Managed healthcare and fincancing

Course Description

The course is designed to offer students a basic understanding of the health care delivery. It describes the different approaches to health care delivery. It will provide students to analyze the major components of the health care system in order to describe how providers contribute to the sector.

Course Objectives

1. To understand the essential components of an effective health service delivery system and the structure of health insurance industry and philosophical underpinnings of the market and social approaches to health service delivery
2. To examine the major role of government, private and Nongovernmental organization in Uganda health service delivery and the major financing mechanism for the health sector
3. To appreciate the health care environment as a rapidly changing arena
4. To understand what comprises a strategic plan and understanding the relationship between planning and organizing

Learning outcomes

At the end of the course, students should be able to:

1. Describe and examine the essential components of an effective health service delivery system
2. Have knowledge of the major role government, private and Nongovernmental organization in Uganda health service delivery
3.  Understand and explain various government health insurance programs,
4. Understand and describe the issues regarding the uninsured, underinsured
5. Know what comprises a strategic plan and understanding the relationship between planning and organizing

Further reading

Turnock, B., J. (2006). Public health: care choices that make a difference.

Schneider, M., J (2013). Introduction to public health.

Riegelman, R. (2010). public health 101: health people- healthy populations (essentials public health)

Richard Skolnik (2011); Global Health 101 (Essential public Health)

Public health; The development of a discipline, vol .1 pp 589-596.

Link, B., G & (1995). " Social conditions as fundamental causes of disease " journal of health and social behavior, 35 (extra issue): 80 - 94.

Kates , J, Fischer, J., Lief, E. (2009). The U.S. government`s global health policy architecture: structure, programs, and funding. kaiser family foundation.

Karen, G., Barbara, K., R., & Viswanath, K. (2008). Health behavior and health education: theory, research, and practice.

Jonas & Kovner (2011). Health care delivery in the United States, (10th ed.)

James, F., M., Robert, R., P., & Jerome, E., K. (2011). An introduction to community healthy (7th ed).

Mitchell, D. (1999). Managed care & developmental disabilities : reconciling the realities of management care with the individual needs of persons with disabilities. High tides press.

Kongstvedt, P., R. (2001). The managed care handbook. Jones & Bartlett learning.

Knight, W. (1997). Managed care contracting: Aguide for health care professional: Aspen publishers.

Knight, W. (1998). Managed care : What it is and how it works : Aspen publisher

Cleverley, W., Cleverley, J.,& Song, P. (2010) Essentials of health care finance . Jones & Bartlett learning .

Brown, M. (1994) . Management care : strategies, net works, and management. Jones & Bartlett learning.

Boland ,P (1991). Making managed health care work : A practical guide to strategies and solutions . jones & bartlett learning .

Berkowitz , E. (2010) . Essentials of health care marketing. Jones & Bartlett learning.

Thomas Bodenheimer and Kevin Grumbach, "Understanding health policy: A Clinical Approach,"7th edition, 2020, McGraw-Hill Edition

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