| Code |
Name of the Course Unit |
Semester |
In-Class Hours (T+P) |
Credit |
ECTS Credit |
| SYY443 |
HEALTH INSURANCE |
7 |
2 |
2 |
2 |
GENERAL INFORMATION |
| Language of Instruction : |
Turkish |
| Level of the Course Unit : |
BACHELOR'S DEGREE, TYY: + 6.Level, EQF-LLL: 6.Level, QF-EHEA: First Cycle |
| Type of the Course : |
Compulsory |
| Mode of Delivery of the Course Unit |
- |
| Coordinator of the Course Unit |
Assist.Prof. BUMİN ÇAĞATAY AKSU |
| Instructor(s) of the Course Unit |
Assoc.Prof. HAKAN ÖZCAN |
| Course Prerequisite |
No |
OBJECTIVES AND CONTENTS |
| Objectives of the Course Unit: |
It is aimed to define basic information about health insurance and the role of insurance in health financing, to examine country practices, and to evaluate the development of private and social health insurance in Turkey. |
| Contents of the Course Unit: |
Fundamental Financing Models in Health and the Place and Importance of Health Insurance, Concepts of Health Insurance, Types and Classification, History of Private Health Insurance in Turkey, Technical and Market Analysis, Distribution Channels, Basic Legislation in Private Health Insurance, Basic Legislation in General Health Insurance, Organization in Health Insurance Structure, Underwriting and Production Processes, Relevant Legislation, Organizational Structure in Health Insurance, Underwriting and Production Processes, Relevant Legislation 2, Compensation and Provision Process in Health Insurance, Relevant Legislation, Network and Contract Management in Health Insurance, Relevant Legislation, Sustainability in Health Expenditures, Health Services Reimbursement Methods and Financial Management of Chronic Diseases, General Health Insurance Process and Complementary Health Insurances in Turkey. |
KEY LEARNING OUTCOMES OF THE COURSE UNIT (On successful completion of this course unit, students/learners will or will be able to) |
| Being able to relate the health system with the financial macro perspective |
| To be able to define the concepts of insurance and insurance |
| To be able to discuss private and public health insurance |
| To be able to list the basic working principles of insurance |
| To be able to define the effect of the cost of compulsory and private health insurance on health services. |
| To be able to explain the latest developments in health insurance and payment systems. |
WEEKLY COURSE CONTENTS AND STUDY MATERIALS FOR PRELIMINARY & FURTHER STUDY |
| Week |
Preparatory |
Topics(Subjects) |
Method |
| 1 |
Literature Search |
Health, Importance of Health and Health Services |
Lecture |
| 2 |
Literature Search |
The Importance of the State in Health Services, the Relationship Between Health Services and Economic and Social Development |
Lecture |
| 3 |
Literature Search |
International Organizations Interested in Health |
Lecture, Presentation |
| 4 |
Literature Search |
Health Systems and Financial Sources of Health Expenditures |
Lecture, Presentation |
| 5 |
Literature Search |
General Information About Insurance |
Lecture, Presentation |
| 6 |
Literature Search |
Social Security System and Health Insurance Application |
Lecture, Presentation |
| 7 |
Literature Search |
Health Insurance Implementation in the Social Security System in Turkey |
Lecture, Presentation |
| 8 |
- |
MID-TERM EXAM |
- |
| 9 |
Literature Search |
General Health Insurance |
Lecture, Presentation |
| 10 |
Literature Search |
Health Services to be Funded in General Health Insurance |
Lecture, Presentation |
| 11 |
Literature Search |
Legislation and Other Institutions Related to the General Health Insurance Application |
Lecture, Presentation |
| 12 |
Literature Search |
Evaluation of General Health Insurance |
Lecture, Presentation |
| 13 |
Literature Search |
Private Health Insurance |
Lecture, Presentation |
| 14 |
Literature Search |
Types of Health Insurance in the Disease / Health Insurance Branch |
Lecture, Presentation |
| 15 |
Literature Search |
Other Insurance Branches That Provide Health Coverage |
Lecture, Presentation |
| 16 |
- |
FINAL EXAM |
- |
| 17 |
- |
FINAL EXAM |
- |
SOURCE MATERIALS & RECOMMENDED READING |
ASSESSMENT |
| Assessment & Grading of In-Term Activities |
Number of Activities |
Degree of Contribution (%) |
Description |
| Level of Contribution |
| 0 |
1 |
2 |
3 |
4 |
5 |
CONTRIBUTION OF THE COURSE UNIT TO THE PROGRAMME LEARNING OUTCOMES
KNOWLEDGE |
Theoretical |
|
Programme Learning Outcomes |
Level of Contribution |
| 0 |
1 |
2 |
3 |
4 |
5 |
| 1 |
He/she has the advanced theoretical and practical knowledge supported by books including main and current knowledge on Health Management's field, practical tools, multimedia educational tools and other supported resources.
