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Healthcare Purchasing and Supply Chains
| Faculteit | Economie en Bedrijfskunde |
| Jaar | 2022/23 |
| Vakcode | EBM193B05 |
| Vaknaam | Healthcare Purchasing and Supply Chains |
| Niveau(s) | master, uitwisseling |
| Voertaal | Engels |
| Periode | semester I b |
| ECTS | 5 |
| Rooster | rooster |
| Uitgebreide vaknaam | Healthcare Purchasing and Supply Chains | ||||||||||||||||||||||||||||||||||||
| Leerdoelen | Upon the completion of the course the student is able to: 1. Understand the role of healthcare purchasers in achieving the right care at the right place. 2.Explain different approaches for internal financial control of hospitals and their advantages, disadvantages and challenges. 3.Illustrate how healthcare providers (e.g., physicians) perceive and respond to the (financial) incentives of different contracts, and its implications for care delivery. 4.Analyse how various care providers deliver care along a supply chain/in a network and how this affects quality, costs and accessibility of care. 5.Analyse how purchasers manage the supply chain and how they govern the relationship with providers. 6.Compare and critically reflect on different healthcare systems and healthcare purchasing strategies worldwide and the implications for the organisation and provision of care along supply chains. |
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| Omschrijving | This course will discuss purchasing and supply chain management in the healthcare sector. We focus on the purchasing of care, not particularly on the purchasing of materials and/or services by the healthcare provider. In the course there is much attention for the implications of different healthcare systems and policies for purchasing. In pursuing the triple aim of healthcare (quality, accessibility, and cost), purchasers (e.g., health insurers or regional or local governmental bodies) can play an important role. For example, how can we move from volume to value for patients through the incorporation of innovative payment models and how can we better define and measure value of care? What type of contracts should, and can, purchasers agree upon with healthcare providers to incentivize quality? What are the potential effects of such contracts? Importantly, purchasers are not alone- we must consider the interests of care suppliers as well in order to address issues of population health, affordability and quality. Some further questions arise concerning the healthcare supply chain: What type of purchaser-provider relationships and market conditions are most effective for achieving better care delivery? Should providers cooperate or compete in order to strive for better health outcomes, better care experiences and for healthcare expenses to be reduced? Do we really have optimal market conditions in healthcare? We will critically assess concepts such as payment via diagnosis related groups (DRG), Value-based healthcare (VBHC) and approaches for internal financial control within hospitals. We will use different organisation theories to study the role of the healthcare purchaser and the relationships between key stakeholders. Furthermore, in order to keep healthcare affordable, one has to think about which provider should offer which service in the healthcare supply chain. As we see in the Netherlands, care is becoming concentrated. More complex care is performed by university hospitals while less complex care can be delivered at peripheral hospitals. But what should the right balance be between complex and non-complex care for university hospitals? How can purchasers manage networks of care? These types of questions will be elaborated upon in this course. We will show how complex healthcare systems are, and how challenging it is to deal with or change the deeply rooted positions of purchasers and providers in the care chain. |
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| Uren per week | 3 | ||||||||||||||||||||||||||||||||||||
| Onderwijsvorm | -gastcollege , -hoorcollege , -werkcollege | ||||||||||||||||||||||||||||||||||||
| Toetsvorm |
-groepsopdracht, -groepspresentatie, -schriftelijk tentamen (open vragen)
(One group assignment, consisting of two parts (one written, one oral presentation)) |
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| Vaksoort | master | ||||||||||||||||||||||||||||||||||||
| Coördinator | dr. A.C. Noort | ||||||||||||||||||||||||||||||||||||
| Docent(en) | Guest Lecturer(s) ,dr. A.C. Noort ,dr. A.G. Regts-Walters ,prof. dr. J.T. van der Vaart | ||||||||||||||||||||||||||||||||||||
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