Health Care Financing
Code
5131
Academic unit
Escola Nacional de Saúde Pública
Department
Saúde Pública e Comunidade
Credits
3.0
Teacher in charge
Rui Manuel Candeias Santana
Teaching language
Português
Objectives
At the end of the module, students should:
To know the state of the art of healthcare financing organizations;
Identify and analyze healthcare financing methods;
Understand hospital financing in Portugal: logic, advantages and limitations.
Subject matter
Concepts and definitions of healthcare financing.
Recent trends in hospital financing (Primary care, hospitals, long term care, integrated delivery systems)
Hospital Financing - The state of the art.
Costing and pricing for healthcare organizations.
The hospital financing: complexity and severity.
Capitation and risk adjustment.
Indicators of financial analysis.
Bibliography
Anderson GF. Payment reform in the United States. Health Policy.1986;6(4): 321-328.
Ash A, Ellis R. Risk-adjusted payment and performance assessment for Primary Care. Medical Care. 2012;50(8):643-653
Bodenheimer T, Grumbach K. Reimbursing physicians and hospitals. JAMA.1994;272(12):971-977.
Costa C. Financiamento de Serviços de Saúde – A definição de preços. Revista Portuguesa de Saúde Pública.1990;8(2):65-72.
Sutton M, Nikolova S, Boaden R et al. - Reduced Mortality with Hospital Pay for Performance in England. The New England Journal of Medicine.2012;367:1821-1828.
Teaching method
Teaching methods are based on: oral presentation, working groups and individual investigation. The evaluation is based on individual work (70%) and a group work (30%). The details of the evaluation are presented in the first session of the course.