202401_HINF 140 (A01&A02)_Course_Outline_Template 1 (8)
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University of Victoria *
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MISC
Subject
Health Science
Date
Feb 20, 2024
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Faculty of Human and Social Development | School of Health Information Science his@uvic.ca | uvic.ca/hsd/hinf HINF
140
(A01
&
A02)
I
NTRODUCTION TO THE C
ANADIAN H
EALTH C
ARE S
YSTEM
A01
CRN
21775
&
A02
CRN
21776 T
ERM S
PRING 2024 C
LASS T
IMES
M
ONDAY AND T
HURSDAY
,
1:00
PM
-2:20
PM
C
LASS L
OCATION
C
ORNETT B
UILDING B143 I
NSTRUCTOR T
RUDY P
AULUTH
-P
ENNER
O
FFICE H
OURS
B
Y APPOINTMENT (
EMAIL TO ARRANGE
) T
ELEPHONE
250-385-7260
(H);
250-580-0142
(
CELL
/
TEXT MESSAGE
) E-
MAIL
troods@uvic.ca L
EARNING T
ECHNICAL S
UPPORT
UV
IC C
OMPUTER H
ELP D
ESK
E
MAIL helpdesk@uvic.ca
FOR ZOOM
,
BRIGHTSPACE
,
AND OTHER TECHNOLOGIES
TELEPHONE
:
250-721-7687
OR T
OLL
-F
REE 1-844-721-7687
8
AM TO 11
PM (P
ACIFIC
)
ON M
ONDAY
-F
RIDAY
10
AM TO 10
PM (P
ACIFIC
)
ON S
ATURDAY &
S
UNDAY
10
AM TO 6
PM (P
ACIFIC
)
ON S
TATUTORY H
OLIDAYS
F
OR OTHER ISSUES CONTACT ltsisupport@uvic.ca
O
NLINE L
EARNING T
OOLS
L
EARN A
NY
W
HERE
O
NLINE R
ESOURCES
G
ET TO K
NOW YOUR O
NLINE TOOLS
Z
OOM O
RIENTATION G
UIDE T
ERRITORY A
CKNOWLEDGEMENT
First Peoples House We acknowledge and respect the l
ək̓ʷəŋən peoples on whose traditional territory the university stands and the Songhees, Esquimalt and W̱ SÁNEĆ
peoples whose historical relationships with the land continue to this day. O
VERVIEW
Introduces students to the historical, political, current structures, processes, role, and responsibilities of the Canadian healthcare system with a view to identifying the challenges, issues, and potential solutions. C
OURSE D
ESCRIPTION
Provides a comprehensive and critical understanding of the Canadian healthcare systems, their development and current problems and challenges. Introduces students to the origins, structures, values, political and key issues of the provincial, territorial, and federal roles in healthcare; and provides students with an integrated orientation regarding its major components. C
OURSE AND L
EARNING O
BJECTIVES
Overall objectives are to “understand the health care issues in Canada, how different levels of government operate in terms of health care delivery... how our health care system is funded and the future issues facing health and health care in Canada” (Thompson, 2024, p. vii)
. After successful
completion of this course, students will be able to: Specific Subject SS1. Define and describe the nature of health and its determinants SS2. Describe the historical and political development of healthcare systems within the federal, provincial, territorial, and regional contexts SS3. Identify the extra-institutional elements that influence the determinants of health, such as environmental, occupational, and complementary healthcare services SS4. Explain the structure, process, and funding aspects of the healthcare system SS5. Identify and explain the traditional components of the healthcare system; acute care, continuing care, home care and public health with a view to appreciating how they are being transformed SS6. Explain the nature of individual health and human participation in the healthcare system and the complex dynamics that this creates SS7. Explain the role of practitioners as well as the ethical and legal issues in Canadian healthcare SS8. Explain and describe the contemporary challenges in Indigenous health and healthcare delivery SS9. Identify and explain the current problems and issues confronting the Canadian healthcare system and identify solutions to them Cognitive Intellectual CI1. Critically assess and interpret health data, information, values and knowledge about health and the Canadian healthcare system Transferable Skills TS1. Present, articulate and defend ideas effectively TS2. Demonstrate effective participation through reflections in the discussion forum TS3. Demonstrate effective writing and organization skills in assignments and exams P
REREQUISITES OR CO
-
REQUISITES
None R
EADINGS
Thompson, V. D. (2024). Health and health care delivery in Canada
(4th ed.). Toronto: Elsevier. ISBN: 978-0-323-87288-1 (Required Text) Deber, R. B. & Mah, C. L. (Editors) (2018). Case studies in Canadian health policy and management
(2
nd
ed.). Toronto: University of Toronto Press. (Source of designated chapter reading for small-group case study; text in reserve library). Every voice counts: Long-term care resident and visitor survey results –
2023
. Office of the Seniors Advocate British Columbia. https://www.seniorsadvocatebc.ca/app/uploads/sites/4/2023/11/OSA-LTC-SURVEY-REPORT-
RESULTS-2023.pdf Additional health care reports to be posted throughout the course. F
ORMAT
HINF 140 is an interactive participatory-focused class that combines weekly short lectures with student small-group reflection discussions. This class is structured in weekly segments aligning directly with the chapters from the required Thompson text. Additional class participatory activities include guest speaker question/answer series, case study analysis and small-group presentations
through role-plays. There will be weekly individual reflection papers (informal, point-form) on text readings, a paper on response to a participatory case study, and a final individual research paper on a health topic important to you. These are elaborated in the Mark Breakdown section. To make the most of our time together and to heighten your learning experience it is important that you attend each class in person, read the assigned material before class and prepare your individual reflection papers weekly to help facilitate meaningful small-group discussions. Our class time will provide us the opportunity to further explore ideas highlighted in the material. As this class aims to be a positive collaborative experience, you are asked to actively participate in class activities and encouraged to raise questions and openly express your views. The overall goal of this class is 3-fold: to gain an enriched understanding of our Canadian health care system’s strengths and weaknesses; secondly for you to examine your own perspectives, values, and principles regarding our emerging societal health care challenges; and third, to develop reflective, critical thinking processes to guide well-rounded decision-making skills throughout this class and beyond, most significantly to develop collaborative teamwork skills. All students with diverse learning styles and needs are welcome in this course. If you have specific areas of consideration that may require accommodation, please feel free to approach me and/or the Centre for Accessible Learning (CAL; https://onlineacademiccommunity.uvic.ca/writingresources/) Note: All PowerPoints, notes and assigned material will be posted in Brightspace. These will be adjusted and updated throughout the course as needed. M
ARK B
REAKDOWN /
A
SSIGNMENTS
All major tests and assignments must be completed to pass the course.
