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Admission requirements


If you are not enrolled in the MSc programme Population Health Management but you consider taking this course as an elective, please contact our study advisor.


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 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 this course is the interrelationships between different actors, which is the key challenge for integrated care. Insight in this 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, the student:

  • can 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.

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

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

  • can 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

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


All course and group schedules are published on MyTimeTable.

The exam dates have been determined by the Education Board and are published in MyTimeTable.
It will be announced in MyTimeTable and/or Brightspace when and how the post-exam feedback will be organized.

Mode of instruction

Different modes of instruction are being used in this course:

  • Lectures

  • Seminars

  • Group work

  • Online education

Assessment method

Students are assessed according to the following three obligatory components:

Week 1-2 – Online: Peer review assessment (20%, no required minimum grade)

Week 3 – On Campus: Group presentation (30%, no required minimum grade)

Week 4 – Final week: Final assignment (50%, required minimum grade: 6,0)

All components combined make up the final 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 final grade of 6,0 minimum is considered sufficient. If the result is less than 6,0 or if the student did not participate in one of the components, the student is given the opportunity to retake the assessment as one assignment that covers all the learning goals of the course.

Final grades between 5,0 and 6,0 will be rounded:

  • 5,0-5,4 → 5,0

  • 5,5-6,0 → 6,0

Reading list

The reading list can be found on Brightspace. The material consists of presentations and pdf files. There is no need to purchase literature, as the presented material is not commercialized.


Registration must be completed via MyStudyMap. Registration in MyStudyMap gives you automatic access to the course in Brightspace. For more information, please visit the Leiden University website for students.


Dr. Maarja Beerkens –
Dr. Eduard Schmidt –


This course is a combination of online education and on campus education at the Leiden University Health Campus in The Hague.