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Prof Andrew Street COW 3.03

This course is compulsory on the Executive MSc in Health Economics, Outcomes and Management in Cardiovascular Sciences. This course is not available as an outside option.

The health care sector is extremely complex, and this gives rise to concerns about how the health system should be organised, how incentives should be designed, and how performance should be evaluated. The objective of the course is to give students an introduction to how health systems are constructed, and how the various parts of the system interact; the role of regulation, resource allocation, payment arrangements, and performance measurement; the complexities of evaluating policy and performance; and the contribution that health economics can make to the evaluation and development of health policy. Participants are introduced to variety of econometric methods as the course progresses.

15 hours of lectures and 10 hours of seminars in the MT.

The formative assessment is a 500 word outline of the summative assessment essay question.

• Busse, Reinhard, et al (2013), Diagnosis Related Groups in Europe: Moving Towards Transparency, Efficiency, and Quality in Hospitals? British Medical Journal, vol 346, f3197, pp. f3197. DOI: 10.1136/bmj.f3197

• Williams A. Economics of coronary artery bypass grafting. Br Med J (Clin Res Ed) 1985; 291 doi: https://doi.org/10.1136/bmj.291.6491.326 (Published 03 August 1985)

• Bridgewater B, Hickey GL, Cooper G, Deanfield J, Roxburgh J. Publishing cardiac surgery mortality rates: lessons for other specialties BMJ 2013; 346 :f1139

• Glazer J and McGuire TG. Optimal Risk Adjustment. Chapter 26 Jones A (ed) Elgar Companion to Health Economics, Edward Elgar Publishing, Cheltenham 2006.

• Smith PC, Street A. Concepts and Challenges in Measuring the Performance of Health Care Organizations Chapter 30 Jones A (ed) Elgar Companion to Health Economics, Edward Elgar Publishing, Cheltenham 2006.

• Mason, A., Goddard, M., Weatherly, H., & Chalkley, M. (2015). Integrating funds for health and social care: an evidence review. Journal of Health Services Research & Policy, 20(3), 177-188. DOI: 10.1177/1355819614566832

Essay (100%, 3500 words) in the LT.

The course will be assessed on the basis of a 3500 word essay on a specific topic. In writing this essay, students will be able to demonstrate and synthesise what they have learned from the lectures, reading material, group discussions and their own independent research and thinking. The content of the assessments will lead on from the illustrative case studies that have been used in the seminars.

Formative assessment will be based on a 500 word outline of the essay. This will give students an opportunity to develop their thoughts ahead of the summative assessment and will allow feedback from course teachers that will guide students when they work on their longer answers.

Due to the executive nature of the course and the 1 week nature of the module, this method of assessment will allow students to work away from campus alongside their professional roles.