I reserve the right to use plagiarism detection software or other platforms to assess the integrity of student work. Assignments: General Notes Many of the HINF140 assignments are designed to provoke critical and reflective thinking processes. Students are encouraged to freely express views, opinions and gained knowledge through multiple learning modalities. These include in-class quizzes, reflective/analytical research papers, small-group discussions, and interactive case study role play workshops. The goal here is to encourage you to explore your own values, perceptions and beliefs on emerging ethical and social science issues related to health care systems, with the aim of attaining a clearer understanding of the myriad of complex challenges facing our system. Such reflective learning is critically important for your professional development. Having said that, reflective learning is subjective in nature and therefore cannot be fairly graded by numerical or letter grading alone. To ensure a safe classroom environment that promotes open, honest discourse all reflective papers will instead be graded by a complete or incomplete point system. By completing the required components of an assignment, points will be awarded for the active participation assignment grade. These are outlined in the specific assignments description section.
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All written assignments are to be submitted directly to the instructor in class on the due date as printed hard copies, with student numbers only as identification. To meet contract grades below, all assignments need to be turned in on time. Please see the Schedule-at-a-Glance for due dates. GRADING: Quizzes
: 3 on textbook readings, each quiz 10% of total grade 30% Active participation
Weekly small-group in-class discussion groups reflecting weekly text readings (1 per chapter; 10 chapters) 10% Case study small-groups role-play presentation 10% Individual papers
Individual weekly reflections on text readings; point form on addressing reflection questions for each of the 10 chapters 10% Individual case study analysis response 10% Final individual research paper 30% Specific Assignment Descriptions & Grading Criteria
Quizzes There are no mid-term or final exams in this class. Instead, there will be 3 in-class quizzes dispersed throughout the term. These will cover the weekly text readings and be comprised of multiple-choice, true/false, and matching definition questions. The first quiz will cover material in Chapters 1-3, the second quiz covers Chapters 4-7, and the third covers Chapters 8-10. Please note that quizzes are utilized to encourage learning rather than marking or grading alone, acknowledging that there are multiple ways to learn and assess students’ progress. Students will have the opportunity to rewrite any failed quiz once. Active Participation Assignments
Note on Attendance: This is not an online course and attendance is expected. In-class learning is as important as out-of-class learning. Your presence and engagement are expected in at least 80% of the classes (19 out of 24 sessions). If you need to miss class due to illness or other unforeseen circumstances, please email me prior to the start of class. Given the interactive nature of this course, students are expected to attend all participatory in-class activities and assignments. You are encouraged to participate whole-heartedly in ways that play to your strengths while exploring diverse ways to address any challenges. The active participation assignments will be graded as complete or incomplete. Students earn points by completing all required components of the
assignment, by participating and demonstrating knowledge from readings and class material. Weekly small-group in-class discussion groups Students are required to read the Thompson text in full. This component of the course is structured in 2 parts: (1) individual short reflection papers responding to posted reflection questions (see papers section in assignment descriptions); (2) small-group in-
class discussion for each week’s chapter review.
Each week students are invited to actively engage in small-group discussions reflecting their understanding of the text chapter content. The aim of this assignment is to facilitate participation in effective, positive and meaningful discourse that recognizes and supports differing perspectives and skill sets, to collectively create a safe and inclusive environment wherein they are free to express their views and to critique the material presented in the chapters. Topics are listed below. By the end of this class, it is anticipated that students will have refined their collaborative group process communication skills. Weekly discussion topics:
Week 1: History of health care in Canada. Review the criteria of the Canada Health Act.
Week 2: Indigenous health and health care. Reflect on your understanding of Indigenous health care and cultural approaches throughout history –
how have these evolved? What are the strengths or challenges? If you were a provincial or territorial health minister what measures would you put in place to ensure equitable care?
Week 3: Role of the Federal government in health care. What are the primary responsibilities of the Minister of Health (locate the Mandate Letter on the internet): what are the responsibilities the Minister is expected to deliver?
Week 4: Role of provincial and territorial governments in health care. Review the organizational structure of the BC Ministry of Health and briefly describe the function of each element.
Week 5
: Dollars and ‘sense’ of health care funding
. (Additional reading: Office of the Seniors Advocate 2023 report) https://www.seniorsadvocatebc.ca/app/uploads/sites/4/2023/11/OSA-LTC-
SURVEY-REPORT-RESULTS-2023.pdf Discuss the types of long term care services available in BĆ; respond to the report’s findings; prepare que
stions for guest speakers.
