UW

Course Information for

452-730: Medical History and Bioethics: Ethical Issues in Population Health
Waiting List Yes
Course Type Elective
Location Madison
Instructors -Dr. Fost ncfost@facstaff.wisc.edu
-Paul Kelleher PhD

Availability Jan 7 - Feb 1, 2013
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Objectives Learning Objectives
A. Increased understanding of determinants of health and the relative role of public health interventions vs individual health care
B. Increased understanding of ethical issues at stake in alternative public health policies
C. Increased understanding of the concept of a right to health and its limits
D. Understanding of the importance of defining health in designing health policies
Content This course will review common ethical issues in public health and
health policy in eight sessions of 1.5 hours each over a 4-week
period. Students will have an increased understanding of the
following public health competencies:
A. Differences between individual and population based approaches to health.
B. The role of socioeconomic, environmental, cultural, and other population-level determinants of health on the health status and health care of individuals and populations.
C. How public policy and population based prevention initiatives can influence health determinants and outcomes.
D. Aspects of the organization and financing of the U.S. health care system, and their effects on access, utilization, and quality of care for individuals and populations.
E. Implications of individuals’ biologic and genetic risk with
population-level factors when deciding upon prevention and treatment options.
F. Ethical implications of health care resource allocation and
emerging technologies on population health
G. The role of physicians engaging in health policy, advocacy,
prevention and health promotion.
H. Principles of social justice and human rights principles when
addressing individual and community needs.
Sample topics:
A. Definition of health and why it important to proposing public health interventions and measuring their effect; problems with the WHO definition of health
B. Determinants of health, including the effect of relative social status (“The Status Syndrome”)
C. Measuring health states to determine the effectiveness of public health interventions; QALYs and DALYs of relative social status on health.
D. Pharmacogenomics. How genetic predisposition affects response to interventions. How this information should be used in allocating resources.
E. Rationing. Why rationing of health care is unavoidable; alternative ways of rationing and their relative merits.
F. Distinctions between positive rights (entitlements) and negative rights (immunities) and their implication for public health policy.
Prerequisites
Methods Sessions will be interactive discussions based on 1-2 articles per
session. Students will be assigned responsibility for reviewing the
readings and identifying issues for discussions.
Materials Provided
Expectations Attend a minimum of 6 out of 8 sessions over the four-week period.
Preparation of course readings; regular class attendance; active
participation in class discussion.
Evaluating a. Each student will be assigned responsibility for one of the 8 topics.
That responsibility entails:
i. Reading the required assignments in more depth and reading
additional material that will be optional for the rest of the students.
ii. Preparing a brief written summary of each article.
iii. Serving as the facilitator of that session’s initial group discussion.
iv. Preparing 2-3 written discussion questions that will be posed to the rest of the class.
v. Preparing a short written answer to each of these questions (to help prepare for the discussion.)
Items ii, iv, and v will be handed in and graded.
b. Each student will submit a short final paper (2 double pages = 500 words) on a topic selected from a list prepared by the instructors.
Recommended Texts
Meets Patient Care Requirement no