University of Belize

UNIVERSITY OF BELIZE

Faculty of Nursing and Allied Health and Social Work

Course Title: Health System Management

Course ID: BPHN 324

Department/Program: Public Health Nursing Program

Required for Degree Completion: (√ ) Yes ( ) No ( ) Elective

Transfer Status: No

Repeatability Status: Yes

Repeatability Limit: Once

Prerequisites: ( ) Yes (√ ) No

Co-requisities: ( ) Yes (√ ) No

Advisories: ( ) Yes (√ ) No

Field Trips: ( ) Yes (√ ) No

Course Description:
This course provides an overview of the health services system in Belize. It introduces the organizational management concepts and the application of these concepts in analyzing strategic, managerial and financial issues within the health care system.

Course Objectives

At the completion of this course, the student will be able to:

Discuss the organization and structure of the health care system in Belize.
Discuss how the organization and structure of the health care system influence the delivery of health services in Belize.
Describe the health services workforce and illustrate how this affects the outcome/performances of the health care delivery system in Belize.
Examine the financing of the health service system.
Apply organizational theory to health care management.
Describe the managerial theories and functions applied to general health care.
Recognize managerial styles and behavioral issues and challenges posed across a variety of health care settings.
Define the leadership role and how it is executed in health service system.

Course Content

1. Organization and Structure of Health Services System

1.1 Organization Structure

1.1.1 Minister of Health

1.1.2 Chief Executive Officer

1.1.3 Other

1.2 Factors that Affect Care-Seeking Behavior

1.2.1 Perceived Health Status

1.2.2 Ease access to providers

1.2.3 Risk factors affecting health

1.3 Utilization of Health

1.3.1 Demographic Factors

1.3.1.1 Gender

1.3.1.2 Age

1.3.1.3 Race and Ethnicity

1.3.1.4 Socioeconomic Status

1.3.2 Risk Factors

1.3.3 Other

1.4 Models of Health Services Utilization

1.4.1 The Health Behavior Model-Aday et al

1.4.2 The Health Belief Model-Rosenstock

1.5 Rates of Health Services Utilization

1.5.1 Physician

1.5.1.1 Public

1.5.1.2 Private

1.5.2 Hospital

1.5.2.1 Public

1.5.2.2 Private

1.5.3 Home Care

1.6 Access to Health Services

1.6.1 Definition of Access

1.6.2 Dimensions of Access

1.6.2.1 Geographic

1.6.2.2 Socio-cultural

1.6.2.3 Financial

1.6.2.4 Temporal

1.6.2.5 Physical

1.6.3 Factors Affecting Access

1.6.3.1 Individual

1.6.3.1.1 Inherited Characteristics: Genetic

1.6.3.1.2 Individual Characteristics: beliefs,

attitudes, values

1.6.3.2 Physical Environmental

1.6.3.2.1 Air and Water Quality

1.6.3.2.2 Disease Vectors

1.6.3.3 Social Factors

2. Delivery System

2.1 Overview

2.1.1 How Health Services are delivered

2.1.2 Quality of Care

2.1.3 Care of Special Disorders and Populations

2.2 Health Promotion and Disease Prevention

2.2.1 Health Promotion

2.2.1.1 Definition

2.2.1.2 Health Promotion Strategies

2.2.1.3 Availability and Utilization of Health Promotion Services

2.2.2 Health Protection

2.2.2.1 Definition

2.2.2.2 Health Promotion Strategies

2.2.2.3 Availability and Utilization of Health Promotion Services

2.2.3 Disease Prevention

2.2.3.1 Primary

2.2.3.1.1 Definition

2.2.3.1.1.1 Primary Health Care

2.2.3.1.1.2 Primary Health Care Providers

2.2.3.1.2 Access to and Utilization of Primary Care

2.2.3.1.3 Access to services of Primary Care Providers

2.2.3.1.4 Issues of Primary Care in the Health Service System

2.2.3.2 Secondary

2.2.3.2.1 Definition

2.2.3.2.2 Secondary Care Providers

2.2.3.2.3 Access to and Utilization of Secondary Care

2.2.3.2.4 Policy Issues Related to Secondary Care

2.2.3.3 Tertiary

3. Health Services Workforce

3.1 Human Resource

3.1.1 Physicians

3.1.2 Nurses

3.1.3 Pharmacists

3.1.4 Dentists

3.1.5 Other types of Health Care Providers

3.1 Introduction to Quality of Care

3.1.1 Definition of Quality of Care

3.3.2 Measuring Quality of Care

3.3.3 Why Quality of Care

3.2 Issues in Quality of Care

3.2.1 Major Quality of Care Initiatives

3.2.2 Monitoring and Regulating Quality of Care

3.2.3 Quality of Care Policy Issues

4. Financing of Health Services System

4.1 How health services are financed

4.1.1 Revenues

4.1.2 Out of Pocket

4.1.3 Health Insurance

4.1.3 GOB/MOH Budget

4.1.5 Others

4.2 Reasons for growth in health services expenditures

4.2.1 Demographic Effects

4.2.2 Inflation Effects

4.2.3 Others

4.2.3.1 Fraud and Abuse

4.2.3.2 New Programs to address emerging health issues

4.2.3.3 Expanding Programs to New Groups

4.2.3.4 Administrative Issues

4.2.3.5 Others

4.3 Efforts to contain health services costs and expenditures

5. Organizational Theory

5.1 Definition

5.2 Types

5.2.1 Bureaucracy

5.2.2 Theory X and Y

5.2.3 Open Systems Theory

6. Management of the Health Services System

6.1 Definition of Management

6.2 Managerial Functions-Roemer Model

6.2.1 Planning

6.2.2 Administration

6.2.3 Legislation

6.2.4 Regulation

6.3 Management Theory

6.3.1

7. Management and Motivation

7.1 Definition of Motivation

7.1.1 Misconceptions of Motivation and Employee Satisfaction

7.2 Theories of Motivation

7.3 Management Styles

7.4 Behavioral Issues

7.5 Motivational Strategies

7.6 Organizational Behavior Issues and Management

8. Leadership

8.1 Definition of Leadership

8.2 Leadership Styles

8.3 Leadership competencies

8.4 Theories

8.5 Application of Leadership Role

8.5.1 Health Service System

8.5.2 Barriers and Challenges

8.6 Leadership vs Management

8.6.1 Characteristics

Text

Required

Sharon Bell Buchbinder, Nancy H. Shanks. 2007. Introduction to Health Care Management. Jones & Bartlett Publishers.

Reference

Method of Instruction

Lecture / Discussion

Class Presentation

Group Presentation

Method of Evaluation

Course Work 60%

Assignment (1) 10%

Group Work (!) 10%

Class Presentation (1) 10%

Test (2) 10%

Mid Term Exam 20%

Final Exam 40%

Class Policies

1. Students must ensure regular attendance in order to obtain maximum benefit from this course that is 80% of class attendance is required.

2. Students are expected to participate in class.

3. All Cell phones should be turned off before entering the classroom.

4. Students are expected to hand all assignments on date and time agreed.

5. Students are advised to do extra reading for this course.

All other policies in the student handbook applies for this course