Week 6: Practitioners and workplace settings. Identify 3 types of health care practitioners (e.g., acute care, long term care, rehabilitation, home care, etc.): summarize their scope of practice and how these practitioners might work collaboratively to benefit a client.
Week 7: No classes.
Week 8: Essentials of population health in Canada. Using information from the text and websites, compare and contrast the concepts of population health and public health.
Week 9: Health and the individual. Review the World Health Organization report on arts in health –
Health Evidence Network Synthesis Report 67: What is the evidence on the role of the arts in improving health and well-being? A scoping review (Fancourt & Finn, 2019, WHO) https://iris.who.int/bitstream/handle/10665/329834/9789289054553-
eng.pdf?sequence=3 Reflect on the findings: argue for or against arts-in-health initiatives - if pro, how could these be integrated into health care? Strengths and weaknesses of the report.
Week 10: The law and health care. Should the government or insurance companies offer financial incentives to promote healthy behaviours? Why? Do they work? Explore privacy legislation –
compare with regulations in the Personal Information Protection and Electronic Domains Act (PIPEDA); summarize responsibilities of the Health Information Custodian with respect to acquisition, use and storage of health information.
Week 11: Ethics and health care. Review the eligibility criteria for MAID (medical assistance in dying) - do you agree overall with the criteria? If not, what changes would you implement or recommend, and why? Prepare questions for guest speaker.
Week 12: Current issues and emerging trends in Canadian health care. What do you feel are the most important challenges facing our Canadian health care system? Group Discussion Process: Students are asked to develop their own group protocol (how they will work and make decisions), clarify their engagement strategies (the structure: opening, middle discussions, closing). Briefly summarize the key content of the chapter. Narrow the topics to one for group discussion (may choose to discuss a reflection question if preferred). Actively engage in group discussions to explore and expand upon the material. Contribute to positive group process by supporting peers through active listening, reflecting, reframing, offering ideas and questions to further the discussion and understandings. Grading Criteria for small-group discussions: Complete or incomplete. Students earn points for active participation, 1 point per discussion week = up to 10 points: Demonstrates clear understanding of material by referring to chapter sections, linking material to discussions. Contributes to positive group dynamics. Contributes to discussions by expressing ideas, views, and offering questions to further the discussions.
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Case study interactive role play presentation Students are invited to participate in small-group case study analysis workshops. There are 2 parts to this assignment: (1) individual analytical response paper to be turned in on day of presentation (see written papers section for grading rubric); (2) engagement in an instructor-facilitated small-group role play. This is an opportunity for students to apply their course learning through case study analysis and in-role presentations, to be given towards the end of the course. Process: At the beginning of the class term, students will be provided with 6 different real-life Canadian health case study scenarios (fro
m ‘Ćase Studies in Ćanadian
Health Policy and Management’, 2
nd
Ed., Deber & Mah, 2018; text will be available in reserve library). Students are required to select 1 of the 6 case study groups to work with throughout the term. They are asked to collaboratively develop a discussion structure –
introduce context, identify important social and ethical issues, and discuss benefits and limitations of options. Demonstrate understanding of the challenges of decision makers. Students are encouraged to ask questions, challenge perspectives and bring different dimensions to the discussions, ultimately linking course material to the presentation. Role play: Students will be prepared for active engagement in role play exercises linked directly to the case study topic. They will be guided to take on a fictitious character role, to argue for or against the choices at hand in the case study. Note: This is not an acting class. Students are not graded as such. Rather, the aim herein is to engage in meaningful understanding of different characters’ roles or perspectives within
the scenario. This is an opportunity for you to both explore and practice constructive, effective communication styles to best support or defend your argument or position in the situation. Portraying multiple roles, seeing a situation from multiple perspectives is an asset to decision making. Grading Criteria for role play presentation Grading will be on an incomplete or complete basis. Full points are awarded for completing the following components: Case study analysis (to be depicted in the role play) –
5 points; Role play presentation –
5 points; 10 points in full. Case study analysis: Students were actively engaged in collaborative group discussions and planning of the presentation; they identified the events leading to the dilemma or problem; challenges for decision-makers were depicted; pros and cons with potential solutions were offered for individuals and/or institutions; course learning was applied to the case analysis. Role play presentation: Students were actively engaged in the portrayal of well-
developed, believable fictitious characters that represent the real case study individuals; characters reflected diverse views, perspectives and behaviours, attitudes or beliefs; students in role as these characters demonstrated understanding of various
predicaments, expected roles and affiliated expectations, responsibilities, accountability or consequences for their actions; students in role presented clear evidence-based arguments for or against the position taken. Case studies: Students are required to read the chapter for their case study presentation (in Deber & Mah, 2018). 1.
Developing and implementing a national network for infectious disease (chapter 7). Compare and contrast SARS in Toronto with COVID-19 (in Canada, in BC). This case addresses policy issues including public health, intergovernmental relations, ethics, privacy and globalization. Roles: Minister of Health for BC; Canada Infoway Pan Surveillance Project. 2.
Licensing international doctors and nurses in Ontario (chapter 10). Compare and contrast with the current situation in BC. Addresses policy issues, human resources, immigration, equity, efficiency. Roles: Your committee in BC was asked how to manage allowing foreign-trained professionals to practice. 3.
Primary health care in Ontario (chapter 11). Compare to BC. Addresses primary care models, achieving reform, and role of institutions and interest groups. Role: You are a government official in BC responsible for primary care policy, asked to develop strategy. 4.
Paying for new cancer drugs (chapter 12). Addresses cost effectiveness, role of technology assessment, role of patients in decision making, and pharmaceutical pricing. Role: As BC Minister of Health, how would you address these issues? Discuss roles of federal and provincial governments, cancer experts, and patients. 5.
