Hospital Management

Code:

OPT127

Acronym:

AH

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2020/2021 - 2S (of 08-02-2021 to 31-07-2021)

Active?	Yes
Responsible unit:	Department of Community Medicine, Information and Health Decision Sciences
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	7	Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	4	-	1,5	13	40,5
			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 syllabus is in accordance with the curricular unit’s intended learning outcomes due to the fact that the main themes from a conceptual and practical approach are presented enabling the student to to an adequate performance level in palliative medicine.  In this way coherence with the curricular unit’s intended learning outcomes is demonstrated since the syllabus is a necessary condition so that the student acquires the adequate skills for a true capacitation in this area.

Working method

Presencial

Program

THE HEALTHCARE SECTOR: values of the healthcare system; scarcity of resources; structure and the dilemmas of healthcare sector; importance of the strategic planning; the establishment of priorities in healthcare and theories of distributive justice.
FINANCING OF HEALTHCARE: different systems of financing: systems based on taxes, insurances and the co-payments; different modalities of payment to professionals; international experiences.
THE HEALTHCARE MARKET: market structure, information asymmetry and the agency theory; 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 of regulation.

Mandatory literature

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

Teaching methods and learning activities

The teaching methodology adopts, theoretical teaching, theoretical-practical teaching, seminars about hospital management and tutorial orientation.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Participação presencial	30,00
Trabalho escrito	70,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Frequência das aulas	13,00
Trabalho escrito	27,50
Total:	40,50

Eligibility for exams

Calculation formula of final grade

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 (30%) and in the individual work (70%).