Health Contracting and Financing Models

Objectives

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

• Understand the main funding and payment models for health;

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

• 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;

• Understand the internal hospital contracting under the external environment and in the subsystems of the organization.

 

General characterization

Code

531016

Credits

6

Responsible teacher

Professora Doutora Ana Escova

Hours

Weekly - Available soon

Total - Available soon

Teaching language

Portuguese

Prerequisites

Not applicable

 

Bibliography

Revista Portuguesa de Saúde Pública, VOL. Temático, nº 9, 2010 - Contratualização em Saúde. ENSP. Disponível em http://www.ensp.unl.pt/dispositivos-de-apoio/cdi/cdi/sector-de-publicacoes/revista/2010/conteudos/volume-tematico-contratualizacao ACSS. DPS – Metodologia para definição de preços e fixação de objetivos: Contrato-Programa. Disponível em http://www.acss.min[1]saude.pt

Escoval, Ana; Vaz, Artur e APDH - Financiamento e Classificação de Doentes: Grupos de Diagnóstico Homogéneos. Lisboa: Círculo das Letras, 2010.

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

 

Teaching method

• Theoretical sessions;

• Seminars (critical analysis and discussion of case studies);

• Group work presentation and discussion.

 

 

Evaluation method

Evaluation:

a) Individual work (40%).

b) Development of a contracting proposal, up to 5 pages after research, analysis, interpretation and discussion of selected literature - group work (50%).

c) Attendance and class participation under continuous assessment (10%).

 

Subject matter

1. Financing and Contracting in Health: strategic thinking, historical and conceptual framing.

2. Principles, elements and facilitators of health contracting.

3. Contracting in the perspective of integration of care.

4. Contracting and Health Value.

5. The modeling effect of funding models in organizations.

6. Hospital internal contracting: facilitators and barriers.

7. The construction of a plan of action: indicators, objectives and goals.

8. Negotiation techniques for the viability of trading processes in the field.

 

Programs

Programs where the course is taught: