Course: Health Economics in International Comparison

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Course title Health Economics in International Comparison
Course code KMG/W1009
Organizational form of instruction Lesson
Level of course Bachelor
Year of study not specified
Semester Winter and summer
Number of ECTS credits 4
Language of instruction English
Status of course Compulsory-optional
Form of instruction Face-to-face
Work placements This is not an internship
Recommended optional programme components None
Course availability The course is available to visiting students
  • Barták Miroslav, PhDr. Ph.D.
Course content
1. Introduction and conceptual framework. Health care system model. Health and its determinants. Pressure for reforms, reform themes. 2. Health care organization, delivery, Health promotion, Public health, Outpatient, inpatient, Primary care, hospitals, Long term care. 3. Health care policy (concepts, models),stake-holders in health care systems, international actors: WHO, European Observatory on Health Care Systems and Policies, OECD, World Trade Organization, World Bank. 4. Financing and payment Copayment, deetatisation of health care, markets and health care, ethical dimensions. 5. Czech Republic Transformation and reforms after 1990. Pluralistic model of public non-government health insurance funds. 6. Slovak Republic Marketization of the system, the reforms and its consequences. 7. Germany, historical background, reforms and future development. 8. Austria (federal system) Social health insurance tradition, pluralistic model of health insurance funds 9. United Kingdom of Great Britain (National health service) 10. USA (private health insurance model) 11. Canada (public single payer model) 12. Russian Federation (federal system) 13. The way forward, overview of current debates about alternatives of future development, ethical dilemmas Investment in health, globalization,, welfare state and its reforms. 14. Summary of main issues and findings of the discipline.

Learning activities and teaching methods
unspecified, unspecified
  • unspecified - 20 hours per semester
  • unspecified - 26 hours per semester
  • unspecified - 40 hours per semester
  • unspecified - 17 hours per semester
Learning outcomes
The goal of the course it to provide a conceptual and analytical approach to the models of how health care is organized, financed, and delivered. Definitions of health policy, health care systems, and health care services will be analyzed. Several aspects of health care systems and services are explored: the health care system as an expression of economic, political, and social structures; welfare policies and their impact on health care system. Role of World Health Organization (WHO), Organization for Economic Co-operation and Development (OECD), European Observatory on Health Care Systems and Policies will be analyzed. Global free trade agreements and current EU policie their impacts on health care systems and public health will be discussed. The current health care systems in the Czech and Slovak Republic, Germany Austria, England, USA, Canada, Russian Federation will be analyzed.
By the end of this module, students will be able to: a) describe and critically reflect upon the principles of health economics, b) describe and reflect upon the methods of international comparison of health systems c) use the WHO Health for all database, the OECD Health Data and Eurostat statistics, d) describe and reflect upon healthcare systems and reforms on the European and international level, e) critically appraise published health economics and healthcare organization papers and studies, f) structure a decision problem relating to health policy questions.
Recommended completion of basic economics courses.

Assessment methods and criteria
As this module 75% compulsory attendance in the lectures is required. Besides, students are expected to read the suggested materials during self-study time. The module will be assessed through two examination parts. Both parts are worth 50% of the overall mark and include: 1. Presentation of the country case study (see the list of the countries)maximum 100 points. The evaluation scale: 100-90 points (1) 89-75 points (2) 74-55 points (3) 54-0 points (4) 2. A written assignment, which will comprise short questions on aspects of health economics in international comparison.Will be put to the ten questions, each will be assessed a maximum of ten points.According to the obtained total scores range from 0 to 100 will be awarded marks. 100-90 points (1) 89-75 points (2) 74-55 points (3) 54-0 points (4) The possibility to pass the exam more than ones is governed by the Study Regulations.
Recommended literature
  • CULYER, A.J., NEWHOUSE, J.P. The State and Scope of Health Economics. In: Culyer, Newhouse Handbook of Health Economics. Elsevier, Amsterdam 2000..
  • DETELS, R., McEWEN, J., BEAGLEHOLE, R., TANAKA, H. Oxford Textbook of Public Health. Foutrh Edition. Oxford : Oxford University Press, 2005. ISBN 0-19-263041-5..
  • HOWLETT, M., RAMESH, M. Studying public policy : Policy Cycles and Policy Subsystems. Oxford: Oxford University Press, 1995. ISBN 0-19-540976-0..
  • JACOBS, J.R. The Economics of Health and Medical Care, 5th edition. Gaithersburg, MD: Aspen Publishers, 2002..
  • OECD. Toward High Performing Health Systems : Policy Studies. Paris : OECD, 2004. ISBN 92-64-01559-0..
  • PHELPS, C.E. Health Economics, 3nd edition. Reading, MA: Addison-Wesley, 2003..
  • ROKOSOVÁ, M., HÁVA, OP., SCHREYOGG, J., BUSSE, R. Health care systems in transition: Czech Republic. Copenhagen, WHO regional Office for Europe on behalf of the European Observatory on health Systems and Policies, 2005.
  • SALTMAN, R., FIGUERAS, J. eds. European Health Care Reform. Analysis of Current Strategies. WHO regional Publications, European Series, No 72. WHO, Regional Office Europe, Copenhagen 1997..
  • WHO. Health 21 : The health for all policy framework for the WHO European Region. Geneva : WHO, 1999. ISBN 92 890 1349 4..
  • WHO. Working for health : An introduction to the World Health Organization. Geneva : WHO, 2006. ISBN 92 4 156313 5..
  • WILKINSON, R., MARMOT, M. Social determinants of health : The solid facts. Copenhagen : World Health Organization, 2003. ISBN 92 890 1371 0..
  • ZWEIFEL, P. et al. Health Economics, Oxford : Oxford University Press, 1997. ISBN 978-3-540-27804-7..

Study plans that include the course