Course Name Code Semester T+U Hours Credit ECTS
Health Care Insurance and Actuarial SAY 413 7 2 + 0 2 5
Precondition Courses <p>None</p>
Recommended Optional Courses <p>None</p>
Course Language Turkish
Course Level Bachelor's Degree
Course Type Optional
Course Coordinator Prof.Dr. MAHMUT AKBOLAT
Course Lecturers
Course Assistants

Res. Ass. ÖZGÜN ÜNAL

Course Category
Course Objective

Understanding of the health insurance in the social security and health care system,
To be informed Insurance practices and risk factors,
Learning the methods of payment used in health care service,
Gaining the ability of analysis and evaluation of health insurance plans in terms of Turkey health care environmet.

Course Content

The health insurance in place of the social security and health care system,, payment methods, analysis and evaluation of health insurance in terms of Turkey health care environment

# Course Learning Outcomes Teaching Methods Assessment Methods
1 To be informed health insurance financing of health care services Lecture, Question-Answer, Discussion, Homework, Testing,
2 To be informed payment methods financing of health care services Lecture, Question-Answer, Discussion, Testing, Homework,
3 Gaining the ability of analysis and evaluation of health insurance plans in terms of Turkey health care environmet. Lecture, Question-Answer, Discussion, Testing, Homework,
4 Gaining the ability to use and to learn about new models Lecture, Question-Answer, Discussion, Testing, Homework,
Week Course Topics Preliminary Preparation
1 Insurance in our country and in the world Recomended Sources
2 Development of the insurance, the general principles Recomended Sources
3 The pricing and actuary Recomended Sources
4 Social security system and health care system, health care market characteristics Recomended Sources
5 The history of health insurance, health insurance terms Recomended Sources
6 Health insurance functions, benefits and importance of types of health insurance, the supply and demand impact on health insurance, Recomended Sources
7 Payment systems: payment systems in place of health insurance, general considerations, health care payment systems by service providers Recomended Sources
8 Health insurance in Turkey Recomended Sources
9 Midterm Exam
10 Payment systems in Turkey Recomended Sources
11 Payment systems in Turkey Recomended Sources
12 General Health Insurance Recomended Sources
13 Performance and implementation of the General Health Insurance Recomended Sources
14 The insurance applications in the world Recomended Sources
Resources
Course Notes <p>Orhaner, E.&nbsp;(2000). T&uuml;rkiye&rsquo;de Sağlık Sigortacılığı. Gazi Kitabevi, Ankara.</p>
Course Resources

Aktan CC ve Saran U. (ed). (2007). Sağlık Yönetimi ve Sağlık Ekonomisi. Aura Kitapları.
Temel Sigorta Bilgileri ve Sigorta Sektörünün Yapısal Analizi, G. Şebnem Uralcan, Hiperlink Yayınları No.20, 2011, İstanbul.
The Actuarial Profession, Core Reading 2013 - ST1 Health and Care Specialist Technical, Institute and Faculty of Actuaries, 2012.
Bluhm W. F., Individual Health Insurance, ACTEX Publication, 2007.
Black,K., Skipper, H.D., Life and Health Insurance, Prentice Hall, 2000.

Order Program Outcomes Level of Contribution
1 2 3 4 5
1 PLANNING-To have the necessary level of expertise for planning in health institutions X
2 PROBLEM SOLVING AND DECISION MAKING-Having problem solving and decision making skills by using qualitative and quantitative methods X
3 ORGANIZATION- To have the necessary information to make job analysis, job description and job requirements and to make use of these to design service processes and to form units and reorganize them accordingly. X
4 COMMUNICATION - having the ability to communicate and develop with employees, patients / relatives, colleagues and other internal and external stakeholders X
5 LEADERSHIP-Identifying power sources appropriate to environmental conditions and applying appropriate leadership styles by utilizing these resources X
6 MOTIVATION- Determining the needs of subordinates by taking into consideration the working conditions, identifying appropriate targets and having the knowledge and skills to provide motivation both within the team and individually. X
7 HUMAN RESOURCES MANAGEMENT- Knowing the functions of human resources management and having the knowledge and skills to manage human resources in accordance with the principles of human resources management X
8 COORDINATION- To have the necessary knowledge and skills to ensure the unification of efforts towards the realization of corporate objectives by considering both institutional and individual efforts. X
9 REPORTING- Gather information about administrative, financial and technical issues, prepare reports on administrative, financial and technical issues by using this information and evaluate these reports. X
10 BUDGETING-To know budgeting methods, to perform budgeting activities, to make end-of-term transactions by making adjustments and corrections if necessary X
11 CONTROL / INSPECTION- Knowing and applying the necessary controls regarding the general operation of the institution, stock and inventory management, human resources and corporate performance and hospital quality system in the light of legal regulations X
12 REPRESENTATION- To represent the institution in the presence of other institutions and organizations and stakeholders, to organize the necessary activities on this subject and to have the necessary skills to ensure the participation of internal and external stakeholders in these activities. X
13 makes recommendations that will contribute to field of his/her expertise. X
14 KNOWLEDGE MANAGEMENT-Establishing policies related to information management, organizing and setting up information management systems, documenting and using data
15 QUALITY PATIENT AND EMPLOYEE SAFETY- Determining quality and patient safety policies, collecting data for this purpose, analyzing and evaluating data by using measurement methods, and ensuring that the results are used for improvement
Evaluation System
Semester Studies Contribution Rate
1. Ara Sınav 70
1. Kısa Sınav 10
1. Ödev 10
2. Kısa Sınav 10
Total 100
1. Yıl İçinin Başarıya 50
1. Final 50
Total 100
ECTS - Workload Activity Quantity Time (Hours) Total Workload (Hours)
Course Duration (Including the exam week: 16x Total course hours) 16 3 48
Hours for off-the-classroom study (Pre-study, practice) 16 2 32
Mid-terms 1 15 15
Quiz 2 5 10
Assignment 1 5 5
Final examination 1 20 20
Total Workload 130
Total Workload / 25 (Hours) 5.2
dersAKTSKredisi 5