| Health insurance and health services management |
| Abbreviation: UZOSSESM
|
Load: 45(L)
+ 30(S)
+ 0(CP)
+ 0(EXE)
+ 0(P)
+ 0(ST)
+ 0(LE)
+ 30(ME)
+ 0(SCP)
+ 0(FE)
+ 0(CE)
+ 0(PP)
+ 0(MSCP)
|
| Lecturers in charge: |
Ivan Markotić |
| Lecturers: |
|
| Course description: European systems of health insurance, supplementary and private health insurance in Europe and countries in transition, contracting
and purchasing services and review of contracts of insurance, indemnity structure at risk by legally binding health insurance,
create and maintain health insurance, Trends in health insurance coverage, the purpose of risk management to create and maintain
a safe and orderly organized for the insured health service and to maintain the price of insurance, risk management, preventive
action, the insurance market, the ability of risk management, risk management Involvement in clinical records evaluation,
role of risk managers in contractual relationships the role of CEO in establishing programs for risk management.
|
| Compulsory literature: |
| 1. |
Busse R, Schwartz FW. The Philippines national health insurance act-a German
perspective. International Journal of Health Planning&Manegement. 12(2):131-148. 1997
Apr-Jun.
|
| 2. |
Busse R, Schwartz FW. Financing reforms in the German hospital sector-from full cost
cover principle to prospective case fees. Medical Care. 35(10 Suppl S):OS 40-OS 49, 1997 Oct.
|
| 3. |
Wismar M, Busse R. Outcome-related health targets-political strategies for better health
outcomes-A coceptual and comparative study (part 2). Health Policy. 59(3):223-241, 2002 Mar.
|
| 4. |
Busse R. Risk structure compensation in Germany's stautory health insurance. European
Journal of Public Health. 11(2):174-177, 2001 Jun.
|
| Recommended literature: |
| 5. |
Perleth M, Jakubowski E, Busse R. What is "best practice" in health care? State of the art and perspectives in improving the
effectivenes and efficiency of the European health care systems. Health Policy. 56(3):235-250, 2001 Jun
|
| 6. |
Busse R. Priority-setting and rationing in German health care. Health Policy. 50(1-2):71- 90, 1999 Dec |
| 7. |
Health Insurance in Transition, 2nd Dubrovnik Summer School, Readings. 6-11 September, 1998. |
| 8. |
O. Carrasquilo, D. U. Himmelstein, S. Woolhandler, D. H. Bor. Going Bare: Trends In Health Insurance Coverage, 1898 Through
1996; American Journal of Public Health, January 1999, Vol.89, No. 1.
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