Title: Health Economics and Economic Analysis
Keywords: Poverty
Health economics
Health Policy (incl. advocacy)
Country: Germany
Institution: Germany - Institute of Tropical Medicine and International Health, Berlin
Course coordinator: Paul Marschall
Date start: 2020-01-20
Date end: 2020-01-31
About duration and dates: 2 weeks (10 days)
Classification: advanced optional
Mode of delivery: Face to face
Course location: Charité - Universitätsmedizin Berlin
Campus Virchow-Klinikum
Augustenburger Platz 1
ECTS credit points: 3 ECTS credits
SIT: 90 hours SIT
Contact time: 78.25 hours (lectures and facilitated discussion: 54 hours; group work and presentations: 24 hours; oral exam: 0.25 hours); self study time: 11.75 hours
Language: English
Description: Overall objectives:

At the end of the module the student should be able to:
• critically discuss, exchange and share views about health economics and its use in the decision making process

Specific objectives:
At the end of the module the student should be able to:
• appraise the different types of economic analysis applied to health and how these analyses are performed;
• appraise the importance of economic considerations when addressing the health system;
• assess how economic analysis can support the decision making process and assess how economic principles can influence health policy;
• evaluate the financial flows in the health system, and appraise the consequences of health financing models for them;
• analyse the limits of economic theory applied to health, and critically appraise economic analysis in health
• appraise information sources, data used and collected for economic analysis, and how these data are transformed into economic information;
• evaluate economic implications of health policies, programmes and interventions
Assessment Procedures:
1. Group assignment and presentation
The class is divided into groups of 4-6 students. Each group is given a resource allocation case, including basic background information. Using (1) available and additionally collected information, (2) economic analysis tools and (3) decision making processes, participants are asked to formulate and present a relevant intervention policy. This way they have the opportunity to synthesize the knowledge they gained and apply it to a specific situation.
2. Individual oral exam
A short individual oral exam (15 min.) is part of the assessment procedure. The oral exam is based on a set of questions prepared during the course. The objective is to assess individually acquired knowledge.
Students and participants must attend 80% of the teaching time.
The overall assessment is an average of the group presentation (50% contribution to overall grade) and the individual oral exam (50% contribution to overall grade). The overall pass mark is 60%. Students must pass the oral exam.
In case they fail the 1st attempt of the oral exam, they will be offered a re-sit. A second re-sit is allowed but may be linked to conditions set by the Committee of Admissions and Degrees.
In case they fail the group presentation, they will be offered a re-sit in the form of an individual essay. A second re-sit in the form of an individual essay is allowed but may be linked to conditions set by the Committee of Admissions and Degrees.
The course includes the following topics:
• Revision of basic concepts of economics, health economics, economic analysis in the health sector, and health systems performance
• Priorities setting in the health system – criteria for efficient resource allocation
• Principles of health financing and funding
o Tax-based
o Different types of health insurances
o Out-of-pocket
• Contracting health services
• Performance based financing
• Economic analysis in health
o Definition of cost
o Cost minimisation
o Cost-effectiveness
o Cost-utility
o Cost-benefit
• Taking the real world into account – making things comparable
o Uncertainty
o Discounting
o Weighing
• Measuring (expected) results
o Outputs, outcomes
• Generalized cost effectiveness studies
• Critical appraisal of health economics, using historic and current case studies
In addition to PowerPoint slide presentations, adult learning tools and techniques will be used during the course, including discussions, debates, role play and audio-visual materials.
The course is intended for health professionals with experience in the health sector.
If not a native speaker: Internationally recognised English proficiency certificate equivalent to a TOEFL score of 550 paper/213 internet/80 online, or IELTS score 6, or DAAD (A or B in all categories). tropEd students need to provide proof of registration as tropEd student at their home institution only. For further exceptions refer to http://internationalhealth.charite.de/en/admission/application/.
Maximum number of students: 26.
DIPH participants who apply by the deadline for application have priority over MScIH students and alumni and short course participants. Places are then allocated on a “first-come, first-served” basis.
Deadline for application: 6 weeks before module start (24 Dec 2017)
We shall confirm the module 4 weeks before module start latest subject to a sufficient number of applications.
Late applications will be considered as long as places are available.
825,00 € for tropEd MScIH students and alumni
1.031,25 € for guest students incl. Diploma
Scholarships: None
Major changes since initial accreditation:
• Since 2015 the course coordinator is Dr Paul Marschall.
• The content has been adapted to cover the most important aspects of health economics, from macro- to microeconomics, from supporting policy decision to informing clinical decision, from collecting resources to allocating them. Particular topics have been added, like for example Health Production, Sector Wide Approaches (SWAP), Contracting, Performance Based Financing, Decentralization and Community Based Health Insurances.
• Since 2010, an individual oral exam has been added to the assessment procedures to better take individual performance into account.
Student evaluation:
Students were pleased with the choice of topics. They suggested that the interactive elements of the teaching should be extended, including some practice of economic analysis
Lessons learned:
• To make the lectures more accessible to non-economists, less technical jargon will be used
• A critical understanding of, the use (and misuse) of economic theory and health financing practices will be emphasized.
tropEd accreditation:
Accredited in September 2005. Re-accredited in December 2011 and in December 2016. This accreditation is valid until December 2021.
Recommended pre-reading:
• Executive Summary of the World Health Report (2010): health systems financing- the path to universal coverage. Accessible at http://apps.who.int/iris/bitstream/10665/44371/1/9789241564021_eng.pdf
• Hendriks, ME et al. (2014), Step-by-step guideline for disease-specific costing studies in low- and middle-income countries: a mixed methodology, Glob Health Action 7:10; DO: 10.3402/gha.v7.23573
• Mills, A. (2014), Reflections on the development of health economics in low- and middle-income countries, Proc. R. Soc. B 2014 281 20140451; DOI: 10.1098/rspb.2014.0451.
• Rudmik L, Drummond M. (2013), Health economic evaluation: important principles and methodology, Laryngoscope 123(6); DOI: 10.1002/lary.23943

Course application form
Email Address: mscih-student@charite.de
Date Of Record Creation: 2012-01-09 08:39:48 (W3C-DTF)
Date Of Record Release: 2012-01-09 14:50:39 (W3C-DTF)
Date Record Checked: 2018-06-27 (W3C-DTF)
Date Last Modified: 2019-11-25 15:26:31 (W3C-DTF)

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