Pharmaceutical conflicts (chapter 15). This could be combined with case study #4. Addresses policy goals, framing of issues, scope of conflict, pressure groups, and globalization. Role: You are the federal Minister of Trade, under pressure to reduce drug prices. What are your recommendations? 6.
Long term care reform in Ontario (chapter 19). Addresses alternative ways to finance and deliver care, public and private roles
, and definition of ‘medically necessary’. Role: You are in a province that does not currently provide publicly funded home care services and are asked to examine the Ontario experience. What are your recommendations to BC? Who should be covered and for which services? Compare and contrast to BC. Individual Papers
Individual weekly reflection papers on text readings As part of the weekly class discussion assignment students are asked to turn in an individual brief paper, hard copy in class, for each week throughout the class. This paper reflects the student’s understanding of the text chapter content and their response to the reflection questions. Paper length is 1 page minimum, 2 pages maximum; bullet-
point format accepted. The reflection questions are posted in the Schedule-at-a-Glance section of the syllabus.
Grading criteria for individual weekly reflection papers: Students will be awarded full points, 1 per week totaling up to 10, for completing the paper components. The aim of this assignment is to encourage students to reflect on the text chapter readings’ content, formulate their own views and to prepare their contributions for small-group discussions. Students are asked to briefly summarize the chapter’s key points (1/2 point) and respond to the reflective questions (1/2 point). Individual case study analysis response paper Small groups select one case study to analyze, research and present, integrating knowledge from class and readings. Each individual group member submits a response paper on the case study on the date of the small-group presentation. This paper is a short, 1-2 pages response on the selected case study. This paper is NOT a summary of the small-group role play; rather, it is an individual paper that demonstrates the student’s ability to apply course material and case study readings and present it as a short discussion of the case. Students are asked to first summarize the case situation with their interpretation, to analyze the events that informed the situation. Grading Criteria for case study analysis response paper: Complete or incomplete. Students are awarded points, to a total of 10, when they have successfully completed the following components.
Content: summary of case study situation 2
Identification of one of the most important issues in the case study; analysis of the issue; discuss the events that contribute to the issues 4
Analysis, interpretation, discussion of the issue linking to course materials, particularly the case study chapter material 4 Final individual research paper DUE: Last day of class (April 8); will be accepted sooner. Total: 100 marks; 30% of Class Grade The major paper assignment in this course provides you with an opportunity to identify, describe and critically analyze a current issue or challenge in the Canadian healthcare system that you would like to gain a greater understanding of. Below are examples of currently significant topics. This paper should consist of the following headings: Title page: Title of paper, course, date, student number. 1.
Introduction: What is the paper about? Introduce the topic and define the issue. Describe your approach and scope of the paper. What do you want the reader to learn? (10 marks) 2.
Description of the challenge or issue: what is the issue you are addressing? Who
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or what does it impact? (10 marks) 3.
Historical context: How did the issue arise? What are the political, policy, social, value, economic, ethical and/or practice conditions? What are the consequences of the issue not being resolved? (10 marks) 4.
Current status of the challenge or issue: What forces, phenomena and/or conditions are influencing the issue? What is your critical assessment of those? How strong or weak is the evidence surrounding the issue? (20 marks) 5.
Discussion of the appropriate and/or necessary steps in resolving the issue: What should be done? What does the future hold? (20 marks) 6.
Concluding remarks: Summarize your paper. (10 marks) 7.
Style and grammar. (10 marks) 8.
Readability and logic (10 marks) Length: 20 double-spaced pages (that include title page, body, and references). References: Please use APA style https://www.uvic.ca/library/research/citation/documents/apa.pdf If you have any questions about the topic, scope, feasibility, or approach, please contact me. This major paper is due on April 8, 2024. There will be a 5-point penalty for each day the paper is late. Topics for this paper: You may choose to write an individual final research paper on the case study topic or select from the topics listed below. Note: You are not restricted to these topics; if you have a topic you would like to explore, please contact me to discuss it. 1. Review the criteria of the Canada Health Act. Which criteria mean the most to you? Conduct a search for articles addressing and/or criticizing the principles and conditions of the Canada Health Act as it now stands. Express your opinion of its effectiveness in today’s society. Do you feel that the criteria of universality, accessibility, comprehensiveness, portability, and public administration meet the needs of Canadians today? How might improvements be made in the future? 2. Review and analyze the Truth and Reconciliation Commission of Canada report and its recommendations. Identify the recommendations that are a high priority for addressing the health status of indigenous Canadians. How have the government of Canada and province of British Columbia, healthcare providers and indigenous communities responded to the recommendations? What are some of the successes? What are some of the failures? What are the opportunities to be grasped? 3. What do we know about the healing practices of indigenous Canadians pre-contact? What health, social, ethical, economic, and political challenges and issues did contact create? What have been the consequences of the settler colonization for indigenous
peoples? What actions are essential in Canadian public policy and healthcare delivery to improve the health status of indigenous Canadians? 4. The COVID-19 pandemic created a major crisis for the health of Canadians. The federal government, provinces and territories have respective roles and responsibilities in relation to the response to the pandemic. Identify and explain the respective roles and responsibilities. Assess how well the federal, provincial, and territorial governments performed their duties. What were the strengths in the responses and what were the weaknesses? What opportunities were forfeited? What would you recommend for improving future pandemic responses? 5. Healthcare reform in Canada has been under way for several decades. Each of the provinces has undertaken a different path in respect to the governance, structure, and timing of the reforms. Select two provinces that have taken different approaches to their health reforms with a view to comparing and contrasting them. What was the rationale for the approaches taken? What have been the results of the reforms? Did they achieve their objectives? What remains to be done in the future? 6. The first two waves of the COVID-19 pandemic had a preponderantly significant impact on the lives of elderly Canadian residents in long term care facilities. Over 18,000 Canadians passed during the first two waves of the pandemic. Why did such an inordinately high proportion of elderly Canadians in care lose their lives during this period compared to peer group OECD (Organization for Economic Co-operation and Development) comparisons? What were the causes of this tragedy? How could it have been prevented? What changes are necessary to avoid this tragedy in the future? 7. The B.C. Supreme Court dismissed a court challenge of the Cambie Surgery Centre in Vancouver that claimed that the province’s healthcare system deprived the rights of patients to access to timely care. Review the Supreme Court decision and the evidence put before it with a view to analyzing the question of whether Canadians should have the right to spend their own money to jump the queue and have medical or surgical interventions in their home province in a timely manner. There is no barrier to patients accessing these services outside of Canada. What are the pros and cons to the arguments on both sides? Defend your stand on the issue. 8. Many Canadians do not have access to their own family physician or primary healthcare provider. What is the magnitude of the problem of access to a primary healthcare provider in Canada and in your province? What are the consequences of this? What are the barriers to access? What is being done to address those issues and challenges? 9. The pandemic exacerbated the issues and challenges of providing safe and accessible care and support to those who are addicted to fentanyl and other opioids. What was the toll in your province or opioid-related deaths? What steps were taken to remedy this situation? Were they successful? What were the barriers? What steps should be taken in the future to ameliorate these deaths? 10. Healthcare providers are increasingly accessing and using electronic health records.
