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所在平台: Coursera |
课程主页: https://www.coursera.org/learn/regulated-competition-healthcare-systems
课程评论：没有评论
课程名称：医疗系统的规范竞争：理论与实践 课程概述： 本课程将带领学员深入了解医疗系统中的“规范竞争”（也称为“管控竞争”）的理论和实践。许多国家已经实施或考虑实施规范竞争，其中包括澳大利亚、比利时、智利、哥伦比亚、德国、爱尔兰、以色列、荷兰、瑞士和美国。完成课程后，学员将能够解释规范竞争如何在理论上促进医疗服务的可负担性、可及性和效率。同时，学员也将了解实践中成功实施规范竞争的复杂性，以及在政策目标之间常常需要做出的艰难权衡。本课程适合任何对医疗系统改革和设计感兴趣的学生、研究者或专业人士。 课程大纲： 1. **介绍与概述**：了解教师及课程模块，进行自我介绍。 2. **为何政府干预是必要的与医疗改革的浪潮**：学习政府为何在医疗领域进行干预及过去一个世纪的干预方式。 3. **医疗市场与政府失灵**：探讨在医疗领域市场与政府的失灵，如何在市场失灵与政府失灵之间找到平衡。 4. **医疗系统中的规范竞争理论**：学习规范竞争模型及其如何帮助实现医疗服务的可负担性与效率。 5. **实现高效与可负担性的前提条件**：介绍实现竞争性医疗市场的十个具体前提条件，以及这些条件未满足时可能带来的后果。 6. **持续改革：保险市场的保费监管、风险平衡与风险分担**：探讨保险市场中的保费监管及其对消费者和保险公司的激励影响。 7. **持续改革：医疗领域的竞争监管**：了解有效竞争监管的重要性及医院合并控制、保险公司垄断力量等关键问题。 8. **持续改革：医疗服务提供者支付**：重点关注医疗服务提供者的支付系统设计及改革的驱动因素。 9. **关键要点与告别**：总结课程的主要内容和收获，祝毕业快乐。 通过本课程的学习，参与者将对医疗系统的规范竞争有全面的理解，并获得改善医疗服务的理论支持和实践指导。
Name:Introduction and overview
Description:In this module you will be introduced to the teachers involved in this MOOC and you will get an overview of the topics covered by this MOOC. Moreover, you will be asked to briefly introduce yourself. Have fun!
Name:Why government intervention is necessary & waves of health care reform
Description:In this module you will learn why government intervention in health care is necessary and how governments have intervened in the past century. You will learn that in high income countries three waves of government intervention in health care can be distinguished. Enjoy!
Name:Market & government failure in healthcare
Description:In this module you will learn that, particularly in health care, markets and governments are both far from perfect. The key challenge for market-based health system reform is therefore: how to navigate between market failure and government failure? As a start, you will learn some important lessons that should be taken into account when considering the introduction or strengthening of competition for healthcare provision. Enjoy!
Name:Theory of regulated competition in healthcare systems
Description:In this module you will learn about the model of regulated competition in healthcare systems. More specifically, you will learn what this model looks like and how it can help to simultaneously achieve affordability and efficiency. Have fun!
Name:Preconditions for achieving efficiency & affordability in competitive health care markets
Description:This module will introduce you to ten specific preconditions for achieving efficiency and affordability in competitive healthcare markets. For each precondition, you will learn what the consequences could be if this precondition is not fulfilled. In addition, you will learn to use the preconditions to evaluate the progress of the implementation of regulated competition. Good luck and have fun!
Name:Ongoing reforms: premium regulation, risk equalization & risk sharing in health insurance markets
Description:Social health insurance markets typically include premium regulation to promote affordability of health insurance for people with expensive medical conditions. A side-effect of premium regulation is that it confronts consumers and insurers with incentives for risk selection. In this module you will learn about typical forms of risk selection and their welfare effects. Moreover, you will learn about tools for the regulator to mitigate selection problems. Have fun!
Name:Ongoing reforms: competition regulation in health care
Description:In this module the focus is on effective competition regulation as an important precondition for achieving efficiency in competitive healthcare markets. You will first learn about the basic principles of this type of regulation, after which you will learn about three key issues regarding competition regulation in healthcare. These issues are: (1) hospital merger control; (2) insurer monopsony power; and (3) the potential trade-off between integration, coordination and the use minimum volume standards on the one hand and competition on the other. Good luck and have fun!
Name:Ongoing reforms: provider payment in healthcare systems
Description:In other videos about the preconditions for regulated competition, you’ve learned that in addition to consumers and insurers, providers of care should also be stimulated to spend resources wisely. Clearly, the extent to which this is the case depends on the way in which providers are paid for their services. This module therefore focuses on provider payment systems, and specifically on the design thereof. The core of the module consists of 7 videos divided over 3 lessons: (1) What drives provider payment reform? (2) Provider payment incentives & reform: what does the theory say? And (3) Value-based payment methods: types, design and effects. In contrast to the first lesson, lessons 2 and 3 start with a short introduction which you should read before you begin. Have fun!
Name:Key takeaways & farewell
Description:Congratulations, you are about to complete this MOOC! By now, you should be able to explain the model of regulated competition in healthcare including its background, principles and preconditions for success. In this final module we summarize the primary takeaways from this MOOC and say goodbye.
In this MOOC you will learn about the theory and practice of 'regulated competition' (also known as 'managed competition') in healthcare systems. Many countries have implemented or consider implementation of regulated competition in healthcare. Examples include Australia, Belgium, Chile, Colombia, Germany, Ireland, Israel, The Netherlands, Switzerland and the United States. After completing this MOOC, you will be able to explain how regulated competition (in theory) promotes affordability, accessibility and efficiency of healthcare. Moreover, you will be able to explain why (in practice) successful implementation of regulated competition is very complex and often requires difficult trade-offs between policy objectives. We think this MOOC is highly valuable to any student, researcher or professional interested in healthcare system reform and design. Specific topics in this MOOC include a typology of healthcare systems, the economics of healthcare markets, theory and preconditions of regulated competition, risk adjustment and risk selection in health insurance, competition policy and provider payment.
