nl en



Admission requirements



Health care systems face complex policy issues, from ageing populations and rising health care costs to fragmented health care supply and rapidly advancing medical technologies. Governing such processes requires not only technical expertise, but also understanding of how health organisations operate and how professionals work. In this course we will look at the governance on four levels: governments, health organisations, organizational networks, and individual professionals. The focus of the course is on interrelationships between different actors, as is the key challenge for integrated care. The challenge requires competences in leadership, change management, collaboration and communication, as well as an understanding of national and international governance context.

Course objectives

Upon successful completion of this course, you should be able to:

  • Explain and compare basic models of health care structures and models of care and identify their differences/similarities and strengths/weaknesses in an international context.

  • Generate and summarize knowledge about (inter-)organizational structure and management of health care organisations, based on existing research, reports, and empirical data.

  • Analyse problems of inter-organizational collaboration related to specific health risk groups by applying and presenting the results of stakeholder analysis.

  • Understand the complexity in working conditions of ‘street-level bureaucrats’ (healthcare professionals) in different healthcare systems, and the consequences for their behaviors and task performance

  • Provide written and verbal policy recommendations based on analysis and comparison of health care systems, with respect to selected risk groups.

(max 150 words)


The timetable is published on the LUMC roostersite or can be found via the LUMC scheduling app.

Mode of instruction

Different modes of instruction are being used in this course:

  • Lecture

  • Seminar

  • Group work

  • Online education

Assessment method

Students are assessed according to the following three obligatory components

Week 1-2 – Online:
20% Peer review assessment

Week 3 – On Campus:
30% Group presentation

Week 4 – Final week:
50% Final assignment
All components together make up the grade for the course. It is compulsory to participate in each of the components in order to receive a grade
Details on the assessment can be found in the assessment plan on Brightspace
A minimum result of 5,5 for the overall assessment is required to pass.
If the result is less than 5,5 or if the student didn’t participate in one of the components, the student is given the opportunity to resit the assessment as one assignment that covers all the learning goals of the course.

A final grade of 5,5 minimum is considered sufficient.

Reading list

The reading list can be found on Brigthspace. These are given as presentations and pdf files. There is no need to purchase literature, as the presented material is not commercialized.


Registration must be done via uSis at the latest 5 days before the start of the course. Registration in uSis gives you automatic access to the course in Brightspace.


Dr. Maarja Beerkens –
Dr. Eduard Schmidt –


This course is a combination of online ecucation and on campus Education at Leiden University Campus The Hague.