Faculty of Health, Medicine and Life Sciences

Module Information
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HPI4009  - Health Systems Governance

Period 2: from 30-10-2023 to 22-12-2023
Coordinator: Elissen, A.
ECTS credits: 6
Language of instruction: English

Publication dates timetable/results in the Student Portal

Deadline publication timetable
The date on which the timetable of this module is available: 13-10-2023

Deadline publication final result
The date on which the final grade of this module is available: 23-1-2024

Resit booking

Exam booking for a test in current academic year (resit)
You will be booked automatically for the resit in one of our resit periods. You may check our calenders to find out which modules can be retaken and when: https://intranet.maastrichtuniversity.nl/nl/fhml-studenten/studieverloop/wanneer-wat
As of one week before the resit test takes place, you can check in Student Portal if you are booked correctly: Student Portal > My Courses > More actions. The test will also be visible in your time table.

Exam booking for a test from a previous academic year (exam only)
All students who have not passed the test for this module in a previous academic year, will be booked automatically for the test during the regular block period. You will be enrolled in the new course in Canvas but not scheduled for a tutorial group and other educational activities. If you do not wish to participate in this test at the end of the regular block period please de-register via askFHML.

Resit date: 15-2-2024

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Course information

Description: EN:

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. 

Skills training

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.

Goals: EN:
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 • Forming opinions 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 •Communication The student: Can communicate about developments and problems in health systems governance in group discussions and working lectures • Skills The student, assuming the role of policy advisor, will be trained in: Developing a policy proposal for his/her superior  •Collaborative skills •
Key words: EN:
Health systems, health system governance, health policymaking, distributive justice.
Literature: This is the link to Keylinks, our online reference list.  
Teaching methods:
  • Assignment(s)
  • Work in workgroup(s)
  • Lecture(s)
  • Problem Based Learning
  • Presentation(s)
  • Skills
  • Training(s)
Assessments methods:
  • Assignment
  • Attendance
  • Participaion
  • Written exam

This page was last modified on:12-4-2023
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