The implementation of electronic health records in Canada has been problematic and challenging. What is that? Citizens feel as if they ought to have unfettered access to their electronic healthcare record. Do they? Why or why not? In an ideal scenario, describe how electronic health records should be utilized. What are some of the barriers to achieving this? What information should be collected and who should it be shared with? Who owns the data? What do you see as being the benefits and drawbacks of healthcare providers obtaining and storing your information electronically? 11. The cost of healthcare delivery is absorbing an ever-increasing portion of a province’s revenues. Examine the expenditures on healthcare and identify ways in which care delivery and funding could be reformed in making it more sustainable in the long term. What are the barriers and challenges? How might they be addressed? What recommendations would you make to your Minister of Health for a way forward? 12. The Patented Medicine Prices Review Board is introducing a new approach to the pricing of drugs to ensure that Canadians receive fair value for the drugs. The pharmaceutical industry has been critical of the approach being proposed. Describe and analyze what led to the need for improvements, the changes being proposed and how they were arrived at. Assess their appropriateness and effectiveness for achieving the objective of fair pricing of drugs for Canadians. 13. Digital technologies in the form of telehealth for consultations, remote monitoring, results reporting, and virtual visiting were diffused extremely rapidly in the years that we experienced the pandemic. This experience has demonstrated that if society needs to respond to an emergent situation, it can find clever ways to cross the digital divide if necessary. What were the barriers that slowed diffusion? What are the strengths and weaknesses in using digital technologies to extend healthcare into the community? What opportunities have yet to be exploited? How can digital technologies be used in the future to improve the effectiveness and sustainability of the Canadian healthcare systems? 14. Compare and contrast Canadian political platforms on health. How are the major political parties positioning themselves on the matter of “health;”
how are they presenting their perspectives and policy agendas on health and healthcare in Canada? Choose two of the major parties –
the Liberals, the Conservatives, the New Democratic Party, or the Green Party –
and explain: How does the “talk about” health (e.g., is their focus on healthcare? On health and the environment? Or the broader determinants of health?) How is this consistent with other policy areas they seem to feel are important? What is different in the way each of these two parties understands or “talk about” h
ealth and present their priorities on the health file? Who do you think they are appealing to and why? The party’s Website, its “Issues,”
“Platform,”
or “Policy” section is a good place to start. Public media –
newspapers/news Websites, TV, radio –
will be useful sources of information. You can listen to the debates and leader interviews that have occurred or read the commentary on these to see if there is anything there.
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Grading Scheme Letter: A+ A A- B+ B B- C+ C D Numerical: 90-100 85-89 80-84 77-79 73-76 70-72 65-67 60-64 50-59 GPA: 9 8 7 6 5 4 3 2 1 Grade Description A+, A, A- This is earned by work which is technically superior, shows mastery of the subject matter, and is the case of an A+ offers original insight and/or goes beyond course expectations. B+, B, B- This is earned by work that indicates a good comprehension of the course material, a good command of the skills needed to work with the course material, and the s
tudent’s full engagement with the course requirements and activities. A B+ represents a more complex understanding and/or
application of the course material. C+, D This is earned by work that indicates an adequate comprehension of the course material and the skills needed to work with the course material and that indicates the student has met the basic requirements for completing assigned work and/or participating in class activities. D This is earned by work that indicates minimal command of the course materials and/or minimal participation in class activities that is worthy of course credit toward the degree. S
CHEDULE AT A G
LANCE A
LL CLASSES ARE STRUCTURED AS PARTICIPATORY WORKSHOPS INTEGRATING INSTRUCTOR SHORT LECTURES ON REQUIRED TEXT CONTENT
,
AND SMALL
-
GROUP ACTIVITIES
.
N
OTE
:
S
CHEDULE MAY BE ADJUSTED AS NEEDED
;
CONTENT REMAINS THE SAME
.
WEEK
TOPIC
WEEK
1
T
HE H
ISTORY OF H
EALTH C
ARE IN C
ANADA (T
HOMPSON
,
2024) J
AN
.
