SKI106 Health InsuranceIstanbul Okan UniversityDegree Programs Yaşlı BakımıGeneral Information For StudentsDiploma SupplementErasmus Policy StatementNational Qualifications
Yaşlı Bakımı
Associate TR-NQF-HE: Level 5 QF-EHEA: Short Cycle EQF-LLL: Level 5

General course introduction information

Course Code: SKI106
Course Name: Health Insurance
Course Semester: Spring
Course Credits:
Theoretical Practical Credit ECTS
3 0 3 4
Language of instruction: TR
Course Requisites:
Does the Course Require Work Experience?: No
Type of course: Department Elective
Course Level:
Associate TR-NQF-HE:5. Master`s Degree QF-EHEA:Short Cycle EQF-LLL:5. Master`s Degree
Mode of Delivery: Face to face
Course Coordinator : Öğr.Gör. BÜLENT DERSE
Course Lecturer(s):
Course Assistants:

Course Objective and Content

Course Objectives: To gain a basic perspective on public and private health insurance and to explain the importance of insurance and insurance in health management.
Course Content: This course includes the following topics; Health Care System and the Border, Basic Criteria in Health Organization, Basic Finance Models and Role and Importance of Health Insurance on Health, Health Insurance Concepts, Types, and Classification of Private Health Insurance History in Turkey, Technical and Market Analysis, Distribution Channels, Private and Public Health Basic Legislation in Insurance, Organizational Structure in Health Insurances, Underwriting and Production Processes, Related Legislation, Organizational Structure in Health Insurances, Underwriting and Production Processes, Related Legislation (continued), Compensation and Provision Process in Health Insurances, Related Legislation, Network and Contract Management in Health Insurances, related Legislation (continued), Sustainability in Health Spending, Financial Management of Chronic Diseases in Health Care and Reimbursement Methods, Process and General Health Insurance Complementary Health Insurance in Turkey, Medical Tourism and Health Tourism Insurance, Analysis of General Health Data and Strategic Goals, Analysis of General Health Data and Strategic Goals (continued).

Learning Outcomes

The students who have succeeded in this course;
Learning Outcomes
1 - Knowledge
Theoretical - Conceptual
2 - Skills
Cognitive - Practical
3 - Competences
Communication and Social Competence
Learning Competence
Field Specific Competence
1) Reviews health system and its sub-systems from a financial macro perspective.
2) Explain health financing resources and the importance of diversity.
3) Classifies health expenses by source and distribution and explains the importance of sustainability of health expenditures.
4) Explain the concepts of insurance and insurance and comprehend basic working principles of insurance.
Competence to Work Independently and Take Responsibility

Lesson Plan

Week Subject Related Preparation
1) Health Services System and Boundaries, Basic Criteria in Health Organization Examination of sample cases related to the subject
2) Basic Financing Models in Health and the Importance of Health Insurances Examination of sample cases related to the subject
3) Health Insurance Concepts, Types and Classification Examination of sample cases related to the subject
4) History of Private Health Insurance in Turkey, Technical and Market Analysis, Distribution Channels Examination of sample cases related to the subject
5) Basic Legislation in Private and General Health Insurance Examination of sample cases related to the subject
6) Organizational Structure, Underwriting and Production Processes in Health Insurance, Related Legislation Examination of sample cases related to the subject
7) Midterm exams
8) Compensation and Provision Process in Health Insurance, Related Legislation Examination of sample cases related to the subject
9) Compensation and Provision Process in Health Insurance, Related Legislation Examination of sample cases related to the subject
10) Sustainability in Health Expenditures, Reimbursement Methods in Health Services and Financial Management of Chronic Diseases Examination of sample cases related to the subject
11) Process and General Health Insurance Complementary Health Insurance in Turkey Examination of sample cases related to the subject
12) Health Tourism and Health Insurance in Tourism Examination of sample cases related to the subject
13) Analysis of General Health Data and Strategic Targets Examination of sample cases related to the subject
14) Analysis of General Health Data and Strategic Targets Examination of sample cases related to the subject
15) Final exams none

