Financing and Health Contracting


Learning outcomes of the curricular unit

This course provides an introduction to the study of Financing Models and Health Contracting. At the end of the course, students should be able to:

Understand the main funding and payment models for health;

Distinguish various forms of contracting in health;

Understand the contracting process in its various aspects and dimensions; 

Obtain a set of analytical skills, in order to establish the relationship between the health needs identified and the response options of organizations providing health care;

Learn to set priorities in national, regional or organizational towards better use of resources.

General characterization





Responsible teacher

Ana Maria Escoval


Weekly - Available soon

Total - 30

Teaching language



Requirements for frequency

No requirements



Thompson, Leigh L. “A Razão e o Coração do Negociador”, Edição da Monitor, 2008.

SMITH [et al.] - A review of the effectiveness of primary care-led commissioning and its place in the NHS. London: The Health Foundation, 2004. ISBN 0 9548968 0 7. [Em linha] [Consult. 31 Jul. 2009] Disponível em

Relatórios dos projetos da linha de investigação de contratualização em saúde. ENSP ( 

Revista Portuguesa de Saúde Pública. ENSP


COYTE, P. C. [et al.] - How can the settings used to provide care to older people be balanced? [Em linha]. Copenhagen: Health Systems and Policy Analysis.  

Teaching method

Teaching methodologies (including evaluation)

Theoretical sessions;

Seminars (critical analysis and discussion of case studies);

Group work presentation and discussion.


Individual work (40%).

Development of an essay, up to 5 pages after research, analysis, interpretation and discussion of selected literature - group work (40%).

Attendance and class participation under continuous assessment (20%). 

Evaluation method

Available soon

Subject matter


Policies and health care systems funding models: an international perspective;

Health payment models: new solutions to old problems: a national perspective and international perspective. The patient classification systems as instruments of support;

Models to identify health needs and contracting;

The evolution of national and international contracting in health; 5. Types of contracting in health:

Contracting for hospital care;

Contracting for primary care;

Contracting for long term care;

Contracting for health programs;

6. Monitoring and evaluation in contracting.