Course Syllabus 1 Course Title and Course Code / Number, Credit hours (or equivalent), prerequisites (if any), co-requisites (if any) Program BSc. Healthcare Management & Economics Course Title Health Economics Course Code HEE 202 Credit Hours 3 Contact Hours 4 (2 Lecture Hours + 2 Non Lecture Hours) Pre-requisites PRE 106 Co-requisites None Year 2 Semester 3 2 Name and contact information of the Instructor(s) Name Dr. Moon Moon Haque Qualifications PhD. Contact information Email: dr.moon.h@gmu.ac.ae 3 Brief Course Description (as in Catalog): This course aims at introducing participants to the use of economic analysis in all aspects of health and health care. It enable the students to be familiar with the fundamental of health economics, to understand relationships between health economics and health policy and management, to interpret current issues in health care systems reforms using health economics tools. The first part of the course discusses the fundamental of economics and major issues concerning market failures in health care: efficiency-driven responses and equity-driven responses to these failures are outlined. In the second part more details are provided on health care expenditure determinants; demand for and supply of health and health care; insurance market; theory of incentives for health care providers; hospitals as economic agents; health economics applied to pharmaceuticals and medical technologies. 4 Intended Course Learning Outcomes of the Course: Course Learning Outcomes Upon successful completion of the course, student will be able to: 1: Understand and describe the specificities and complexities of the health sector 2: Explain why health is a supply induced demand sector and its implications 3: Outline the issues shaping and influencing decision-making in health policy 4: Explain and advise on risks and opportunities of specific health policies 5: Evaluate efficiency, effectiveness and equity of a specific health market configuration 6: Be autonomous in evaluating the main and side effects of a policy 7: Propose in his/her own hospital or health organization a strategic developments that maximize efficacy given expected behaviors payers and patients 8: Develop effective consulting and policy making capabilities applied to the health sector Session No 1 Course Topics and Contents Materials Topic: Introduction to Economics Contents: Demand and supply • Consumer surplus • Market dynamics • Class Discussion Topic: How do agents make decisions • 2 Contents: 3 4 1. L. L. Hicks: Ch- 2, 3 & 6 2. https://scholar.harvard.edu/files/mankiw/files/economics_of _healthcare.pdf 1. Hicks: Ch-4 & 7 • Preferences 2. http://jasss.soc.surrey.ac.uk/17/4/13.html • Utility • Budget constraint • Class discussion Topic: Technology and the supply curve 1. Hicks: Ch-5, 6 & 8 Contents: 2. Ivey Case study by: Sonal Singh, Meeta Dasgupta on “Leader Healthcare: Deciding on a Growth Strategy” • Technology (W17022) • Costs • Perfect competition 3. Quiz on Health Topics • Supply curve • Class discussion • Guest Speaker Topic: Market structure: beyond 1. Hicks: Ch-9 perfect competition Contents: • • Monopoly Collusion • • 5 Monopolistic competition Guest Speaker Topic: Finding partial Equilibrium a 1. Hicks: Ch-8 2. Darden Case Study by: Peter Debaere on “Supply, Demand and Equilibrium: The Algebra” (UV0850) Contents: 2. Presentation on Case Crossing of supply and demand • Case discussion Topic: General 1. http://econ.lse.ac.uk/staff/tbesley/papers/welfpub.pdf Equilibrium 2. Presentation on Team Topics Contents: • 6 Welfare theory and theorems • Public choice • Team presentation and Discussion Topic: Market Failures 1. Hicks: Ch-10 for public goods • 7 Contents: 8 • Market failure • Class discussion Topic: Market Failures 1. Hicks: Ch-10 due to asymmetric 2. Stanford Case Report: By James Phills, Lyn Denend information on “Social Entrepreneurs: Correcting Market Failures (A)” (SI-72A) Contents: 3. Mid Semester Examination Market failure Case Report and Discussion Topic: Health insurance 1. Hicks: Ch-10 and risk aversion • • 9 Contents: • Demand, Supply and equilibrium in the market for health insurance 10 Topic: Health care 1. https://core.ac.uk/download/pdf/148366622.pdf expenditure and its 2. determinants https://www.who.int/health_financing/documents/report_en_ 11_deter-he.pdf?ua=1 Contents: Health care expenditure • Health care and other determinants of health • Guest speaker: Healthcare Economics: The GCC countries Topic: The 1. https://www.nber.org/papers/w7078.pdf specificities of the 2. Discussion on Demand for Healthcare demand for health • 11 The theory of human capital: the Grossman model across countries Contents: Theory of human capital • Specificities of the demand • Group discussion: Demand for Healthcare Topic: The role of time 1. “A Refresher on Price Elasticity” by Amy Gallo, HBR, and co-payment. 