| Health Administration | |||||
| Bachelor | TR-NQF-HE: Level 6 | QF-EHEA: First Cycle | EQF-LLL: Level 6 | ||
| Course Code: | SAY020 | ||||
| Course Name: | Health Insurance and Reimbursement Methods | ||||
| Semester: | Fall | ||||
| Course Credits: |
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| Language of instruction: | Turkish | ||||
| Course Condition: | |||||
| Does the Course Require Work Experience?: | No | ||||
| Type of course: | Departmental Elective | ||||
| Course Level: |
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| Mode of Delivery: | E-Learning | ||||
| Course Coordinator: | Öğr. Gör. Dr. RUHSAN TOPÇU GEZGİN | ||||
| Course Lecturer(s): | Ruhsan topcu | ||||
| Course Assistants: |
| Course Objectives: | It is aimed to know insurance practices and risk factors, to obtain information about payment systems, to understand the place and importance of private insurance in social security systems, to follow the current developments in the field of Social Security in our country. |
| Course Content: | The social security system, health insurance and applications in Turkey, payment systems and courses are covered by general health insurance. |
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The students who have succeeded in this course;
1) Reviews the health system and its subsystems from a financial macro perspective. 2) Explain the health financing resources and the importance of diversity. 3) Classify health expenditures by source and distribution and explain the importance of sustainability of health expenditures. 4) Explains the concepts of insurance and insurance and comprehends the basic working principles of insurance. 5) Discusses Private and Public Health Insurance, understands the insurance law in general terms, its authorized bodies, relations between them and their importance. 6) Determine the organization and function distribution and structuring in private health insurance institutions and relations with service providers. |
| Week | Subject | Related Preparation |
| 1) | Development of insurance | |
| 2) | Insurance applications in the world | |
| 3) | Health expenditures and health services financing | |
| 4) | Characteristics of the health and healthcare market and government intervention | |
| 5) | Health insurance and health insurance practices in Turkey | |
| 6) | Payment methods available to health institutions and health workers in Turkey | |
| 7) | Insurance concept | |
| 8) | Legal structure general and special condition | |
| 9) | Social security institution and supplementary insurance | |
| 10) | General Health Insurance (GSS) in all aspects | |
| 11) | Job acceptance principles, pricing and actuarial | |
| 12) | Insurance contract, contracted institutions | |
| 13) | Compensation payments (Damage) | |
| 14) | Role and function of intermediary organizations (TPA) |
| Course Notes / Textbooks: | Güncel kaynaklar |
| References: | Güncel kaynaklar |
| Course Learning Outcomes | 1 |
2 |
3 |
4 |
5 |
6 |
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| Program Outcomes | ||||||||||||||
| 1) They will have the theoretical and practical knowledge to comprehend, evaluate and direct the operation of the health systems and its subsystems. | 3 | 3 | 3 | 3 | 3 | 3 | ||||||||
| 2) They will have the knowledge of factors about society-individual health and its development. | 3 | 2 | 2 | 3 | 2 | 2 | ||||||||
| 3) They will apply the theoretical and practical knowledge of health management in related institutions and organizations. | 3 | 3 | 3 | 2 | 2 | 2 | ||||||||
| 4) They will analyze, evaluate the developments in health management by using scientfic methods and techniques and develop solutions. | 3 | 3 | 3 | 2 | 2 | 2 | ||||||||
| 5) They will follow the developments in the field by using a foreign language at least at the level of European Language Portfolio B1. | 3 | 3 | 3 | 3 | 3 | 3 | ||||||||
| 6) They will use health terminology and grammar according to the rules in spoken and written communication. | 3 | 3 | 3 | 3 | 3 | 3 | ||||||||
| 7) They will share their thoughts about health management and solution proposals with internal and external parties written and orally. | 2 | 2 | 2 | 3 | 3 | 3 | ||||||||
| 8) They will use information and communication technologies with computer software at least at the level of European Computer Driving License required by the field. | 3 | 3 | 2 | 2 | 2 | 2 | ||||||||
| 9) They will constantly develop professional knowledge and skill; know ways to access information and apply them. | 2 | 2 | 2 | 3 | 3 | 3 | ||||||||
| 10) They will show mangement philosophy and management functions in health management applications. | 2 | 1 | 1 | 3 | 3 | 3 | ||||||||
| 11) They will behave sensitve to health problems in the country and around the world with sociak responsibility and sustainability and they will evaluate solution suggestions to maximize social benefits. | 3 | 3 | 2 | 2 | 2 | 2 | ||||||||
| 12) They will act in accordance with legal regulations in the field of health management and with social, scientific and professional ethical principles. | 2 | 3 | 3 | 3 | 3 | 3 | ||||||||
| 13) They will show leadership characteristics in health management applications. | 2 | 3 | 3 | 3 | 3 | 3 | ||||||||
| 14) They will take responsibility individually and as a team member in health management applications. | 3 | 3 | 3 | 3 | 3 | 3 | ||||||||
| No Effect | 1 Lowest | 2 Average | 3 Highest |
| Program Outcomes | Level of Contribution | |
| 1) | They will have the theoretical and practical knowledge to comprehend, evaluate and direct the operation of the health systems and its subsystems. | 2 |
| 2) | They will have the knowledge of factors about society-individual health and its development. | 2 |
| 3) | They will apply the theoretical and practical knowledge of health management in related institutions and organizations. | 2 |
| 4) | They will analyze, evaluate the developments in health management by using scientfic methods and techniques and develop solutions. | 3 |
| 5) | They will follow the developments in the field by using a foreign language at least at the level of European Language Portfolio B1. | 2 |
| 6) | They will use health terminology and grammar according to the rules in spoken and written communication. | 2 |
| 7) | They will share their thoughts about health management and solution proposals with internal and external parties written and orally. | 2 |
| 8) | They will use information and communication technologies with computer software at least at the level of European Computer Driving License required by the field. | 3 |
| 9) | They will constantly develop professional knowledge and skill; know ways to access information and apply them. | 3 |
| 10) | They will show mangement philosophy and management functions in health management applications. | 2 |
| 11) | They will behave sensitve to health problems in the country and around the world with sociak responsibility and sustainability and they will evaluate solution suggestions to maximize social benefits. | 2 |
| 12) | They will act in accordance with legal regulations in the field of health management and with social, scientific and professional ethical principles. | 2 |
| 13) | They will show leadership characteristics in health management applications. | 3 |
| 14) | They will take responsibility individually and as a team member in health management applications. | 3 |
| Semester Requirements | Number of Activities | Level of Contribution |
| Homework Assignments | 4 | % 40 |
| Final | 1 | % 60 |
| total | % 100 | |
| PERCENTAGE OF SEMESTER WORK | % 40 | |
| PERCENTAGE OF FINAL WORK | % 60 | |
| total | % 100 | |
| Activities | Number of Activities | Workload |
| Course Hours | 14 | 42 |
| Study Hours Out of Class | 14 | 14 |
| Homework Assignments | 4 | 48 |
| Final | 1 | 15 |
| Total Workload | 119 | |