Seminar on Health Transition and New Challenges for Health Systems

Objectives

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

General characterization

Code

5788010

Credits

3

Responsible teacher

Paulo Ferrinho

Hours

Weekly - 10

Total - 40

Teaching language

Portuguese

Prerequisites

Available soon

Bibliography

• Ilyin I., et al. From Millennium Development Goals to Sustainable Development Goals. Globalistics and Globalization Studies. 2016; 380–394.
• 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. https://www.who.int/whr/2002/chapter1/en/index2.htmlDefo BK (2014) Beyond the ‘transition’ frameworks: the cross-continuum of health, disease and mortality framework. Global Health Action 7, 24804. http://dx.doi.org/10.3402/gha.v7.24804
• Defo BK (2014) Demographic, epidemiological, and health transitions: are they relevant to population health patterns in Africa? Global Health Action 7, 24804. http://dx.doi.org/10.3402/gha.v7.22443
• Holst, J. Global Health – emergence, hegemonic trends and biomedical reductionism. Global Health 16, 42 (2020). https://doi.org/10.1186/s12992-020-00573-4
• 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 www.thelancet.com
• 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.
• Labonté R, Schrecker T. Globalization and social determinants of health: Promoting health equity in global governance (part 3 of 3). Global Health. 2007; 3, 7. https://doi.org/10.1186/1744-8603-3-7
• Labonté R, Schrecker T. Globalization and social determinants of health: Introduction and methodological background (part 1 of 3). Global Health. 2007; 3, 5. https://doi.org/10.1186/1744-8603-3-5
• Labonté R, Schrecker T. Globalization and social determinants of health: The role of the global marketplace (part 2 of 3). Global Health. 2007; 3, 6. https://doi.org/10.1186/1744-8603-3-6
• de Ruijter A. EU Health Law and Policy: The Expansion of EU Power in Public Health and Health Care [Internet]. Oxford: Oxford University Press; 2019 [citado 28 de dezembro de 2021]. 256 p. (Oxford Studies in European Law). Disponível em: https://oxford.universitypressscholarship.com/10.1093/oso/9780198788096.001.0001/oso-9780198788096
• Duncan B. Health policy in the European Union: how it’s made and how to influence it. BMJ [Internet]. 27 de abril de 2002 [citado 28 de dezembro de 2021];324(7344):1027–30. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1122958/
• Greer SL, Fahy N, Rozenblum S, Jarman H, Palm W, Elliott HA, et al., organizadores. Everything you always wanted to know about European Union health policies but were afraid to ask. Second, revised edition. Copenhagen: European Observatory on Health Systems and Policies; 2019. 202 p. (Health policy series).
• Hübel M. The Internal Market and Health [Internet]. European Commission Health and Consumer Protection Directorate-General; 2001. Disponível em: https://ec.europa.eu/health/archive/ph_overview/documents/key06_en.pdf
• Mossialos E, McKee M. Health care and the European Union. BMJ [Internet]. 27 de abril de 2002 [citado 28 de dezembro de 2021];324(7344):991–2. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1122991/
• 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 form 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
• Romanick-Schmiedl, S., and Raghu, G. (2020). Telemedicine—maintaining quality during times of transition. Nature Reviews Disease Primers, 6(1), 1-2.
• Lapão, L. V. (2020). A Enfermagem do Futuro: combinando Saúde Digital e a Liderança do Enfermeiro. Rev. Latino-Am. Enfermagem, 28, e3338.
• Maia, M. R., Castela, E., Pires, A., and Lapão, L. V. (2019). How to develop a sustainable telemedicine service? A Pediatric Telecardiology Service 20 years on-an exploratory study. BMC health services research, 19(1), 1-16.
• Lapão, L. V. (2019). Artificial intelligence: is it a friend or foe of physicians?. Einstein (Sao Paulo, Brazil), 17(2), eED4982-eED4982.
• Olstad DL, McIntyre L. Reconceptualising precision public health. BMJ Open. 2019;9:e030279. doi:10.1136/bmjopen-2019-030279.
• Khoury MJ, Bowen MS, Burke W, et al. Current priorities for public health practice in addressing the role of human genomics in improving population health. Am J Prev Med. 2011;40(4):486-493. doi:10.1016/j.amepre.2010.12.009.
• 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. https://doi.org/10.1371/ 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
• Johan P. Mackenbach, Political determinants of health, European Journal of Public Health.2014; 24(1) 2, https://doi.org/10.1093/eurpub/ckt183
• Huntington SP. Democracy's Third Wave. The Journal of Democracy.1991; 2(2);12-34.
• Ruger JP. Democracy and health. Q J Med. 2005; 98:299–304
• Ruger J P. Social justice as a foundation for democracy and health BMJ. 2020; 371 :m4049 doi:10.1136/bmj.m4049
• 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.
• Nikogosian H. Regional Integration, Health Policy and Global Health. Glob Policy.2020; 11: 508-514. https://doi.org/10.1111/1758-5899.12835
• Smith J. Towards Critical Analysis of the Political Determinants of Health; Comment on “How Neoliberalism Is Shaping the Supply of Unhealthy Commodities and What This Means for NCD Prevention”. International Journal of Health Policy and Management. 2020; 9(3), 121-123. doi: 10.15171/ijhpm.2019.102
• Enciclopédia Britânica: https://www.britannica.com/topic/democratization
• Tessema GA, Kinfu Y, Dachew BA, et alThe COVID-19 pandemic and healthcare systems in Africa: a scoping review of preparedness, impact and response. BMJ Global Health. 2021;6:e007179.
• Shoman H, Karafillakis E, Rawaf S. The link between the West African Ebola outbreak and health systems in Guinea, Liberia and Sierra Leone: a systematic review. Global Health. 2017; 13(1).. https://doi.org/10.1186/s12992-016-0224-2
• Lapão LV et al. Ebola impact on african health systems entails a quest for more international and local resilience: the case of african portuguese speaking countries. Pan Afr Med J. 2015;22(Supp 1):15
• Mackenzie JS, McKinnon M, Jeggo M. One Health: From Concept to Practice. Confronting Emerging Zoonoses. 2014;163-189. Published 2014 Jul 19. doi:10.1007/978-4-431-55120-1_8
• Fronteira I, Sidat M, Magalhães JP, de Barros FPC, Delgado AP, Correia T, Daniel-Ribeiro CT, Ferrinho P. The SARS-CoV-2 pandemic: A syndemic perspective. One Health. 2021 Jun;12:100228. doi: 10.1016/j.onehlt.2021.100228. Epub 2021 Feb 17. PMID: 33614885; PMCID: PMC7887445.
• Shroff ZC, Marten R, Vega J, Peters DH, Patcharanarumol W, Ghaffar A. Time to reconceptualise health systems. The Lancet. Junho de 2021;397(10290):2145.

