| Course Title | Code | Language | Type | Semester | L+U Hour | Credits | ECTS |
|---|---|---|---|---|---|---|---|
| Health Insurance and Reimbursement Systems | SKY641 | Turkish | Compulsory | 3 + 0 | 3.0 | 10.0 |
| Prerequisite Courses | |
| Course Level | Graduate |
| Mode of delivery | Face-to-face |
| Course Coordinator | Dr. Öğr. Üyesi Dilek ŞAHİN |
| Instructor(s) | |
| 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. |
| # | Öğrenme Kazanımı |
| 1 | Defines the fundamental concepts related to health insurance. |
| 2 | Explains the types of health insurance (mandatory, private, complementary insurance, etc.) and how they operate. |
| 3 | Compares the historical development of health insurance in Turkey and globally. |
| 4 | Discusses the legal framework and ethical aspects of health insurance. |
| 5 | Conducts premium calculations, risk management, and cost analysis in health insurance. |
| 6 | Evaluates the impact of insurance on the healthcare system and develops solutions for current issues in this field. |
| 8 | Explains the social security system and its relationship with health insurance. |
| 9 | Defines and analyzes healthcare financing mechanisms. |
| 10 | Describes reimbursement methods used in health insurance and evaluates their impact on healthcare services. |
| Week | Topics/Applications | Method |
|---|---|---|
| 1. Week | Introduction, General Course Overview, Basic Concepts | Preparation, After Class Study |
| 2. Week | Healthcare Systems and Financial Mecanism | Interview, Presentation (Preparation) |
| 3. Week | Social Security System, Market, Market Failures | Presentation (Preparation), Interview |
| 4. Week | Insurance and Health Insurance: Historical Development, Basic Concepts, and Mechanisms | Interview |
| 5. Week | Pricing and Payment Methods in Health Insurance | Presentation (Preparation), Interview |
| 6. Week | Types of Insurance I | Presentation (Preparation), Interview, Other Activities |
| 7. Week | Types of Insurance II | Interview, Other Activities, Presentation (Preparation) |
| 8. Week | Article Review | Research, Presentation (Preparation), Practice |
| 9. Week | Health Insurance Systems in Turkey: Structure | Interview, Presentation (Preparation) |
| 10. Week | Health Insurance Systems in Turkey: General (Mandatory) Health Insurance | Presentation (Preparation), Interview |
| 11. Week | Health Insurance Systems in Turkey: Private and Complementary Health Insurance | Interview, Presentation (Preparation) |
| 12. Week | Risk Management in Health Insurance | Interview, Presentation (Preparation) |
| 13. Week | Legal Framework and Ethics in Health Insurance | Presentation (Preparation), Interview |
| 14. Week | Socioeconomic and Political Aspects of Health Insurance | Presentation (Preparation), Interview |
| No | Program Requirements | Level of Contribution | |||||
|---|---|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | |||
| 1 | Ability to identify the health needs of the community and the demand for health services | ||||||
| 2 | Ability to develop service delivery models that can meet the health needs of the community and the demand for healthcare services | ||||||
| 3 | Ability to conduct economic and financial analysis of healthcare services | ||||||
| 4 | Ability to manage human resources and provide leadership | ✔ | |||||
| 5 | Ability to evaluate and improve the quality of healthcare services | ||||||
| 6 | Ability to assess and enhance health outcomes | ||||||
| 7 | Proficiency in using statistical analysis, reporting, interpretation, and decision-making | ||||||
| 8 | Ability to use information management systems in the effective, efficient planning, evaluation, and improvement of healthcare services | ||||||
| 9 | Ability to apply marketing principles and methods to meet the community's healthcare needs effectively, with quality, efficiency, and equity | ||||||
| 10 | Ability to follow healthcare regulations and legal frameworks and apply them in line with ethical principles | ||||||
| 11 | Ability to work effectively, efficiently, and ethically with healthcare professionals and other stakeholders within and outside the institution | ✔ | |||||
| 12 | Ability to monitor and implement developments in health policies | ||||||
| Program Requirements | DK1 | DK2 | DK3 | DK4 | DK5 | DK6 | DK7 | DK8 | DK9 |
|---|---|---|---|---|---|---|---|---|---|
| PY1 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 |
| PY2 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 |
| PY3 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 |
| PY4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 |
| PY5 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 |
| PY6 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 |
| PY7 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 6 |
| PY8 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 |
| PY9 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 |
| PY10 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 |
| PY11 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 |
| PY12 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 |
| Ders Kitabı veya Notu | Ders Kitabı veya Ders Notu bulunmamaktadır. |
|---|---|
| Diğer Kaynaklar |
|
| ECTS credits and course workload | Quantity | Duration (Hour) | Total Workload (Hour) | |
|---|---|---|---|---|
|
Sınavlar |
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 | |||
| *AKTS = (Total Workload) / 25,5 | ECTS Credit of the Course | 10.0 | ||