8
-
C
LASS ORIENTATION
:
R
EVIEW SYLLABUS
,
ASSIGNMENTS
,
CHAPTER REFLECTION PAPERS
,
SMALL GROUP CASE STUDY PROCESS RE 6
CASE STUDY SCENARIOS
,
FORMATION OF STUDENT SMALL GROUPS
JAN.
11
-
I
NSTRUCTOR LECTURE -
I
NDIVIDUAL REFLECTION PAPER #1
DUE
-
S
MALL
-
GROUPS DISCUSSION -
C
ASE STUDY SMALL
-
GROUPS PLANNING
,
CONFIRM STUDENT SIGN
-
UP
-
S
TUDENTS DISCUSS AND ESTABLISH THEIR WORKING GROUP PROCESSES
,
ENGAGEMENT
-
GUIDELINES
,
BEGIN TO DEVELOP CASE STUDY OUTLINE AND PARTICIPANT ROLES
WEEK
2
I
NDIGENOUS HEALTH AND HEALTH CARE
JAN.
15
-
I
NSTRUCTOR LECTURE JAN.
18
-
I
NSTRUCTOR LECTURE -
I
NDIVIDUAL REFLECTION PAPER #2
DUE
-
S
MALL
-
GROUPS DISCUSSION -
C
ASE STUDY WORKING GROUPS
N
OTE
:
J
AN
.
21
IS THE LAST DAY TO DROP CLASS FOR 100%
FEE REDUCTION
WEEK
3
T
HE ROLE OF THE FEDERAL GOVERNMENT IN HEALTH CARE JAN.
22
-
I
NSTRUCTOR LECTURE JAN.
25
-
I
NSTRUCTOR LECTURE -
I
NDIVIDUAL REFLECTION PAPER #3
DUE
-
S
MALL
-
GROUPS DISCUSSION -
C
ASE STUDY WORKING GROUPS
WEEK
4
T
HE ROLE OF THE PROVINCIAL &
TERRITORIAL GOVERNMENTS IN HEALTH CARE JAN.
29
-
I
NSTRUCTOR LECTURE -
S
MALL
-
GROUPS DISCUSSION -
C
ASE STUDY WORKING GROUPS
F
EB
.
1
-
G
UEST S
PEAKER
,
P
HILIP F
RIESEN
:
D
IRECTOR –
LONG TERM CARE /
OPERATIONS ISLAND HEALTH
,
WILL
PRESENT ON LONG TERM CARE AND MINISTRY OF HEALTH DIRECTIVES
,
LEGISLATION
,
AND FUNDING
.
H
E WILL SPEAK BROADLY ON HOW PROVINCIAL GOVERNMENTS SET POLICY
,
PROVIDE FUNDING
,
AND SET DIRECTIVES
. N
OTE REQUIRED READING PRIOR TO THIS PRESENTATION
:
‘E
VERY VOICE COUNTS
:
L
ONG
- TERM CARE RESIDENT AND VISITORS SURVEY RESULTS –
2023
’
(O
FFICE OF THE SENIORS ADVOCATE
)
-
I
NDIVIDUAL REFLECTION PAPER #4
D
UE
WEEK
5
T
HE DOLLARS AND “
SENSE
”
OF HEALTH CARE FUNDING
FEB.
5
-
I
NSTRUCTOR LECTURE -
Q
UIZ #
1
(
COVERS CHAPTERS 1-3)
FEB.
8
-
I
NSTRUCTOR LECTURE /
P
OTENTIAL GUEST SPEAKER
-
S
MALL
-
GROUPS DISCUSSION -
C
ASE STUDY WORKING GROUPS
-
I
NDIVIDUAL REFLECTION PAPER #5
DUE
NOTE:
FEB.
11
IS
LAST
DAY
TO
DROP
CLASS
FOR
50%
FEE
REDUCTION.
WEEK
6
P
RACTITIONERS AND WORKPLACE SETTINGS FEB.
12
-
I
NSTRUCTOR LECTURE -
GUEST SPEAKER
,
D
R
.
W
ILLIAM C
UNNINGHAM
.
H
E WILL SHARE INSIGHTS FROM HIS 37-
YEARS OF EXPERIENCE WITHIN THE HEALTH CARE SYSTEM
.
HE WILL PRESENT INSIGHTS FROM FAMILY PHYSICIAN
, EMERGENCY DOCTOR AND MEDICAL LEADER PERSPECTIVES
.
FEB.
15
-
I
NSTRUCTOR LECTURE -
S
MALL
-
GROUPS DISCUSSION -
C
ASE STUDY WORKING GROUPS
-
I
NDIVIDUAL REFLECTION PAPER #6
DUE WEEK
7
N
O C
LASSES
FEB.
19
UVIC
CLOSED
(FAMILY
DAY)
FEB.
22
READING
BREAK
(FEB.
19-23)
WEEK
8
E
SSENTIALS OF POPULATION HEALTH IN C
ANADA FEB.
26
-
I
NSTRUCTOR LECTURE FEB.
29
-
I
NSTRUCTOR LECTURE -
S
MALL
-
GROUPS DISCUSSION -
C
ASE STUDY WORKING GROUPS
-
I
NDIVIDUAL REFLECTION PAPERS #7
AND #8
DUE WEEK
9
H
EALTH AND THE INDIVIDUAL
M
ARCH 4
-
I
NSTRUCTOR LECTURE M
ARCH 7
-
I
NSTRUCTOR LECTURE -
S
MALL
-
GROUPS DISCUSSION -
C
ASE STUDY WORKING GROUPS
-
I
NDIVIDUAL REFLECTION PAPER #9
DUE
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WEEK
10
T
HE LAW AND H
EALTH C
ARE M
ARCH 11
-
I
NSTRUCTOR LECTURE -
Q
UIZ #2
(
COVERS CHAPTERS 4-7) M
ARCH 14
-
I
NSTRUCTOR LECTURE -
S
MALL
-
GROUPS DISCUSSION -
C
ASE STUDY WORKING GROUPS
-
I
NDIVIDUAL REFLECTION PAPER #10
DUE WEEK
11
E
THICS AND H
EALTH C
ARE M
ARCH 18
-
GUEST SPEAKER
,
D
R
.
