HLTH 305 Course Outline (Winter 2021) PDF

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HLTH 305: Fundamentals of Health Policy Winter 2021 Offered remotely with no required synchronous sessions OnQ website: https://onq.queensu.ca/d2l/home/414801 This document is available in alternate format upon request

TEACHING TEAM Instructor: Stevenson Fergus, PhD, MPH, [email protected] Teaching assistants • • • • •

Aaron Bailey, [email protected] Julie Campbell, [email protected] Eun Jung, [email protected] Kaitlyn Kauffeldt, [email protected] Gözde Oncil, [email protected]

Virtual office hours • •

Instructor: Fridays, 1:00 – 3:00 PM (see page 10 for link) or by appointment Teaching assistants: By appointment

COURSE DESCRIPTION This course is intended to provide you with a general overview of policy and policy change, with a focus on Canadian health care policy. We will study the history and current structure of Canada’s health care system, and analyze current debates about how Canadians access health care. The course is divided into four modules: 1. 2. 3. 4.

Introductions (weeks 1 and 2) Fundamentals of Health Policy (weeks 3-6) Indigenous and Non-Canadian Health Policy (weeks 7 and 8) Health Policy Reform (weeks 9-12)

Each week includes assigned readings, a pre-recorded lecture delivered by the course instructor, and asynchronous study in 6-7 student teaching and learning teams. For one of the weeks you will serve as the teacher in your teaching and learning team, which involves creating a teaching presentation, posting discussion questions, and facilitating discussion. Assessment activities include performance in your learning team, four multiple choice quizzes, and a short answer and essay final exam.

HLTH 305, Winter 2021 LEARNING OUTCOMES To complete this course you will demonstrate your ability to: 1. 2. 3. 4. 5. 6.

Discuss theories and processes of policy and policy change, Explain ideological influences on health policy, Understand the history and current structure of the Canadian health care system, Contrast the Canadian health care system with health care systems in other countries, Discuss current debates about reforms to the Canadian health care system, and Demonstrate enhanced critical thinking, presentation, and writing skills.

TERRITORY ACKNOWLEDGMENT Queen’s University is situated on traditional Anishinaabe and Haudenosaunee Territory. To acknowledge this traditional territory is to recognize its longer history, one predating the establishment of the earliest European colonies. It is also to acknowledge the territory’s significance for the Indigenous peoples who lived, and continue to live, upon it—people whose practices and spiritualities were tied to the land and continue to develop in relationship to the territory and its other inhabitants today. The Kingston Indigenous community continues to reflect the area’s Anishinaabek and Haudenosaunee roots. There is also a significant Métis community and there are First Peoples from other Nations across Turtle Island present here today (Queen's Four Directions Indigenous Student Centre: https://www.queensu.ca/fourdirections/home). If you are elsewhere in Turtle Island, I invite you to explore https://www.whose.land/ to learn about the territory where you are.

TABLE OF CONTENTS Readings................................................................................................................................................................. 3 Timeline .................................................................................................................................................................. 3 Assessments .......................................................................................................................................................... 6 Quizzes ...................................................................................................................................................... 6 Teaching and Learning Team Activities..................................................................................................... 6 Weekly Schedule ....................................................................................................................................... 7 Final Exam ................................................................................................................................................. 7 Course Information and Policies ............................................................................................................................. 7 Calculation of Grades ................................................................................................................................ 7 Citation Style.............................................................................................................................................. 7 Communications ........................................................................................................................................ 7 Copyright of Course Materials ................................................................................................................... 8 Discussion Forum Guidelines .................................................................................................................... 9 Diversity and Inclusion ............................................................................................................................... 9 Late Policy ................................................................................................................................................. 9 Office Hours ............................................................................................................................................. 10 Preferred Pronouns and Name ................................................................................................................ 10 Teaching Assistants................................................................................................................................. 10 SKHS and Queen’s Regulations and Policies ...................................................................................................... 11 Academic Considerations for Students in Extenuating Circumstances ................................................... 11 Academic Integrity ................................................................................................................................... 11 Accommodations for Disabilities .............................................................................................................. 12 Location and Timing of Final Exams........................................................................................................ 12 Midterms and Course Assignments ......................................................................................................... 12 SKHS Communications ........................................................................................................................... 12 Technology .............................................................................................................................................. 13 Turnitin ..................................................................................................................................................... 13 2

