 4th edition. (USA: Delmar), pp. 249-270.館藏必 Blendon RL. and Benson JM. 2001. “Americans' views on health policy: a fifty-year historical perspective.” Health Affairs 20(2), pp. 33-46.pdfThe health politics of lobby必 Kersh, R

30、ogan. 2008. “Lobbists: Ten myths about power and influence.” In Morone JA, Litman TJ, and Robins LS eds. Health Politics and Policy 4th edition. (USA: Delmar), pp. 271-290.館藏必 Brandon, William P. and PM Alt. 2008. “The elderly: Health politics beyond aging?” In Morone JA, Litman TJ, and Robins LS ed

31、s. Health Politics and Policy 4th edition. (USA: Delmar), pp. 383-411.館藏Health movements必 Epstein, S. 1995. “The construction of lay expertise: AIDS activism and the forging of credibility in the reform of clinical trials.” Science, Technology and Human Values. 20(4), pp. 408-437.pdf必 Jones, K. 2008

32、. Abstract in “In whose interest? Relationships between health consumer groups and the pharmaceutical industry in the UK.” Sociology of Health & Illness 30(6), pp.929-43.pdf必 Hogg, C, DSA Studies, and Williamson, C. 2001. “Whose interests do lay people represent? Towards an understanding of the

33、role of lay people as members of committees.” Health Expectations 4, pp. 2-9, especially pp. 3-5 about what is a lay person? pdf選 Schneider, Anne and Helen Ingram. 1993. “Social construction of target populations: implications for politics and policy.” American Political Science Review. 87, pp. 334-

34、347.pdf選 Allsop J, Jones K, and Baggott R. 2004. “Health consumer groups in the UK: a new social movement?” Sociology of Health & Illness. 26(6), pp.737-56.pdf選 Church, J. et al. 2002. “Citizen participation in health decision-making: Past experience and future prospects.” Journal of Public Heal

35、th Policy 23(1), pp, 12-32.pdf選 Rowe, G. and Frewer, LJ. 2005. “A typology of pubic engagement mechanisms.” Science, Technology, & Human Values 30(2), pp. 251-290.pdf選 Wynne, Brian. 1995. “Public Understanding of Science.” In Sheila Jasanoff et al. ed. Handbook of Science and Technology Studies.

36、 (London: Sage Publications). pp. 361-388.館藏選 Stone, 2002/2007. 公平，頁77-104。Public disclosure of quality information必 Marshall, MN, Shekelle, PG, Leatherman, S, and Brook, RH. 2000. “The public release of performance data: what do we expect to gain? A review of the evidence.” JAMA 2000. 283(14): 1866

37、-1874.pdf必 Werner, RM. and Asch, DA. 2005. “The unintended consequences of publicly reporting quality information.” JAMA 293(10): 1239-1244.pdf必 Werner, RM. and Asch, DA. 2007. “Clinical concerns about clinical performance measurement.” Annals of Family Medicine 5(2), pp. 159-163.必 Hospital Compare網

38、站必 衛生署全民健康保險醫療品質資訊公開網網頁必 衛生署中央健保局醫療品質網頁選 Stone, 2002/2007. 數字、事實，頁223-252，391-412。The politics of criteria必 Lutfey, Karen E. and Jeremy Freese. 2007. “Ambiguities of chronic illness management and challenges to the medical error paradigm.” Social Science & Medicine 64(2), pp. 314-325.pdf必 Mazor

39、KM, Simon SR, Gurwitz JH. MD. 2004. “Communicating with patients about medical errors: A review of the literature.” Archives of Internal Medicine 164(15), pp. 1690-97.pdf必 Blendon, RJ. et al. 2002. “Views of practicing physicians and the public on medical errors” New England Journal of Medicine

40、 347(24), pp. 1933-1940.pdf選 Stone, 2002/2007. 數字、規則，頁223-252，365-390。Representation issues in clinical trials必 Lee, PY, Alexander, KP, Hammill, BG, Pasquali, SK, and Peterson, ED. 2001. “Representation of elderly persons and women in published randomized trials of acute coronary syndromes.” JAMA. 2

41、86(6), pp. 708-13.pdf必 Walsh C and Ross LF. 2003. “Are minority children under- or overrepresented in pediatric research?” Pediatrics. 112(4):890-5.pdf選 Yancey, Antronette K., Alexander N. Ortega, and Shiriki K. Kumanyika. 2006.“Effective recruitment and retention of minority research participants.”