2005. Price-elasticity of the 2. Ivey Case Discussion: “Khao Yai Winery: An demand for health Economic Perspective” By Jordan A. French (W17106) care. 3. Kellogg Case Study: “Pepita Disco PPM: Margins and Contents: Elasticity” by Julie Hennessy, Evan Meagher (KEL 692) • Co-payment • Price elasticity 2. Quiz on Health Topics • Exercise • Case Report and • 12 Discussion 13 Topic: The relationship healthcare agency 1. Hicks: Ch-7 in Contents: Agency relationship • Exercise and discussion • Team Presentation and Discussion Topic: Financing 1. Hicks: Ch-14 & 15 health care providers. • 14 The effects of different reimbursement systems for providers and professionals Contents: Reimbursement systems • Exercise and group discussion • Financial Healthcare Providers Topic: The production 1. Hicks: Ch-5 and cost functions of health care. The hospital as a firm • 15 Contents: • • Production and cost functions of healthcare Group discussion 7 Methods and dates of examinations and other student assessments including the relative weight of various assessment elements in determining the course grade: Formative Assessment: This is a continuous process carried throughout the period of study and consists of weekly or end of unit quizzes, tutorials, interactive computer-based tests, and / or feedback during small group discussions. Summative Assessment: Relative Weight of Assessment Continuous Assessment Elements Elements Class tests 25% Individual Short Case Report 25% Mid Semester Examination 20% Final 6 End Semester Examination 30% 100% Information on out-of-class assignments Questions will focus on the following topics Case Report 1 Factors in Agents Decision Assessment Elements Class Tests Week 3 & 12 Dates Individual Short Case Report Week 5 Mid-Semester Examination Week 8 End-Semester Examination Week 15 Course Requirements Sl. Description No. Numbers 1. Class Tests 2 2. Individual Short Case Report 1 3. Mid-Semester Examination 1 4. End-Semester Examination 1 Grading: Classification Pass Fail Marks Scored (Percentage) 90-100 85-89 80-84 75-79 70-74 65-69 60-64 <60 Grade A B+ B C+ C D+ D F Grade Value 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0 Incomplete work Policy: All course work must be completed on or before due dates of submission. Late submission will be accepted only until the end of the 15th week of the semester on approval by the course faculty. Attendance Policy: Attendance for all the academic sessions is compulsory and students with shortage of attendance will not be allowed to appear for the End Semester / Professional examinations. If the attendance is less than 80% in any of the course the grade F (Fail) shall be entered in the transcript. Student Academic Dishonesty Policy: A student must not use or attempt to use unauthorized assistance, materials, information, or study aids in any academic exercise, including, but not limited to external assistance in professional or any “in course” examination; this prohibition shall include: • Use of books, notes, mobiles, students’ crosstalk, etc. • Use of another person as a substitute in the examination • Stealing examination materials or other source material • Use of any unauthorized assistance in a laboratory, or in fieldwork • Altering the marks awarded in anyway. • Claiming as his/her own, work done by others, or completed in collaboration with others Plagiarism Policy: A student shall not adopt or reproduce ideas, words, or statements of another person without appropriate acknowledgement. Rubrics of Assessment Elements Sl. Description No. As follows 1. Class Tests (25%) Rubrics No. Type No. of Questions Marks per Question Max. Mark Weightage Class test 1 MCQ 15 1 15 10% Class test 2 MCQ 20 1 20 15% Total Score 25 2. Individual Short Case Report (25%) Case report covers specific topics discussed in the course. It includes submission in the form of a case write-up (600 words). Grading Rubric for Case Studies Criteria Scaled Score: Weight Clear explanation of key issues • The problems, scope, and seriousness was clearly identified in the discussions of cases. • There was a well-focused diagnosis of key issues and problems that demonstrated a good grasp of the present situation • Effective concise executive summary 15% Valid arguments; identification of relevant facts with supportive detail • Logically organized, key points, key arguments, and important criteria for evaluating key facts were easily identified • Critical issues and key problems that supported the Case Analysis were identified and clearly analyzed and supported. 