The University of Southampton

MEDI6075 Health Services Organisation and Evaluation

Module Overview

This module introduces the public health importance of understanding health systems and health services, including their evaluation and quality improvement. It is therefore key to anyone interested in healthcare public health

Aims and Objectives

Module Aims

This module has global applications and is relevant for students from both developed and developing countries. It aims to: • Provide you with the skills to understand how health care services are organised and funded. • Develop your independent analytical and appraisal skills that will enable you to make independent scientific judgements about the organisation, equity, effectiveness and quality of health care services

Learning Outcomes

Knowledge and Understanding

Having successfully completed this module, you will be able to demonstrate knowledge and understanding of:

  • Describe the structure of health services in terms of primary, secondary and tertiary care, and lay and formal health care.
  • Distinguish need, demand and supply of health care, and the appropriateness of health care.
  • Demonstrate an understanding of the concept of need for health care, unmet need and health care needs assessment.
  • Define inputs/structures, process and outcomes and how to assess the effectiveness/ quality of services.
  • Compare different methods of organising and funding health care (including resource allocation).
  • Assess acceptability and satisfaction with services.
  • Evaluate the equity of health care (including user need, inverse care law, accessibility).
  • Identify sources of data on the performance of health care services.
  • Contrast the challenges facing health services in low, middle and high income countries
Transferable and Generic Skills

Having successfully completed this module you will be able to:

  • Communicate epidemiological concepts, data and information
Subject Specific Intellectual and Research Skills

Having successfully completed this module you will be able to:

  • Interpret data about the performance of health services.
  • Design an evaluation of health care service delivery
  • Critique health services research demonstrating the knowledge and ability to appraise scientific validity


• Sources of routine data on health care. • Understanding key concepts o Primary, secondary, tertiary o Structure, process and outcome o Need, demand, supply o Equity, effectiveness, efficiency, quality. • Methods of evaluation

Learning and Teaching

Teaching and learning methods

A variety of methods will be used including lectures, active participatory methods, case studies of health care data and research, e-learning, practical exercises, guided reading, group study and individual study.

Independent Study100
Total study time125

Resources & Reading list

Black N, Gruen R. (2005). Understanding health services. 

Smith S, Sinclair D, Raine R, Reeves B. (2005). Health care evaluation. 


Assessment Strategy

There will be two components to the assessment i) multiple choice exam and ii) written proposal. The pass mark for the module and written proposal is 50%. The pass mark for the multiple choice question exam will be standard set. If you do not achieve the pass mark on this module by achieving 50% or more in all components, you may still pass by compensation. To do this, you must achieve a qualifying mark of 40% in these components. Each of the component marks is then combined, using the appropriate weighting, to give an overall mark for the module. If this overall mark is greater than or equal to 50% you will have passed the module. If your overall mark is less than 50% when the weighting has been applied to the components, you will have failed the module. If you have not achieved 40% or more on all components, you cannot use compensation and have failed the module. If you have failed the module, you will have the opportunity to submit work at the next referral (re-sit) opportunity for all components where you have not achieved the pass mark. Marks for components which were passed will be carried forward. You must achieve the pass mark in all referred components. On passing your referrals, your final module mark will be capped at 50%.


MethodPercentage contribution
Evaluation  (1000 words) 60%
Multiple choice question  (1 hours) 40%


MethodPercentage contribution
Evaluation  (1000 words) 60%
Multiple choice question  (1 hours) 40%

Repeat Information

Repeat type: Internal & External

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