Hospital Management

Code:

MI001

Acronym:

MI001

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2014/2015 - SP

Active?	Yes
Responsible unit:	Departamento de Ciências Sociais e Saúde
Course/CS Responsible:	Integrated Master in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIMED	11	Mestrado Integrado em Medicina 2007	6	-	1,5	32	40,5
		Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	6	-	1,5	32	40,5

Teaching language

Portuguese

Objectives

Over the last decades the crisis of the Welfare State in European countries led to a different approach with regards healthcare access. Indeed, the economic and financial lack of sustainability of most healthcare systems is a major social and political concern. In this context, the traditional practice of Medicine must be reframed in accordance with the traditional principles of medical ethics – beneficence and non-maleficence – the fundamental values of modern democracies – equity in the access to social goods – but also taking into consideration cost-containment in healthcare.
In this vein, the scarcity of resources implies that the medical decision-making process is also determined by opportunity cost criteria. That is, the balance of the sacrifices that will be imposed to other patients by medical decisions. Therefore, medical education should include the basic principles of hospital management that are a determinant for good clinical practice.

Learning outcomes and competences

The teaching methodologies adopted are in accordance with the international guidelines in the area of health care management. In this way coherence with the curricular unit’s intended learning outcomes is guaranteed since these methodologies are deemed essential for any student to acquire the competence and skills necessary for an adequate capacitation in this area. 

Working method

Presencial

Program

The Healthcare Sector: The Values of the Healthcare System (Equity and Responsiveness); The Scarcity of Resources; The Structure and the Dilemmas of the Healthcare Sector; The Importance of the Strategical Planning; The Establishment of Priorities in Healthcare and the Theories of Distributive Justice.

The Financing of the Healthcare: The Different Systems of Financing: Systems Based on Taxes, Insurances and the Co-payments; Different Modalities of Payment to the Professionals; International Experiences.

The Healthcare Market: The Market Structure, Information Asymmetry and the Agency Theory; The Consumer Sovereignty, Prices and Quality; The Uncertainty of the Market and Variation in Clinical Practice; Health Geography.

The New Public Management and Entrepreneurialism in Healthcare: The Traditional Model of Public Administration and the National Health Service; New Modalities of Hospital Management and Corporatisation; Primary Care and Essential Public Health Functions.

The Healthcare Regulation: Theories, Models and Strategies of Regulation. The Regulatory System in Portugal and the Regulatory Authority of Health.

Bibliography:
Prioridades na Saúde, Rui Nunes, Guilhermina Rego, McGraw-Hill, Lisboa, 2002; Afectação de Recursos para a Saúde, Rui Nunes, Guilhermina Rego, Cristina Brandão, Gráfica de Coimbra, Coimbra, 2003; Gestão Empresarial dos Serviços Públicos, Uma Aplicação ao Sector da Saúde, Guilhermina Rego, Vida Económica, Porto, 2008; Regulação da Saúde, Rui Nunes, Vida Económica, Porto, 2009; Gestão da Saúde, Guilhermina Rego, Rui Nunes, Bisturi Edições Técnicas, Lisboa, 2010.

Mandatory literature

Rui Nunes, Guilhermina Rego; Prioridades na Saúde , McGraw-Hill, 2002
Guilhermina Rego; Gestão Empresarial dos Serviços Públicos, Uma Aplicação ao Setor da Saúde , Vida Económica, 2008
Rui Nunes; Regulação da Saúde , Vida Económica, 2009
Guilhermina Rego, Rui Nunes; Gestão da Saúde , Bisturi Edições Técnicas, 2010

Teaching methods and learning activities

15 hours of contact; 2 hours of theoretical lessons or seminars and 2h30 of theoretical-practical lessons, per week.

Evaluation Type

Evaluation with final exam

Assessment Components

Designation	Weight (%)
Exame	40,00
Participação presencial	30,00
Trabalho escrito	30,00
Total:	100,00

Eligibility for exams

Continuous evaluation (8 values): Learning of Curricular Unit throughout the year will happen in the evaluation of the participation of the students in the education process/learning. This evaluation will be based on the results of mini-tests, answered individually during the theoretician-practical lessons, up to 6 values, and in the opinion of the professor(s) involved in the education process/learning of each student, up to 2 values.
Individual Work (12 values): It will happen in the evaluation of a paper under the orientation of a professor. The subjects of the works will be presented by the professors at the beginning of the curricular unit.
Final classification: After the approval in the disciplines, the classification will be given according to the sum of the classifications achieved in the continuous evaluation and in the individual work.

Calculation formula of final grade

Continuous evaluation (8 values): Learning of Curricular Unit throughout the year will happen in the evaluation of the participation of the students in the education process/learning. This evaluation will be based on the results of mini-tests, answered individually during the theoretician-practical lessons, up to 6 values, and in the opinion of the professor(s) involved in the education process/learning of each student, up to 2 values. 
Individual Work (12 values): It will happen in the evaluation of a paper under the orientation of a professor. The subjects of the works will be presented by the professors at the beginning of the curricular unit. 
Final classification: After the approval in the disciplines, the classification will be given according to the sum of the classifications achieved in the continuous evaluation and in the individual work.