20% 0/1 Below Standard Shows little understanding of the issues, key problems, and the entity’s present situation and critical issues. Executive summary missing or poorly constructed. Critical issues and key problems that supported the Case Analysis were poorly identified, analyzed, and supported. 2 Approaching Standard Shows some understanding of the issues, key problems, and the entity’s present situation and critical issues. Executive summary inadequate. Critical issues and key problems that supported the Case Analysis were not clearly identified, analyzed, and supported. 3 At Standard Shows adequate knowledge of the issues, key problems, and the entity’s present situation and critical issues. Executive summary adequate. Critical issues and key problems that supported the Case Analysis were partially identified, analyzed, and supported. 4 Exceeds Standard Shows superior knowledge of the issues, key problems, and the entity’s present situation and critical issues. Effective Executive Summary. Critical issues and key problems that supported the Case Analysis were clearly identified, analyzed, and supported. Appropriate analysis, evaluation, synthesis for the specific entity’s environment identified • There was complete data on which to base a thorough analysis • Key change drivers underlying the issues were identified. • Synthesis, analysis, and evaluations were clearly presented and supported in a literate and effective manner. 40% Analysis of key change drivers and the underlying the issues inadequate. Analysis of key change drivers and the underlying the issues were not identified. Analysis of key change drivers and the underlying the issues were partially identified. Analysis of key change drivers and the underlying the issues were clearly identified. Conclusions and recommendations are congruent with case analysis • Specific recommendations and/or plans of action provided. • Specific data or facts were referred to when necessary to support the analysis and conclusions. • Recommendations and conclusions were presented and supported in a literate and effective manner. 25% Effective recommendations and/or plans of action not provided. Specific data or facts necessary to support the analysis and conclusions was not provided. Effective recommendations and/or plans of action inadequate. Specific data or facts were not referred when necessary to support the analysis and conclusions. Effective recommendations and/or plans of action were partially provided. Specific data or facts were occasionally referred when necessary to support the analysis and conclusions. Effective recommendation, solutions, and/or plans of action were provided. Specific data or facts were referred when necessary to support the analysis and conclusions. Adapted from:http://www.aur.edu/wp-content/uploads/2010/12/University-Writing-Rubric-Approved-byCurriculum-Committee-Feb-2010.doc 3. Mid Semester Examination (20%) Type of Question Multiple Choice Questions (MCQ) Rubric • • • • No of MCQ 30 All the 30 questions carry equal marks. Full 1 mark for the correct answer. Zero mark for the wrong answer There will be no negative marks for incorrect answers. Marks Out of 30 Time allotted • A maximum time of 45 minutes for completing 30 questions. Marks converted to 20 4. End Semester Examination (30%) Type of Question Multiple Choice Questions (MCQ) Rubric • • • • No of MCQ All the 60 questions carry equal marks. Full 1 mark for the correct answer. Zero mark for the wrong answer There will be no negative marks for incorrect answers. Marks out of 60 Time allotted • A maximum time of 90 minutes for completing 60 questions Marks Converted to 30 60 8 1. 2. 9 Teaching and learning methodologies, including any use of online instruction: Lecture Case report and discussion Course texts, recommended readings, instructional material and learning resources: Course Texts: th 1. Hicks L, Economics of Health and Medical Care, 6 Edition. Jones & Bartlett Learning; 2012. ISBN-13: 978-144-9665-395 Recommended Readings: Folland S, Goodman AC and Stano M. The economics of health and health care, 7th 1. edition, Prentice-Hall; 2012. ISBN-13: 978-013-2773-690.