Teaching method

T - Teaching: lecture, student presentations, discussion in a virtual classroom.
OT – Support for the preparation of the S and O.
S – student-led seminars.

Evaluation method

1. Presentations (25%) – must include a summary, the specific learning objectives of the session, how the specific objectives contribute to the general learning objectives of the FUC, introduce the topic, identify controversies, identify topics for investigation and possible research methodologies and finish with the literature used, must fulfill the allotted time (no more and no less).
2. Discussion dynamics (25%) – must be based on a script prepared in conjunction with the presenter, must guarantee the participation of all doctoral students, must end with a summary of the main points highlighted during the discussion.
3. Participation in discussions (50%) – participation must be active, reflective and informed. Interventions that are opinionated or that do not reflect knowledge of at least the recommended literature will not be welcomed. Interventions based on reflections based on the experiences of each one integrated with the knowledge acquired in the UC will be welcomed. Participation in the discussions of each seminar contributes to 6% of the grade; participation in the final debate contributes to 14% of the grade.
4. Both the presentation and the discussion will welcome attempts to integrate the session with previous sessions of the UC or with another UC of the PhD.

Subject matter

I. Transition from the MDGs to the SDGs;
II. Health in transition: facts and theories;
III. Globalization of health;
IV. Understand the evolution of a European Health Union;
V. Transitions in the health workforce;
VI. Transition in health technologies;
VII. Transition in Public Health Services (SSP);
VIII. Transition in primary health care (in CPLP Member States);
IX. Democratic transitions and health;
X. Pandemic challenges.