全球南方健康系统中的棘手问题及政策应对
课程教师
Yuxi Zhang
教师简介
Dr. Yuxi Zhang is an Assistant Professor in Health Policy and Systems at the UCL Global Business School for Health. She earned her DPhil in Social Policy from Oxford and also holds the position of Research Associate at the Blavatnik School of Government, Oxford University. Dr. Zhang's research focuses on the policy challenges faced by countries pursuing universal health coverage in the Global South. Additionally, her research related to COVID-19 highlights how health systems should incorporate early and decisive policy responses and build population trust to enhance defence against future pandemics. She recently received funding from UK Research and Innovation to study the impact of health-related misinformation and disinformation on the health service utilization of patients with non-communicable diseases. She is also under contract with Edward Elgar to co-edit a Research Handbook on Health Systems in the Global South.
课程内容
This course provides a comprehensive and accessible overview of the policy challenges faced by national health systems in the Global South. The course is structured around the WHO building blocks of health systems—such as workforce, financing, medicine, and more—to equip students with a widely used and solid theoretical framework for understanding health systems and conducting policy research in their future studies. Additionally, by contextualizing health challenges within the broader political economies and developmental stages of countries in the Global South, this course introduces students to the “wicked problems” that are complex, systemic, and emerging. These issues make these health systems particularly vulnerable compared to those in the Global North. Examples include health system dualization, environmental change and armed conflict. The course employs case studies to engage students with the most pressing issues in health systems and policy research. It encourages them to critically appraise existing policy responses and explore innovative policy solutions.
预期目标
Subject-specific knowledge:
Understand and apply the WHO 'building blocks' framework to health system and policy research.
scribe the range of financing, service delivery mechanisms, the situations of workforce, medicine access and health information systems in the Global South and evaluate their impact on key health outcome indicators and objectives such as efficiency and equity.
Intellectual, academic, and research skills:
Read and familiarize with emerging and pressing policy challenges faced by health systems in the Global South.
Appreciate and critically analyze the systemic and complex causes of policy challenges unique to health systems in the Global South, considering their social, demographic, economic, and political contexts.
Practical and transferable skills:
Express arguments clearly, both in classroom discussion, presentation and through written work.
Formulate and defend various points of view for understanding and addressing the 'wicked' health system problems in ways that are appropriate to the Global South context.
课程安排
Lecture | Topic (2.5 teaching hours) |
1 | Introducing health systems: The WHO “building blocks” framework |
2 | Financing health systems in the Global South: Is good health at low cost achievable and desirable? |
3 | Health workforce in the Global South: The health workforce emigration crisis |
4 | Health service delivery in the Global South: The public-private mix as the way forward and associated controversies |
5 | Access to medicine in the Global South: Pursuing production independence and health security |
6 | Health information system in the Global South: Tackling health “infodemics” in the post-COVID age |
7 | Commercializing health systems in the Global South: Misaligned incentives and the erosion of population trust |
8 | Environmental change, the impact on health, and policy responses in the Global South |
9 | Healthcare provision in the conflict zones in the Global South |
10 | Balancing competing objectives in health policymaking in the Global South: efficiency, equity and social solidarity |