D
AVID R
OBERTSON
:
M
EDICAL D
IRECTOR –
I
SLAND H
EALTH MAID
PROGRAM
, VANCOUVER ISLAND HEALTH AUTHORITY
;
PRESENTATION /
DISCUSSIONS
M
ARCH 21
-
I
NSTRUCTOR LECTURE -
S
MALL
-
GROUPS DISCUSSION -
C
ASE STUDY WORKING GROUPS
-
I
NDIVIDUAL REFLECTION PAPER #10
DUE WEEK
12
S
MALL
-
GROUP CASE STUDY PRESENTATIONS BEGIN M
ARCH 25
-
S
MALL
-
GROUP CASE STUDY ROLE PLAY PRESENTATIONS M
ARCH 28
-
S
MALL
-
GROUP CASE STUDY ROLE PLAY PRESENTATIONS
WEEK
13
S
TUDENT S
MALL
-G
ROUP C
ASE S
TUDY P
RESENTATIONS (
CONT
.)
APRIL
1
-
UV
IC CLOSED (E
ASTER M
ONDAY
)
A
PRIL 4
-
S
MALL
-
GROUP CASE STUDY ROLE PLAY PRESENTATIONS -
Q
UIZ #3
(
COVERS CHAPTERS 8-10) WEEK
14
S
TUDENT S
MALL
-G
ROUP C
ASE S
TUDY P
RESENTATIONS A
PRIL 8
LAST
CLASS
-
I
NDIVIDUAL RESEARCH PAPER DUE -
S
MALL
-
GROUP CASE STUDY ROLE PLAY PRESENTATIONS
C
OURSE E
XPERIENCE S
URVEY
I value your feedback on this course. Towards the end of term you will have the opportunity to complete a confidential course experience survey (CES) regarding your learning experience. The survey is vital to providing feedback to me regarding the course and my teaching, as well as to help the department improve the overall program for students in the
future. When it is time for you to complete the survey, you will receive an email inviting you to do so. If you do not receive an email invitation, you can go directly to your CES dashboard at ces.uvic.ca
. You will need to use your UVic NetLink ID to access the survey, which can be done on your laptop, tablet, or mobile device. I will remind you nearer the time but please be thinking about this important activity, especially the following three questions, during the course. 1. What strengths did your instructor
demonstrate that helped you learn in this course? 2. Please provide specific suggestions as to how the instructor
could have helped you learn more effectively. 3. Please provide specific suggestions as to how this course
could be improved. R
ESOURCES
1.
Academic Year Important Dates 2.
Computer Help Desk 3.
Equity and Human Rights Office 4.
HINF Library 5.
HSD Indigenous Student Support 6.
Indigenous Academic & Community Engagement 7.
Learning and Teaching Support and Innovation 8.
Math and Stats Assistance Centre 9.
Office of the Ombudsperson 10.
Office of Student Life 11.
Sexualized Violence Prevention & Support 12.
Student Mental Health 13.
UVic Libraries 14.
Well-being O
NLINE L
EARNING T
ECHNOLOGIES
Instructors use a variety of educational technology in courses including internet-based technologies or web-based applications, cloud services and social media. The use of technology is part of your engagement at the University. Some of these learning tools may collect, use and/or disclose your personal information and store or access that information outside of Canada. UVic cannot require students to disclose personal information to technologies or organizations which may store information on servers located outside of Canada because disclosure of personal information to vendors, systems or services storing or accessing that personal information outside of Canada is restricted by section 30.1 of BC's Freedom of Information and Protection of Privacy Act
(FIPPA). Personal information is information about an identifiable individual; for example, your name or your email address. As of the creation of this course, the following educational technologies, which stores or accesses your personal information outside Canada, are required for this course:
LIST ALL EDUCATIONAL TECHNOLOGY USED for example:
Zoom
Echo 360
Gmail
Google Docs
Twitter
Facebook
YouTube
others
Brightspace I will make you aware if this list changes. With respect to the technologies listed above, if you are not comfortable with your personal information being stored outside of Canada, please speak to me within the first week of class. Otherwise, by continuing in this course, you agree to the use of the educational technology in the course and the storage of personal information outside of Canada.
W
ELLNESS S
UPPORTS FOR S
TUDENTS
A note to remind you to take care of yourself. Diminished mental health can interfere with optimal academic performance. Do your best to engage in self-care and maintain a healthy lifestyle this semester. This will help you achieve your goals and cope with stress. All of us benefit from support. The UVic Student Wellness Centre provides cost-
free and confidential mental health services to help you manage personal challenges that impact your emotional or academic well-being.
H
EALTH I
NFORMATION S
CIENCE (HINF)
AND F
ACULTY OF H
UMAN &
S
OCIAL D
EVELOPMENT (HSD)
P
OLICIES
1.
HINF Undergraduate Academic Policies 2.
HINF Academic Regulations 3.
HSD Guidelines for Professional Conduct U
NIVERSITY A
CADEMIC P
OLICIES 1.
Academic Concessions 2.
