HAR6112: International Healthcare Systems and Reimbursement (online)


This module introduces students to the range of healthcare and reimbursement systems to be found throughout the world, considering tax-based, compulsory private insurance, employer insurance, private insurance and uninsured systems with varying degrees of centralisation and devolution. Students will consider how health technology assessment (HTA) fits within these systems, looking at one or two countries as particular examples.


  • To understand the nature of reimbursement of health technologies
  • To develop the critical skills necessary to source this information
  • To develop a critical understanding of systems and processes in a variety of jurisdictions
  • To appreciate critically the issues affecting HTA and reimbursement in Low and Middle Income Countries (LMICs)

Learning outcomes

By the end of the module you will be able to:

  1. Differentiate between a range of differently organised healthcare and reimbursement systems
  2. Source up-to-date information on health systems and HTA and reimbursement processes internationally
  3. Understand how the systems in many different countries are organised
  4. Assess the transferability of health technology assessment to different countries

Teaching Methods

  • Bespoke online materials, including purpose prepared texts, screencasts, guided reading, watching and listening of online materials, audio and video, concerning various health systems.
  • Interactive online forums will enable students to test their understanding of sourcing key information, the nature of different systems and of the consequences of the evaluation and introduction of new technologies to them, in discussion with peers and faculty.
  • Independent study will be based on guided reading, to deepen the understanding obtained from the online materials.


Independent Study (including preparation for assessments) 150 hours.


Component Weighting
Report (3000 words) 100%

Report (3000 words, 100% weighting) requires candidates to source information on an HTA decision for a particular technology within three health care systems, compare and contrast the decisions on the technology within these systems, explain the differences between them, and critically explore what factors may affect HTA process and reimbursement decisions within those systems.

The pass mark is 50%.