42、 Annual Review of Public Health. 27. pp.1-28.pdfThe politics of health services research必 Tanenbaum, S. 1996. “Medical effectiveness in Canadian and U.S. health policy: the comparative politics of inferential ambiguity.” Health Services Research. 31(5), pp. 517-32.pdf必 Rest, KM. and Halperm, MH. 200

43、7. “Politics and the erosion of federal scientific capacity: Restoring scientific integrity to public health science.” American Journal of Public Health. 97(11): 1939-1944.pdf選 Gold, M. 2009. “Pathways to the use of health services research in policy.” Health Services Research 44(4), pp. 1111-1136.p

44、df選 Gamble, VN. and Stone, D. 2006. “U.S. Policy on Health Inequities: The Interplay of Politics and Research” Journal of Health Politics, Policy and Law. 31(1), pp. 93-126.pdf選 Reich, MR. and Govindaraj, R. 1998. “Dilemmas in drug development for tropical diseases. Experiences with praziquantel.” H

45、ealth Policy 44, pp. 1-18.pdfPowers必 Bachrach, Peter and Morton Baratz. 1962. “Two faces of power.” American Political Science Review. 56(4), pp. 947-952.pdf必 Gaventa, John. 1980. “Power and participation.” Power and powerless: Quiescence and rebellion in an Appalachian valley. (Chicago: University

46、of Illinois Press). pp. 3-32.選 Digeser, Peter. 1992. “The fourth face of power.” Journal of Politics. 54(4), pp. 977-1007.pdf選 Stone, 2002/2007. 權力，頁447-472。選 Oliveira, MD., Magone, JM. and Pereira, JA. 2005. “Nondecision making and inertia in Portuguese health policy.” Journal of Health Politics, P

47、olicy and Law. 30(1-2), pp. 211-30.pdfTerm paper due on 1/22/2009Suggested books about qualitative research method and othersAday, Lu Ann. 1989. Designing and Conducting Health Surveys: A Comprehensive Guide. (San Francisco: Jossey-Bass Publishers).Brady, HE. and Collier, D. 2004. Rethinking Social

48、Inquiry: Diverse tools, shared standards. (Lanham, MD: Rowman and Littlefield Publishers, Inc.).Brink, Pamela J and Wood, Marilynn J. 1988. Basic Steps in Planning Nursing Research: from Question to Proposal. (Boston: Jones and Bartlett).Cooper, Harris M. 1989. Integrating Research: A Guide for Lite

49、rature Reviews. (Newbury Park, California: Sage Publications).George, AL. and Bennett, A. 2004. Case Studies and Theory Development in the Social Sciences. (Cambridge, MA: MIT Press).Hedrick, Terry Elizabeth, Bickman, Leonard, and Rog, Debra J. 1993. Applied Research Design: A Practical Guide. (Newb

50、ury Park: Sage Publications).Kimmel, Allan J. 1988. Ethics and Values in Applied Social Research. (Newbury Park, California: Sage Publications).Krueger, Richard A and Casey, Mary Anne. 2000. Focus Groups: A Practical Guide for Applied Research. (Oaks, California: Sage Publications).Kvale, Steinar. 1

51、996. Interviews: An Introduction to Qualitative Research Interviewing. (Thousand Oaks: Sage Publications).Morse, Janice M. 1994. Critical Issues in Qualitative Research Methods. (Thousand Oaks, Canada: Sage Publications).Norman K. Denzin, Yvonna S. Lincoln. 2000. Handbook of Qualitative Research. (C

52、alifornia: Sage Publications).Strauss, Anselm L and Juliet Corbin M. 1998. Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. (Oaks: Sage Publications).Yin, Robert K. 1994. Case Study Research: Design and Methods. (Thousand Oaks, California: Sage Publications).

53、Other suggested topicsDebating public policy in the legislature必 Mucciaroni, Gary and Paul J. Quirk. 2006. Deliberative Choices. (Chicago and London: The University of Chicago Press) pp. 156-198.館藏Medical Encounter必 Zola, Irving Kenneth. 1973. “Pathways to the doctorfrom person to patient.”必 Freidson, Eliot. 1970. The Profession of Medicine.Body politics必 傅柯，1998，性意識史（第一卷），第一、四章，（台北市：桂冠），頁3-13，67-113。必 高宣揚，2004，對權力遊戲的微觀批判，傅科的生存美學，（台北市：桂冠），頁236-258。選 Foucault, Michel. 1994. in Ja