|
|
|
|
|
4 |
|
KNOWLEDGE |
Factual |
|
Programme Learning Outcomes |
Level of Contribution |
| 0 |
1 |
2 |
3 |
4 |
5 |
| 1 |
He/she has the knowledge to attain scientific information, track current literature, evaluate and execute datas about Health Management.
|
|
|
|
|
4 |
|
SKILLS |
Cognitive |
|
Programme Learning Outcomes |
Level of Contribution |
| 0 |
1 |
2 |
3 |
4 |
5 |
| 1 |
He/she can interpret and evaluate scientifically proven datas by using his/her advanced knowledge and skills on Health Management, he/she can identify the problems, analyze them, and solve them with the aid of researches and evidences based his/her professional ethical norms, by sharing the knowledge and being an excellent member of a team.
|
|
|
|
3 |
|
|
SKILLS |
Practical |
|
Programme Learning Outcomes |
Level of Contribution |
| 0 |
1 |
2 |
3 |
4 |
5 |
| 1 |
He/she can train individuals, families and society by using his/her advanced theoretical and practical knowledge on Health Management studies.
|
|
|
2 |
|
|
|
OCCUPATIONAL |
Autonomy & Responsibility |
|
Programme Learning Outcomes |
Level of Contribution |
| 0 |
1 |
2 |
3 |
4 |
5 |
| 1 |
He/she can perform a study independently and take responsibility bycooperating with other groups of professions via using his/her advanced knowledge on Health Management.
|
|
|
2 |
|
|
|
OCCUPATIONAL |
Learning to Learn |
|
Programme Learning Outcomes |
Level of Contribution |
| 0 |
1 |
2 |
3 |
4 |
5 |
| 1 |
He/she can evaluatecritically the advanced knowledge and skills on Health Management.
|
|
|
|
|
4 |
|
OCCUPATIONAL |
Communication & Social |
|
Programme Learning Outcomes |
Level of Contribution |
| 0 |
1 |
2 |
3 |
4 |
5 |
| 1 |
He/she can inform people and institutions relevant to Health Management by citing his/her suggestions about solutions both written and orally, and he/she can listen the requests and expectancies of those contacts.
|
|
1 |
|
|
|
|
OCCUPATIONAL |
Occupational and/or Vocational |
|
Programme Learning Outcomes |
Level of Contribution |
| 0 |
1 |
2 |
3 |
4 |
5 |
| 1 |
He/she can gather, interpret, and execute information about Health Management field, and cooperate with people from other relevant disciplines in order to announce the information gathered by paying attention to social, cultural and ethical norms.
|
0 |
|
|
|
|
|
WORKLOAD & ECTS CREDITS OF THE COURSE UNIT |
Workload for Learning & Teaching Activities |
| Type of the Learning Activites |
Learning Activities (# of week) |
Duration (hours, h) |
Workload (h) |
| Lecture & In-Class Activities |
14 |
2 |
28 |
| Preliminary & Further Study |
0 |
0 |
0 |
| Land Surveying |
0 |
0 |
0 |
| Group Work |
0 |
0 |
0 |
| Laboratory |
0 |
0 |
0 |
| Reading |
0 |
0 |
0 |
| Assignment (Homework) |
0 |
0 |
0 |
| Project Work |
0 |
0 |
0 |
| Seminar |
0 |
0 |
0 |
| Internship |
0 |
0 |
0 |
| Technical Visit |
0 |
0 |
0 |
| Web Based Learning |
0 |
0 |
0 |
| Implementation/Application/Practice |
0 |
0 |
0 |
| Practice at a workplace |
0 |
0 |
0 |
| Occupational Activity |
0 |
0 |
0 |
| Social Activity |
0 |
0 |
0 |
| Thesis Work |
0 |
0 |
0 |
| Field Study |
0 |
0 |
0 |
| Report Writing |
0 |
0 |
0 |
| Final Exam |
1 |
1 |
1 |
| Preparation for the Final Exam |
1 |
10 |
10 |
| Mid-Term Exam |
1 |
1 |
1 |
| Preparation for the Mid-Term Exam |
1 |
10 |
10 |
| Short Exam |
0 |
0 |
0 |
| Preparation for the Short Exam |
0 |
0 |
0 |
| TOTAL |
18 |
0 |
50 |
|
Total Workload of the Course Unit |
50 |
|
|
Workload (h) / 25.5 |
2 |
|
|
ECTS Credits allocated for the Course Unit |
2,0 |
|