Sources

Course Notes / Textbooks: Özbolat, M. (2017). Temel Sigortacılık, Seçkin Kitapevi, Ankara.
References: Orhaner, E. (2000). Türkiye’de Sağlık Sigortacılığı, Gazi Kitapevi, Ankara

Course-Program Learning Outcome Relationship

Learning Outcomes

1

2

3

4

Program Outcomes
1) Works for individual professional development, knows and applies the issue of occupational health and safety, knows personal protective precautions and environmental safety rules,
2) Knows how to prepare / organize the working area and ensures that the elderly care service meets the quality standards
3) Helps the individual who receives the elderly care service to gain self-care knowledge and skills, Makes face and neck care, Makes hand-foot-nail care, Makes oral and dental care, Makes hair / beard care
4) Helps the elderly care person to have bathroom or bathing in the bed, Helps to change the clothes , Helps with toilet needs
5) Performs necessary procedures after self-care. Prepares the materials used during the applications according to the hygiene rules. Removes the personal waste that emerges during maintenance according to hygiene rules.
6) Changes the bedding of the person taking elderly care service and provides bedding arrangement, Provides the room arrangement, Takes measures against accidents and injuries in the living area
7) Provides and/or supports oral feeding, Performs necessary procedures after oral feeding
8) Provides mobility of the elderly person, Follows body integrity and bed wounds, Implements the measures necessary to prevent bed wounds
9) Provides participation in social activities, Supports participation in occupational activities, Provides participation in recommended physical activities, Provides participation in proposed mental activities, Supports adaptation process, Facilitates effective communication
10) Supports the use of prescription medication (except for red and green prescriptions) for elderly when there is no health professional,   Supports health professionals in the treatment of acute and chronic conditions, Monitor old person receiving treatment

Course - Learning Outcome Relationship

No Effect 1 Lowest 2 Low 3 Average 4 High 5 Highest
           
Program Outcomes Level of Contribution
1) Works for individual professional development, knows and applies the issue of occupational health and safety, knows personal protective precautions and environmental safety rules, 2
2) Knows how to prepare / organize the working area and ensures that the elderly care service meets the quality standards 2
3) Helps the individual who receives the elderly care service to gain self-care knowledge and skills, Makes face and neck care, Makes hand-foot-nail care, Makes oral and dental care, Makes hair / beard care
4) Helps the elderly care person to have bathroom or bathing in the bed, Helps to change the clothes , Helps with toilet needs
5) Performs necessary procedures after self-care. Prepares the materials used during the applications according to the hygiene rules. Removes the personal waste that emerges during maintenance according to hygiene rules.
6) Changes the bedding of the person taking elderly care service and provides bedding arrangement, Provides the room arrangement, Takes measures against accidents and injuries in the living area
7) Provides and/or supports oral feeding, Performs necessary procedures after oral feeding
8) Provides mobility of the elderly person, Follows body integrity and bed wounds, Implements the measures necessary to prevent bed wounds
9) Provides participation in social activities, Supports participation in occupational activities, Provides participation in recommended physical activities, Provides participation in proposed mental activities, Supports adaptation process, Facilitates effective communication
10) Supports the use of prescription medication (except for red and green prescriptions) for elderly when there is no health professional,   Supports health professionals in the treatment of acute and chronic conditions, Monitor old person receiving treatment

Learning Activity and Teaching Methods

Expression
Q&A / Discussion

Assessment & Grading Methods and Criteria

Written Exam (Open-ended questions, multiple choice, true-false, matching, fill in the blanks, sequencing)

Assessment & Grading

Semester Requirements Number of Activities Level of Contribution
Midterms 1 % 40
Final 1 % 60
total % 100
PERCENTAGE OF SEMESTER WORK % 40
PERCENTAGE OF FINAL WORK % 60
total % 100

Workload and ECTS Credit Grading

Activities Number of Activities Duration (Hours) Workload
Course Hours 1 30 30
Midterms 1 40 40
Final 1 60 60
Total Workload 130