Seminar on Health Transition and New Challenges for Health Systems


1. Reflect on the main topics covered by the health literature on transition;
2. Participate in debates on the concept of transition in health and in health service systems (HSS);
3. Critically analyze some of the theories on transition in health and in HSS;
4. Identify the challenges and opportunities that the transitions addressed create and pose to the HSS;
5. Address methodological aspects in the elaboration of research projects on the topics covered.

General characterization





Responsible teacher

Paulo Ferrinho


Weekly - 10

Total - 40

Teaching language



Available soon


• Ilyin I., et al. From Millennium Development Goals to Sustainable Development Goals. Globalistics and Globalization Studies. 2016; 380–394.
• Holst, J. Global Health – emergence, hegemonic trends and biomedical reductionism. Global Health 16, 42 (2020).
• Jacobsen K. Introduction to Global Health, Jones and Bartlett Learning, 2014.
• Koplan, J. P., Merson, M. H and al. Towards a Common Definition of Global Health, The Lancet, Vol 373, 2009
• Twaddle AC. Health system reforms--toward a framework for international comparisons. Soc Sci Med. 1996 Sep;43(5):637-54. doi: 10.1016/0277-9536(96)00151-7. Erratum in: Soc Sci Med 1996 Nov;43(10):III-IV. PMID: 8870129.
• Hoffman S J, Cole C B and Pearcey M. Mapping Global Health Architecture to inform the Future – Research Paper, The Royal Institute of International Affairs, 2015.
• Huynen M, Martens P and Hilderink H. The Health Impacts of Globalization: a conceptual framework, BioMed, 2005.
• Woodward D, Dragger N and al. Globalization and Health: a framework of analysis and action, WHO Bulletin, Geneva, 2001.
• FRENK Julio et al, 1991. Elements for a theory of the health transition, Health transition review, vol. 1, n° 1, 21-38.
• Popkin BM. The nutrition transition in low-income countries: an emerging crisis. Nutr Rev. 1994;52:285–298.
• WHO. The WHR 2002. Reducing risks, promoting healthy life. BK (2014) Beyond the ‘transition’ frameworks: the cross-continuum of health, disease and mortality framework. Global Health Action 7, 24804.
• Defo BK (2014) Demographic, epidemiological, and health transitions: are they relevant to population health patterns in Africa? Global Health Action 7, 24804.
• Di McIntyre, Ranson, M. K., Aulakh, B. K., and al. Promoting Universal financial protection: evidence from seven low and middle-income countries on factors facilitating or hindering progress, BioMed Central, Health Research Policy and Systems, 2013.
• Sambo, L. G. Simoes J., Martins, M. R.. Financing Health Care in Low-income developing countries: A challenge for equity in health, Oxford Textbook of Medicine, Chapter 2.16, Oxford, 2020.
• Kentikelenis, A. E., Stubbs, T. HH. And King, L.P. Structural Adjustment and public spending on health: Evidence from IMF programs in low-income countries, Social science and Medicine, ELSEVIER, 2015.
• Kutzin, J. Health Financing for Universal Coverage and Health System Performance: concepts and implications for policy, Bulletin of the World Health Organization, 2013; 91:602-611.
• Bloom, G., et al. ICTs and the challenge of health system transition in low and middle-income countries. Global Health 13, 56 (2017).
• Bloom, G., et al. Health system innovations: adapting to rapid change. Global Health 14, 29 (2018).
• Figueras J., et al. Health systems in transition: learning from experience. European Observatory on Health Systems and Policies, WHO, Copenhagen, 2004.
• The Joint Commission. Hot Topics in Health Care: Transitions of Care. The need for a more effective approach to continuing patient care. USA.
• Hepburn C.M., et al. Health system strategies supporting transition to adult care. Arch Dis Child 2015;100:559–564. doi:10.1,136/archdischild-2014-307320.
• Ishizaki Y., et al. Editorial: Advances in Health-Care Transition for Patients With Childhood-Onset Chronic Diseases: International Perspectives. Front. Pediatr. 2018; 6:80. doi: 10.3389/fped.2018.00080.
• Lima M.A.D.S., et al. Care transition strategies in Latin American countries: an integrative review. Rev Gaúcha Enferm. 2018;39:e20180119. doi:
• Dash PJ. The future of hospitals: a consultancy viewpoint. Future Hosp J. 2014;1(1):16-22. doi:10.7861/futurehosp.14.007.
• Caplan GA, Sulaiman NS, Mangin DA, Ricauda NA, Wilson AD, Barclay L. A meta-analysis of “hospital in the home.” Med J Australia. 2012;197(9):512-519.
• Andrade M.V., et al. Transition to universal primary health care coverage in Brazil: Analysis of uptake and expansion patterns of Brazil's Family Health Strategy (1998-2012). PLoS ONE. 2018; 13(8): e0201723. journal.pone.0201723
• Kyratsis Y., et al. Health systems in transition: Professional identity work in the context of shifting institutional logics. (2017). Academy of Management Journal. 60, (2), 610-641.
• Rasanathan K. and Evans, T. G., Primary Health Care , The Declaration of Astana and COVID-19, Policy and Practice, Bulletin of the World Health Organization, 2020; 98:801-808.
• Olstad DL, McIntyre L. Reconceptualising precision public health. BMJ Open. 2019;9:e030279. doi:10.1136/bmjopen-2019-030279.
• Cotlear, D., et al. Going Universal: How 24 Developing Countries are Implementing Universal Health Coverage Reforms from the Bottom Up. Washington, DC: World Bank. 2015. doi:10.1596/978-1-4648-0610-0.
• Axelson H., et al. Transition from External Aid: Challenges and Opportunities. A Country Consultation Paper for the UHC2030 Working Group on Sustainability, Transition from Aid and Health Systems Strengthening. Technical Report. Think Well. February 2018. 34.
• Ruger JP. Democracy and health. Q J Med 2005; 98:299–304.
• Franco A et al. Effect of democracy on health: ecological study. BMJ. 2004; 329: 18-25.
• Besley T, Kudamatsu M. Health and democracy. American economic review. 2006; 96 (2):313-318.
• Jones CB et al. Predicting Transitions in the Nursing Workforce: Professional Transitions from LPN to RN. ResearchBrief_LPNtoRN_JonesNov2016_final.pdf.
• Zurn P et al. Monitoring health workforce transitions and exits. Monitoringhealthworkforcetransitionsandexits%20(1).pdf.
• Social care workers call on strengthening the workforce perspective in the transition from institutional to community-based care. Transition from institutional to community based care.pdf.
• Expert Panel on effective ways of investing in Health (EXPH). Task shifting and health system design, 26 June 2019. taskshifting_en.pdf

Teaching method

T - Teaching: expository, student presentations, discussion in the virtual classroom
OT - Student presentations as part of the assessment

Evaluation method

1. Presentations (55%);
2. Streamlining discussion (40%);
3. Participation in the discussions (5%).

Subject matter

I. Transition from the MDGs to the SDGs;
II. Globalization of health;
III. Health in transition: facts and theories;
IV. Economic transition: from PRB to PRM and PRA;
V. HSS in Transition: facts and theories;
VI. Health care transitions: facts and theories;
VII. Transition in hospital services;
VIII. Transition in CSP;
IX. Global Health Initiatives: relevance and impact in low and middle income countries;
X. International Health Aid Architecture: benefits and challenges for beneficiary countries;
XI. SSP transition;
XII. Challenges in the transition to Universal Health Systems (UHS);
XIII. Democratic transitions and health;
XIV. Health workforce transitions.