HLTH 305, Winter 2021 READINGS There are two required books, listed below. You can purchase them from the Queen’s Campus Bookstore (https://www.campusbookstore.com/), the publisher (links are provided below), or any other book seller that carries them. Be sure to purchase a second edition of the Bryant book. Both are available as e-books. The readings for weeks 7 and 8 are available on eReserve. Unless specified otherwise, all assigned readings are required, and you should read them before completing that week’s activities. Bryant T (2016). Health Policy in Canada (2nd Edition). Toronto: Canadian Scholars’ Press. Martin D (2017). Better Now: Six Big Ideas to Improve Health Care for All Canadians. Toronto: Penguin Canada.

TIMELINE MODULE 1: INTRODUCTIONS Week 1 (Begins Monday 11 January): Introduction to the Course No readings Team Discussion Forum: Introductions Week 2 (Begins Monday 18 January): Introduction to Health Policy Bryant Chapter 1: Introducing health policy and policy studies Bryant Chapter 2: Ways of knowing: Health policy and health studies Week 2 Team Discussion Forum (all day Wednesday and Thursday until 11:30 PM) MODULE 2: FUNDAMENTALS OF HEALTH POLICY Week 3 (Begins Monday 25 January): Ways of Thinking about Policy Bryant Chapter 3: Theories of public policy Bryant Chapter 4: Understanding policy change Week 3 Team Discussion Forum (all day Wednesday and Thursday until 11:30 PM) Quiz 1: Friday 29 January, 1-5 PM Week 4 (Begins Monday 1 February): Influences on Policy Bryant Chapter 5: Influences on public policy Bryant Chapter 8: Markets and health policy Week 4 Team Discussion Forum (all day Wednesday and Thursday until 11:30 PM) Week 5 (Begins Monday 8 February): Canada’s Health Care System

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HLTH 305, Winter 2021 Bryant Chapter 6: Overview of the Canadian health care system Bryant Chapter 7: Health care reform in Canada Week 5 Team Discussion Forum (all day Wednesday and Thursday until 11:30 PM) Quiz 2: Friday 12 February, 1-5 PM READING WEEK: 15-19 FEBRUARY Week 6 (Begins Monday 22 February): Ideologies and Health Policy Bryant Chapter 9: Health policy in broader perspective: Welfare states and public policy Bryant Chapter 11: Globalization and free trade Week 6 Team Discussion Forum (all day Wednesday and Thursday until 11:30 PM) MODULE 3: INDIGENOUS AND NON-CANADIAN HEALTH POLICY Week 7 (Begins Monday 1 March): Indigenous Health Policy in Canada Note: These readings are available on e-reserves. Allan B & Smylie J (2015). First Peoples, second class treatment: The role of racism in the health and well-being of Indigenous people in Canada. Toronto: Wellesley Institute. Picard A (2018). Cindy Blackstock: Advocate for First Nations children. The Lancet 391, p. 1659. Palmer J (2018). Picturing health: Health advocates for Indigenous communities in British Columbia, Canada. The Lancet 391, pp.1660-1673. Week 7 Team Discussion Forum (all day Wednesday and Thursday until 11:30 PM) Quiz 3: Friday 5 March, 1-5 PM Week 8 (Begins Monday 8 March): Health Policy in Other Wealthy Countries Note: These readings are available on e-reserves. Maioni A (2015). Why no national health insurance in the United States? (Chapter 4). In Health Care in Canada. Don Mills, ON: Oxford University Press. Deber RB (2018). International comparisons (Chapter 5). In Treating Health Care: How the Canadian System Works and How It Could Work Better. Toronto: University of Toronto Press. Week 8 Team Discussion Forum (all day Wednesday and Thursday until 11:30 PM)