Academic Integrity including Unauthorized Use of an Editor - Academic Integrity Violations include, but are not limited to: plagiarism (e.g., submitting someone else’s work as your own, not citing your sources), unauthorized use of an editor, submitting the same work more than once, falsifying materials, cheating (e.g.,
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having unauthorized materials such as a phone or notes during a test), and helping others cheat. We encourage you to review the University’s Policy on Academic Integrity and we expect you to adhere to this policy in its entirety. 3.
Privacy and Access to Information Office 4.
Accessible Learning
–
The University of Victoria is committed to creating a learning experience that is as accessible as possible. If you are registered with the Centre for Accessible Learning (CAL) and anticipate or experience any barriers to learning in this course, please feel welcome to discuss your concerns with me. If you have a disability or chronic health condition, or think you may have a disability, you may also want to meet with an advisor at the Centre for Accessible Learning https://www.uvic.ca/accessible-learning/ 5.
Integrity Matters 6.
UVic Grading Scale & Review Process C
ENTRE FOR A
CADEMIC C
OMMUNICATION
At the Centre for Academic Communication (CAC)
, we offer online one-on-one tutorials, workshops, and more. Our free services are available to all University of Victoria students. We are here to support you with reading, writing, speaking, understanding academic expectations, and other aspects of academic communication. For details see: https://onlineacademiccommunity.uvic.ca/writingresources/
D
ISCRIMINATION AND H
ARASSMENT
Discrimination and Harassment are prohibited at the University of Victoria. Members of the University Community have the right to work, study and participate in activities at the university in an environment free of Discrimination and Harassment. Eligible WorkSafeBC claimants also have a right to an environment free of workplace bullying or harassment as it is defined by regulations pursuant to the British Ćolumbia Workers’ Compensation Act. Please refer to University of Victoria discrimination and harassment policy at: https://www.uvic.ca/universitysecretary/assets/docs/policies/GV0205_1150_.pdf and WSBC bullying and harassment policies at: https://www.uvic.ca/ohse/assets/docs/BH_policies_Nov1_2013.pdf
S
EXUALIZED V
IOLENCE P
REVENTION AND R
ESPONSE AT UV
IC
UVic takes sexualized violence seriously, and has raised the bar for what is considered acceptable behaviour. We encourage students to learn more about how the university defines sexualized violence and its overall approach by visiting www.uvic.ca/svp. If you or someone you know has been impacted by sexualized violence and needs information, advice, and/or support please contact the sexualized violence resource office in Equity and Human Rights (EQHR). Whether or not you have been directly impacted, if you want to take part in the important prevention work taking place on campus, you can also reach out: Where: Sexualized violence resource office in EQHR, Sedgewick C119 Phone: 250.721.8021 Email: svpcoordinator@uvic.ca Web: www.uvic.ca/svp U
NIVERSITY OF V
ICTORIA S
TUDENTS
’
S
OCIETY (UVSS)
The UVSS is a social justice based non-profit run by students, for students and is entirely separate from UVic. As an undergrad student, you are already a member! We work on
issues affecting students such as affordability, public transit, sexualized violence, sustainability, student employment, and much more. We fund clubs and course unions, and have several advocacy groups. We also have a Food Bank and Free Store, a Peer Support Centre, and run your health and dental plan. We are here to support you, so please reach out to us at uvss.ca! F
AIR D
EALING S
TATEMENT
This copy was made pursuant to the Fair Dealing Guidelines of the University, library database licenses, and other university licenses and policies. The copy may only be used for the purpose of research, private study, criticism, review, news reporting, education, satire or parody. If the copy is used for the purpose of review, criticism or news reporting, the source and the name of the author must be mentioned. The use of this copy for any other purpose may require the permission of the copyright owner. C
OPYRIGHT S
TATEMENT
All course content and materials are made available by instructors for educational purposes and for the exclusive use of students registered in their class. The material is protected under copyright law, even if not marked with a ©. Any further use or distribution of materials to others requires the written permission of the instructor, except under fair dealing or another exception in the Copyright Act
. Violations may result in disciplinary action under the Resolution of Non-Academic Misconduct Allegations policy (AC1300)
.
T
RANSCRIPTION &
C
APTIONING S
TATEMENT
Auto-generated transcription and captioning is enabled in this course. Please be aware that automated transcription and captioning is at best 70-90% accurate and by nature will include error. This depends on the subject matter, speaker, audio quality etc. Words prone to error include specialized terminology and proper names. Students are asked to refer to the audio feed for clarification of any errors. If you find transcription or captioning that is offensive, please contact your instructor and/or teaching assistant so that they are aware. If you require captions as part of an academic accommodation, please contact CAL
.
O
NLINE C
ONDUCT S
TATEMENT The University of Victoria is committed to promoting critical academic discourse while providing a respectful and supportive learning environment. All members of the university community have the right to this experience, and the responsibility to help create, such an environment. The University will not tolerate racism, sexualized violence, or any form of discrimination, bullying or harassment. Please be advised that by logging into UVic’s learning systems and interacting with online resources you are engaging in a university activity. All interactions within this environment are subject to the university expectations and policies. Any concerns about student conduct may be reviewed and responded to in accordance with the appropriate university policy. To report concerns about online student conduct:
onlineconduct@uvic.ca
.
C
LASS RECORDING (E
CHO
360) Be aware that sessions in this course may be recorded to allow students who are not able to attend to watch later. The recording will be posted in Brightspace. Students who have privacy concerns can contact me and will have the option to limit their personal
information shared in the recording. If you have other questions or concerns regarding class recording and privacy, please contact privacyinfo@uvic.ca
.
D
ISCLAIMER
The above schedule, policies, procedures, and assignments in this course are subject to change in the event of extenuating circumstances.
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