Health Systems Governance
Full course description
This unit is an advanced introduction in health systems governance, with a focus on modern healthcare reform. Over the last two decades, many European countries launched reform programs to reconstruct the governance of their health systems. These programs are intended to achieve a fundamental restructuring of the roles, relationships and accountabilities of the state (national, regional, local), corporate actors, independent regulatory agencies, providers and insurers and, last but not least, citizens. The objectives of these reforms are often described in terms of centralization, decentralization, privatization, liberalization (marketization), the shift away from a supply-driven type of system towards a demand-driven type of system, the transition from a planning or bureaucratic state to a regulatory or managerial state, the conversion from a hierarchical mode of governance into a network type of governance, and so forth. Students will not only be made familiar with these reforms and their consequences (both intended and unintended), but also with the impact of the political and institutional context on these reforms. Furthermore, the course addresses a number of ethical principles guiding health systems governance, with a focus upon the problem of distributive justice. In this respect, special attention is given to the reconstruction of the values of solidarity and individual responsibility.
During the skills training, you will write a policy analysis as a member of a study team according to a step-by-step approach. For this, your team will select (or be provided with) a major current policy problem.
Knowledge and insights
The student has:
- Knowledge of the concept of health systems governance and basic models of health systems governance
- Knowledge of the various types of reforms in health systems governance
- Knowledge of the political and institutional context of the reforms in health systems governance
- Knowledge of ethical theories underpinning health systems governance, in particular with regard to distributional justice, and their role in health systems governance (reforms)
Application of knowledge and insights
The student can:
- Apply theoretical models of health systems governance to analyze concrete problems in health care
- Analyze the impact of the political and institutional context on health systems governance reforms
- Recognize the role of values in health systems governance and the way these values are reconstructed in the reform of health systems governance
The student is trained in:
- The use of concepts and theories on health systems governance to formulate reasoned opinions on issues in health systems governance reform
- The use of theories of distributive justice to make reasoned opinions on ethical aspects of health systems governance reform
- Can communicate about developments and problems in health systems governance in group discussions and working lectures
The student, assuming the role of policy advisor, will be trained in:
- Developing a policy proposal for his/her superior
- Collaborative skills •
Reader with selected articles/book chapters.