基本素養 Basic Literacy

人文素養
具備尊重生命及服務社會的團隊精神。
Humanity accomplishment
To form a team with a mind of respecting lives and serving societies
公民素養
具備多元文化認知及主動參與公共事務的精神。
Citizen accomplishment
With a spirit of recognition of multi-culture and active participation of public affairs
社會關懷
具備社會參與、關懷弱勢之精神,並具有健康不平等的敏感度和高度的社會關懷。
Social concern
With a spirit of social participation, care for socially deprived, and with a sense of social inequity and car
國際視野
具備深耕本土、放眼國際的全球衛生之視野。
International perspectives
With a vision of global health involving local insight and international perspective

核心能力 Competence

專業與跨領域能力
有能力運用流行病學證據與社會科學概念,進行跨領域的衛生政策與計畫分析。
Professional and cross-cutting capacity
With capability of using epidemiological evidence and social science concept in making multi-discipline analysis of health policy and planning
思考與判斷能力
有能力運用跨領域的視野檢視公共衛生政策議題與決策過程。
Ability of thinking and judgment
With capability of using multi-discipline vision in examining the public health issues and the process of decision making
良好的溝通能力
有能力將公共衛生專業知識運用於疾病預防與健康照護之實務工作。
Good communication skills
With capability of applying public health professional knowledge to disease prevention and health care practical work
創新與領導能力
有能力發掘健康相關之公共衛生議題,並具獨立探索解決問題的能力。
Innovation and leadership ability
With capability of independently exploring public health issues, and solving the problems

課程概述 Course Description

廿一世紀最重要的產業之一為醫療照護與保健事業,雖然可以從預防(如健康食品)、診治、復健及另類(包括中醫藥)等多方面來發展,但是它的瓶頸在於必須有適當的評估方法來証實其效果方能獲得人民的信任,也才能有國內外穩定的市場。健康服務效果的計量,必須同時考量生活品質的改變,及壽命的延長。我們發展新的研究方法,整合了一個跨領域的大團隊,從統計、臨床醫學、公共衛生、心理計量、經濟學、護理、職能與物理治療來作健康計量。一方面,在國際上領先寫出計量公式,並引入世界衛生組織生活品質問卷及歐盟的EQ-5D作評估工具;另一方面也把此方法實際用於對各種常見疾病進行診療效果評估:包括急性心肌梗塞、中風、各種癌症、愛滋病、癲癇、髖關節傷害、脊髓損傷、糖尿病、慢性阻塞性肺部疾病、地震、中草藥治療更年期與退化性膝關節炎等主題,使此法成為健康產業產品有效性與安全性評估之基本工具。藉著這些先進的評量工具,期望能提升醫療照護品質、促進全民健保的永續經營,同時又把台灣的健康產業各種產品帶入國際市場。全民健保自1995 年開始實施以後解決了就醫機會公平性的問題,但也使健保財務逐漸陷入困境。欲解決這樣的狀況,需一方面推動公共衛生疾病預防的工作使病人減少,另一方面需要提高健保給付的成本效果(cost-effectiveness),使健保的給付在最低成本下,達到人民健康最大量的效益。這是一個發展健康產業科技整合的新領域。需從經濟學預期效用理論(expected utility theory) 及心理計量學理(psychometric theory) 切入,來評估健康照護之效果。我們整合經濟評估、以研究各種醫療服務之成本效果,來算出一個「QALY」(quality-adjusted life year簡稱健康人年)。我們國家健保可以給付的成本價大概是多少,以便促進各種健保給付之醫療服務更合乎成本效果且能夠永續經營,同時也全面進行各種預防、診斷、治療、復健及另類醫療之效果評估,把這些方法與工具逐步推廣到臨床與保健產業上全面使用。

課程學習目標 Course Objectives

  • 瞭解並進行計量健康與其成本:同時量存活及生活品質、失能與成本函數。
  • 應用健康計量方法於各種重大與常見疾病之診療與保健效果評估與研究。
  • 促進各種之醫療保健服務之成本效果,以使健保與長照制度能被適當改進並永續經營。
  • 課程進度 Progress Description

    進度說明 Progress Description
    12/23 Integration of epidemiology and outcome research for health policy decision: quantification of health benefits from prevention (Wang JD)
    23/02 Introduction to pharmacoeconomics (Ou HT, Wang JD)
    33/09 Statistical software and package used in healthcare outcome/ practice: iSQoL demonstration and practice (Wang JD)
    43/16 Statistical software and package used in healthcare outcome/ practice: iSQoL demonstration and practice (Wang JD)
    53/23 Measuring health-related quality of life assessment based on utility: concepts and practical examples (Ku LJ, Wang JD)
    63/30 Spring recess
    74/06 1. Principles of resource allocation for healthcare services. 2. Health Technology Assessment (HTA) and its application on healthcare systems (Wang JD)
    84/13 Estimation of lifetime medical cost from claimed data under censoring (Huang JS, Wang JD)
    94/20 Challenges in the big data analysis and integration with information sciences(Chuang KT, Wang JD)
    104/27 Construction of mixed effects model for repeated measurements of quality of life: principles and examples (Lin SH, Wang JD)
    115/04 Decision modelling for health economic evaluation (Ku LJ, Wang JD)
    125/11 Measuring long-term care needs and its policy implication: Integration of survival and functional impairment (Wang JD)
    135/18 1. Measuring health-related Qol assessment based on psychometrics validity, reliability and factor analysis. 2. Choosing a Qol measure for your study, including WHOQOL (Wu TY, Wang JD)
    145/25 Patient report outcome/Patient-centered outcome, item response theory, Rasch model and big data (Wu TY, Wang JD)
    156/01 Cost-effectiveness assessment for caring of patients under prolonged mechanical ventilation and its policy implication (Wang JD)
    166/08 Estimation of intangible cost (e.g., pain) by contingent valuation method in health economics (Dr. Ho JJ)
    176/15 Influences of preventive medicine and telemedicine on the growth of GDP and social welfare (Professor Wang FM)
    186/22 Students’ report/project presentation (Wu TY, Wang JD)
     以上每週進度教師可依上課情況做適度調整。The schedule may be subject to change.

    有關課程其他調查 Other Surveys of Courses

    1.本課程是否規劃業界教師參與教學或演講? 是,約 7 次
    Is there any industry specialist invited in this course? How many times? Yes, about 7 times.
    2.本課程是否規劃含校外實習(並非參訪)? 否
    Are there any internships involved in the course? How many hours? No