Fundamentals of Health Care Systems

Department
  • Master's Program International Health & Social Management
Course unit code
  • IHCM1GOV1301
Level of course unit
  • Master
Semester when the course unit is delivered
  • 1
Number of ECTS credits allocated
  • 5.0
Name of lecturer(s)
  • Dr. Fidler Armin, MD, MPH, MSc
Learning outcomes of the course unit
  • • Understand global context of health and social systems and their relative perfomance with regard to resource inputs and result outcomes both in High and Low-income country settings.
    • Understand parameters and global context of health and social systems, as well as the appropriate control knobs to manage them.
    • Health economic context, understand the macro implications for sustainable health sector financing and performance including health services, public health, medical device, pharma and vaccine policy. Understand the functioning of CCTs.
    • Results and outcomes, performance and indicators, league tables, country and systems performance goals. Use in class the "Burden of Disease Tool" by the Institute of Health Metrics and Evaluation.
    • Understand ethical and political economy dimensions of public health as well as the necessary trade-offs in public policy and individual choice. Private sector insurance versus public financing. Private versus public provision.
    • Understand the technical dimensions of health sector development and reform, with particular emphasis on Middle Income Countries. Inn-depth study of the political dimensions determining success or failure of reforms.
Mode of delivery
  • face-to-face
Prerequisites and co-requisites
  • none
Course contents
  • - Introduction to health and social systems overview
    - Continued lecture and class group work on international health and social systems, including basis health economic concepts (financing, pooling, purchasing, service provision).
    - Health Systems, their management, governance, financing and overall cross-sectoral context for population health outcomes. Health in all policies, Health and Social Systems in the context of high-incoime OECD countries and in contrast to Low-incoime countries in development.
    - Macroeconomic, microeconomic and political and development context of Health Reform and Health Sector Management. Guest Lecture on Pharmaceuticals. Review the performance of Conditional Cash Transfer Programs (CCTs).
    - Macro + Micro context continued Health and wealth, Equity and Efficiency and respective trade-offs within international health and social systems. Contrast High-income countries (Netherlands, Switzerland, Austria) with performance of MICs.
    - Ethical and political dimensions of health and social systems, issues of choice, fairness, equality and equity explained through the lens of different philosophical approaches.
    - Short project and/or discussion paper on Universal Coverage for access to health to be handed in the following week. Outline and discussion of expected content, literature and research - with important focus on the political economy of reforms. Video interviews of some reform protagonists (Turkey Minister of Health).

    Please be aware that this course requires high level of proficiency in English language. All local students have passed an English language test with at least 90 TOEFL points (internet based) or comparable tests.
Recommended or required reading
  • The World Health Report: Health Systems Financing: The path to universal coverage. ISSN 1020-3311
    ISBN 978 92 4 156402 1

    OECD paper on health sector performance (SAKAI); Report of the Health Consumer Powerhouse on EU
    health systems country performance;

    Paris, V., M. Devaux and L. Wei (2010), "Health Systems Institutional Characteristics: A Survey of 29
    OECD Countries", OECD Health Working Papers, No. 50, OECD Publishing.

    William Hsiao and Peter S. Heller: IMF Working Paper Fiscal Affairs Department What Should
    Macroeconomists Know about Health Care Policy?
Planned learning activities and teaching methods
  • The learning methods are a mixture of theory and practice with special focus of case studies, group work, interactive elements.
Assessment methods and criteria
  • To monitor the students’ learning this course will provide ongoing assignments as a basis for feedback and grading (formative assessment) and/or will evaluate the students learning at the end of the course or an instructional unit via exams, final project reports, essays or seminar papers (summative assessment).
Language of instruction
  • English