| Course Title | Code | Semester | L+U Hour | Credits | ECTS |
|---|---|---|---|---|---|
| Health Insurance and Reimbursement Systems | SKY641 | 3 + 0 | 3.0 | 10.0 |
| Prerequisites | None |
| Language of Instruction | Turkish |
| Course Level | Graduate |
| Course Type | |
| Mode of delivery | Face-to-face |
| Course Coordinator |
Assist. Prof. Dr. Dilek ŞAHİN |
| Instructor(s) | |
| Assistants | |
| Goals | To equip students with an understanding of health insurance concepts, types, operations, and the legal and economic dimensions of health insurance. Additionally, this course aims to develop students' abilities to analyze the impact of insurance systems on healthcare financing and health policies. |
| Course Content | Starting from the basic principles of health insurance, this course examines different types of health insurance, its role in healthcare financing, and health insurance models across various countries. Additionally, it covers the legal aspects, ethical issues, and practical financial analysis topics such as risk management in health insurance. Students will evaluate the impact of health insurance on health policies, discuss its socioeconomic and political dimensions, and develop knowledge and skills to propose solutions for current issues. The course covers topics such as health insurance, social security, healthcare systems, health financing mechanisms, types of insurance, historical development of insurance, the legal framework and ethics in insurance, insurance premium calculations, reimbursement methods in insurance, and the impact of health insurance on financing and policy. |
| Learning Outcomes |
- Defines the fundamental concepts related to health insurance. - Explains the types of health insurance (mandatory, private, complementary insurance, etc.) and how they operate. - Compares the historical development of health insurance in Turkey and globally. - Discusses the legal framework and ethical aspects of health insurance. - Conducts premium calculations, risk management, and cost analysis in health insurance. - Evaluates the impact of insurance on the healthcare system and develops solutions for current issues in this field. - Explains the social security system and its relationship with health insurance. - Defines and analyzes healthcare financing mechanisms. - Describes reimbursement methods used in health insurance and evaluates their impact on healthcare services. |
| Week | Topics | Learning Methods |
|---|---|---|
| 1. Week | Introduction, General Course Overview, Basic Concepts | Course Hours Preparation, After Class Study |
| 2. Week | Healthcare Systems and Financial Mecanism | Course Hours Verbal Expression Visual Presentation |
| 3. Week | Social Security System, Market, Market Failures | Verbal Expression Visual Presentation Course Hours |
| 4. Week | Insurance and Health Insurance: Historical Development, Basic Concepts, and Mechanisms | Verbal Expression Course Hours |
| 5. Week | Pricing and Payment Methods in Health Insurance | Course Hours Verbal Expression Visual Presentation |
| 6. Week | Types of Insurance I | Visual Presentation Course Hours Verbal Expression Other Activities |
| 7. Week | Types of Insurance II | Other Activities Verbal Expression Course Hours Visual Presentation |
| 8. Week | Article Review | Visual Presentation Practice Research Course Hours |
| 9. Week | Health Insurance Systems in Turkey: Structure | Course Hours Verbal Expression Visual Presentation |
| 10. Week | Health Insurance Systems in Turkey: General (Mandatory) Health Insurance | Verbal Expression Course Hours Visual Presentation |
| 11. Week | Health Insurance Systems in Turkey: Private and Complementary Health Insurance | Visual Presentation Course Hours Verbal Expression |
| 12. Week | Risk Management in Health Insurance | Verbal Expression Visual Presentation Course Hours |
| 13. Week | Legal Framework and Ethics in Health Insurance | Visual Presentation Verbal Expression Course Hours |
| 14. Week | Socioeconomic and Political Aspects of Health Insurance | Course Hours Visual Presentation Verbal Expression |
| Çelik, A. (2019). Health Insurance and Reimbursement Systems. Seçkin |
| Arslan, A., & Yıldız, S. (2018). Health Economics and Health Insurance. Nobel Publishing. |
| Dölek, İ. (2020). Health Insurance and Reimbursement in Healthcare: Theories and Practices. Beta Publishing. |
| Program Requirements | Contribution Level | DK1 | DK2 | DK3 | DK4 | DK5 | DK6 | DK7 | DK8 | DK9 | Measurement Method |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PY1 | 7 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 40,60 |
| PY2 | 8 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 40,60 |
| PY3 | 7 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 40,60 |
| PY4 | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 40,60 |
| PY5 | 8 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 40,60 |
| PY6 | 7 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 40,60 |
| PY7 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 40,60 |
| PY8 | 7 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 40,60 |
| PY9 | 7 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 40,60 |
| PY10 | 8 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 40,60 |
| PY11 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 40,60 |
| PY12 | 8 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 40,60 |
| 0 | 1 | 2 | 3 | 4 | 5 | |
|---|---|---|---|---|---|---|
| Course's Level of contribution | None | Very Low | Low | Fair | High | Very High |
| Method of assessment/evaluation | Written exam | Oral Exams | Assignment/Project | Laboratory work | Presentation/Seminar |
| Event | Quantity | Duration (Hour) | Total Workload (Hour) |
|---|---|---|---|
| Homework 1 | 14 | 3 | 42 |
| Homework 2 | 1 | 32 | 32 |
| Final | 1 | 35 | 35 |
| Practice | 2 | 52 | 104 |
| Classroom Activities | 14 | 3 | 42 |
| Total Workload | 255 | ||
| ECTS Credit of the Course | 10.0 | ||