MODULE 4: REFORMING CANADIAN HEALTH POLICY AND CARE Week 9 (Begins Monday 15 March): The Future of Canadian Health Policy Bryant Chapter 10: Canadian federalism, the Canadian social union, and health policy 4

HLTH 305, Winter 2021

Bryant Chapter 12: The future of health policy in Canada Week 9 Team Discussion Forum (all day Wednesday and Thursday until 11:30 PM) Quiz 4: Friday 19 March, 1-5 PM Week 10 (Begins Monday 22 March): Better Now 1 Martin: Prologue (pp. 1-6) Martin: The basics (pp. 7-48) Martin Big Idea 1: Relationship-based primary care (pp. 49-86) Week 10 Team Discussion Forum (all day Wednesday and Thursday until 11:30 PM) Week 11 (Begins Monday 29 March): Better Now 2 Martin Big Idea 2: Expand Medicare to medically necessary prescription medicine (pp. 87-118) Martin Big Idea 3: Eliminate unnecessary tests and interventions (pp. 119-146) Martin Big Idea 4: Get better value for money by reorganizing care and resources (pp. 147-184) Week 11 Team Discussion Forum (all day Wednesday and Thursday until 11:30 PM) Week 12 (Begins Monday 5 April): Better Now 3 Martin Big Idea 5: Basic income guarantee (pp. 185-208) Martin Big Idea 6: Build systems that support the implementation of large-scale change (pp. 209-234) Martin: Conclusion (pp. 235-240) Week 12 Team Discussion Forum (all day Wednesday and Thursday until 11:30 PM) Note: Classes end on Friday 9 April EXAM PERIOD (14-30 April) Final Exam (timing to be announced by exams office)

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HLTH 305, Winter 2021 ASSESSMENTS The grade you earn for the course will be based on the following items: 1. Quizzes (30%) 2. Teaching and Learning Team Activities a. Teaching (30%) b. Discussion forum participation (10%) 3. Final Exam (30%) Quizzes The four quizzes are each made up of 30 multiple choice-questions and are delivered in OnQ. You may consult only your course readings and notes when taking the quizzes.

Quiz 1 Quiz 2 Quiz 3 Quiz 4

Value 25% 25% 25% 25%

Material covered Weeks 2 & 3 Weeks 4 & 5 Weeks 6 & 7 Weeks 8 & 9

Time limit 90 minutes 90 minutes 90 minutes 90 minutes

Date Friday 29 January Friday 12 February Friday 5 March Friday 19 March

Availability (Kingston time) 1:00 PM – 5:00 PM 1:00 PM – 5:00 PM 1:00 PM – 5:00 PM 1:00 PM – 5:00 PM

Teaching and Learning Team Activities You will be assigned to a teaching and learning team of 6 or 7 students. You will participate in an asynchronous text-based discussion in OnQ with your teaching and learning group on Wednesday and Thursday each week. Teaching In one of weeks 3-8, you will act as the teacher for your teaching and learning team. As teacher you will: 1. Create and upload a video teaching presentation on some aspect of that week’s topic (70%), 2. Write five multiple-choice questions based on your presentation and the week’s materials (15%), and 3. Write discussion questions for your teaching and learning team’s discussion (15%). Be sure to consult the assignment instructions and rubric for more details including how you will be assessed. Groups with 7 students will have 2 teachers for one of the weeks. Discussion forum participation On weeks when you are not the teacher, you should do the course readings, view the instructor’s lecture, and view your group’s teacher’s video presentation before participating in the discussion forum. Note that although there is no assigned teacher for weeks 10, 11, or 12, you will still participate in the discussion, prompted by questions the instructor or teaching assistant will post. Be sure to consult the assignment instructions and rubric for details including how you will be assessed for your discussion forum participation. Your final learning score will be calculated with only the top 8 scores out of 11 (the lowest 3 will be dropped).

