SKI106 Health InsuranceIstanbul Okan UniversityDegree Programs Nükleer Tıp TeknikleriGeneral Information For StudentsDiploma SupplementErasmus Policy StatementNational Qualifications
Nükleer Tıp Teknikleri
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) To have basic theoretical and applied knowledge supported by textbooks containing up-to-date information in the field, application tools and other resources based on the qualifications gained at secondary education level.
1) Qualifications gained at secondary education level based on updated information, practice textbooks, equipment and other resources which are supported with basic theoretical and practical knowledge. The basic level in the field of theoretical and practical knowledge to a higher education level in the same field, or the ability to use skills in an area that is on the same level.
3) In the field of basic level independently. -Field encountered in applications related to solve complex and unpredictable problems take responsibility as a team member. -Within the framework of a project activities towards the development of the ability to conduct.
4) The basic level knowledge and skills acquired in the field to be able to evaluate critically, determine and respond to learning needs. -A higher education level in the same field of Study or an occupation in the same level. -Lifelong learning gained consciousness.
5) In the field with their thoughts and suggestions for solutions to the problems professionals and non-professionals. -A foreign language at least at the General level A2 of the European language portfolio monitor the developments in the field using and communicate with colleagues. -At least a minimum level of European computer driving license basic level software in conjunction with the information and communication technologies kullanabilm
6) Collection of data related to the field, and announcement of the results of the stages of the social, scientific, cultural and ethical values. -Universality of social rights, social justice, quality and cultural values with environmental protection, occupational health and safety issues have sufficient consciousness.

Course - Learning Outcome Relationship

No Effect 1 Lowest 2 Low 3 Average 4 High 5 Highest
           
Program Outcomes Level of Contribution
1) To have basic theoretical and applied knowledge supported by textbooks containing up-to-date information in the field, application tools and other resources based on the qualifications gained at secondary education level.
1) Qualifications gained at secondary education level based on updated information, practice textbooks, equipment and other resources which are supported with basic theoretical and practical knowledge. The basic level in the field of theoretical and practical knowledge to a higher education level in the same field, or the ability to use skills in an area that is on the same level.
3) In the field of basic level independently. -Field encountered in applications related to solve complex and unpredictable problems take responsibility as a team member. -Within the framework of a project activities towards the development of the ability to conduct.
4) The basic level knowledge and skills acquired in the field to be able to evaluate critically, determine and respond to learning needs. -A higher education level in the same field of Study or an occupation in the same level. -Lifelong learning gained consciousness.
5) In the field with their thoughts and suggestions for solutions to the problems professionals and non-professionals. -A foreign language at least at the General level A2 of the European language portfolio monitor the developments in the field using and communicate with colleagues. -At least a minimum level of European computer driving license basic level software in conjunction with the information and communication technologies kullanabilm
6) Collection of data related to the field, and announcement of the results of the stages of the social, scientific, cultural and ethical values. -Universality of social rights, social justice, quality and cultural values with environmental protection, occupational health and safety issues have sufficient consciousness.

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