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Organisation and Economics of Health Care

Study Course Description

Course Description Statuss:Approved
Course Description Version:6.00
Study Course Accepted:23.01.2020 12:03:24
Study Course Information
Course Code:SVUEK_108LQF level:Level 7
Credit Points:4.00ECTS:6.00
Branch of Science:Clinical Medicine; Public HealthTarget Audience:Information and Communication Science
Study Course Supervisor
Course Supervisor:Dins Šmits
Study Course Implementer
Structural Unit:Department of Public Health and Epidemiology
The Head of Structural Unit:
Contacts:Riga, 9 Kronvalda boulevard, svekatrsu[pnkts]lv, +37167338307
Study Course Planning
Full-Time - Semester No.1
Lectures (count)12Lecture Length (academic hours)2Total Contact Hours of Lectures24
Classes (count)12Class Length (academic hours)2Total Contact Hours of Classes24
Total Contact Hours48
Study course description
Preliminary Knowledge:
Basics of market economy; basics of management; basics of public health; English language skills; computer and internet skills.
Objective:
The course introduces the fundamental values of health policy, health and healthcare systems in the world and in Latvia, goals and strategies of health systems, the most important international framework documents and charters regulating health policy. The course deals with the principles of healthcare organization and management at the macro, meso and micro levels. The course introduces the hierarchy of health legislation, the practical aspects of policy and decision-making activities and key stakeholders in government, industry and the third sector. The course covers the principles and regulations of healthcare financing in Latvia, as well as types of public procurement and healthcare providers, including international cooperation. The course introduces the ways various services are procured and providers remunerated on organisation or individual level, highlighting the economic drivers of each of these. The course addresses quality assurance and health information flow management. It provides an insight into the methods of economic evaluation in healthcare. The course offers an overview of new trends in health systems – integrated care concept, healthcare developments provided by information and communication technologies. The aim of the course is to develop students' knowledge, skills and competence on topics of healthcare organization, politics and financing in Latvia and worldwide.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Health policy and its basic values.Lectures1.00auditorium
Classes1.00auditorium
2Health and healthcare system.Lectures1.00auditorium
Classes1.00auditorium
3The structure and levels of the healthcare system.Lectures1.00auditorium
Classes1.00auditorium
4Quality management principles in health care.Lectures1.00auditorium
Classes1.00auditorium
5Principles of health information system and its management.Lectures1.00auditorium
Classes1.00auditorium
6Principles of health economics.Lectures1.00auditorium
Classes1.00auditorium
7Pay system for healthcare services.Lectures1.00auditorium
Classes1.00auditorium
8Assessing economic efficiency in health care.Lectures1.00auditorium
Classes1.00auditorium
9Assessing economic efficiency in health care, continuation.Lectures1.00auditorium
Classes1.00auditorium
10Regulatory framework for health system.Lectures1.00auditorium
Classes1.00auditorium
11International aspects of health care.Lectures1.00auditorium
Classes1.00auditorium
12International aspects of health care, continuation.Lectures1.00auditorium
Classes1.00auditorium
Assessment
Unaided Work:
Independent reading and analysis of the literature, preparing arguments for discussion on the topic of the related class.
Assessment Criteria:
• Regular oral assessment of understanding and skills during classes. • Correctness and accuracy of answers in the written examination.
Final Examination (Full-Time):Exam (Written)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:• Outline internationally accepted core values that form a basis for health policy; key international and Latvian health policy documents which are based on these values. List examples of the most important health policy and strategic documents. • Define the health system, name its tasks and principles of classification. • Explain insurance in health care. • List the healthcare funding systems in the world. • Describe the health system of Latvia according to the international classification. • Distinguish between the features of health economics and the regularities of general economy. • Explain the methods of economic analysis of health costs. • Name healthcare levels and organisational structure in Latvia. • Describe and evaluate the procurement principles and payment for services. • Enumerate business forms in health care in Latvia. • Name regulatory acts related to health care in Latvia, including the regulation of patients’ rights. • Outline the organisation and management of the health information system in Latvia. • Explain the healthcare quality system. Differentiate between the quality assurance and control.
Skills:• Explain the internationally accepted core values, on which health policy is based. • Assess the relevance of national health systems to these core values. • Assess the advantages and disadvantages of global health financing systems. • Interpret the trends of reform in Latvia and in the world. • Evaluate advantages and disadvantages of the procurement mechanisms for services with regard to the cost structure of healthcare services and needs for them. • Assess the failures of market economy in health care. Explain the need for the use of key analyses of health economics. • Explain the healthcare quality system.
Competencies:• Analyse the compliance of health policy and documents reflecting it with internationally recognised core values. • Critically assess the usefulness and validity of health systems and their reforms. • Critically assess and use data of health service costs obtained through economic analysis of literature. • Discuss the optimisation of organisation and management of health care in Latvia. Assess the role of primary health care in health care system. • Interpret the quality system of health care in Latvia. • Explain the achievements, challenges and tasks of organisation of health care in Latvia to the general public.
Bibliography
No.Reference
Required Reading
1Latvija: Valsts veselības pārskats, 2019, OECD un dati
2European Observatory
3http://www.vm.gov.lv/lv/nozare/veselibas_aprupes_sistemas_r…
4https://eveseliba.gov.lv/sakums/about-portal
Additional Reading
1Health at a Glance, 2019, OECD
2PVO (2017). Developing a National Health Financing Strategy
3Research for TRAN Committee - Health tourism in the EU: a general investigation.
4Stronger Collaboration, Better Health Global Action Plan for Healthy Lives and Well-being for All. Strengthening collaboration among multilateral organizations to accelerate country progress on the health-related Sustainable Development Goals. World
Other Information Sources
1European Observatory on Health Systems and Policies
2Funding Health Care: Options for Europe”, ed. E.Mossialos, A.Dixon, J.Figueras and J.Kutzin. „Open University Press”, Buckingham, Philadelphia, 2002.
3Guinness L., Wiseman V. Introduction to Health Economics (2nd edition), Open University Press (2011)
4Likumi: Veselības aprūpes finansēšanas likums: https://likumi.lv/doc.php?id=296188
5Pacientu tiesību likums: https://likumi.lv/doc.php?id=203008
6Sabiedrības veselības pamatnostādnes 2014.–2020.gadam: http://polsis.mk.gov.lv/documents/4965
7Health 2020. A European policy framework and strategy for the 21st century: http://www.euro.who.int/__data/assets/pdf_file/0011/199532/…
8Sabiedrības veselības pamatnostādnes 2014.–2020. gadam: https://extranet.who.int/nutrition/gina/sites/default/files…
9World health statistics 2018: monitoring health for the SDGs, sustainable development goals. World Health Organization 2018.
10Starptautiskie veselības aizsardzības noteikumi.
11Regulation (EC) No 851/2004 of the European Parliament and of the Council of 21 april 2004 establishing a European Centre for disease prevention and control.