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HLTH 305, Winter 2021 Weekly Schedule Monday Instructor’s lecture available

Tuesday Wednesday Thursday Friday Teacher’s video, Discussion forum Discussion forum Weeks 3, 5, 7, & 9: m/c questions, and day 1 day 2 (closes at Quiz available 1-5 discussion 11:30 PM) PM questions due by 11:30 PM* *Submit your video and discussion questions to the appropriate OnQ assignment folder and as new threads in your teaching and learning group discussion forum. Submit the multiple choice questions to the OnQ assignment folder only. Final Exam The final exam will consist of short-answer and essay questions, and you will have two hours to complete it. The Exams Office will schedule the exam in the exam period. The final will include material from all weeks of the course. I will provide you with more information about the final exam later in the term.

COURSE INFORMATION AND POLICIES Calculation of Grades You will earn numerical scores for all components of the course. Your final course letter grade will correspond to the percentages in the Queen’s official grade conversion scale as shown below. Ranges 90-100 85-89 80-84 77-79 73-76 70-72 67-69 63-66 60-62 57-59 53-56 50-52 49 and below

Descriptor Truly exceptional Outstanding Excellent Very good Good Reasonably good Acceptable Minimally acceptable (honours) Minimally acceptable (general) Unsatisfactory pass Unsatisfactory pass Unsatisfactory pass Failure and no course credit

Grade A+ A AB+ B BC+ C CD+ D DF

Citation Style For written assignments, you should format in-text citations and reference lists following the 7th edition of the American Psychological Association’s style guide.

Communications The teaching team is happy to hear from students and we are committed to answering your questions and helping you to succeed in the course. Please communicate with us through the channels listed below.

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HLTH 305, Winter 2021 For any student communication that requires a reply from the instructor or TA, we will try our best to answer within 24 hours, though it may take up to 48 hours for us to respond. Be sure to bear this in mind for timesensitive questions such as those about assignments, as we may not respond until after a deadline has passed. Be sure to always use your student queensu.ca account when emailing the instructor or your TA. The instructor will communicate vital or time sensitive information to the class via OnQ announcements. Be sure to access OnQ at least every 48 hours so you don’t miss important announcements. Note that you can opt to receive notifications of OnQ announcements via email or text message. Communication channel OnQ course discussion forum

Use Questions about the course content, or any other aspect of the course like the quizzes or teaching and learning team activities

Instructor e-mail address [email protected]

Administrative matters such as: • Accommodation for a disability • Academic consideration for an extenuating circumstance • Assignment extension request Questions you would like the instructor to answer that you prefer not to post on the discussion forum, or that you think might take some in-depth explaining or discussion

Instructor office hours (Fridays, 1:00 – 3:00 PM on Zoom)

Teaching assistant queensu.ca employee email addresses

Requesting clarification of TA feedback or grading

Note • It is in your best interest to keep up with the discussions in this forum because it could provide you with important information • Before posting questions on the forum, be sure the answer to your question hasn’t already been answered and isn’t in the assignment instructions or rubric If you have a sensitive question and you are unable to attend the instructor’s virtual office hours, use this email address

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Be sure to verify your question hasn’t been answered in the discussion forum before coming to the office hours These are one-on-one sessions so you may have to wait in the Zoom waiting area for me to finish with another student You can see which TA you have been assigned to by viewing the name of your discussion forum group on the groups page under Communications Note that requests for feedback clarification to your TA should not ask for your grade to be reviewed If after hearing from the TA you have further questions, or you would like to request a grade be reviewed, you should contact the instructor at the [email protected] email address

Copyright of Course Materials Course materials created by the course instructor, including all slides, presentations, handouts, tests, exams, and other similar course materials, are the intellectual property of the instructor, and is for the sole use of students registered in HLTH 305 for Winter 2021. It is a departure from academic integrity to distribute, publicly post, sell or otherwise disseminate an instructor’s course materials or to provide an instructor’s course materials to anyone else for distribution, posting, sale or other means of dissemination, without the instructor’s express

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HLTH 305, Winter 2021 consent. A student who engages in such conduct may be subject to penalty for a departure from academic integrity and may also face adverse legal consequences for infringement of intellectual...