HGOV4100 – Fundamentals of Health Care Systems

Schedule, syllabus and examination date

Choose semester

Course content

The course aims to introduce the principles of health care organization and policy in a comparative perspective, identify the key characteristics and components of health care systems, assess each health care system’s strengths and weaknesses, and discuss the recent health care reform efforts in OECD countries.

Learning outcome


You will gain knowledge of:

  • The evolutionary path of European health care systems
  • Main models of health care funding, including the differences between tax based models, SHI-models and models based on voluntary insurance
  • Models of health care provision, including differences between individual and institutional providers and between public and private providers
  • Types of financing systems; models for prospective/retro­spective and activity based/fixed funding.
  • Health care reforms over the last two decades
  • National and international political economy of health governance


You will learn how to:

  • Describe different health care systems
  • Describe and understand risk adjustment, incentives and equity/inequity-making mechanisms
  • Evaluate the performance of health care systems

General competence

 You will be able to:

  • Recognize the pros and cons of different health care systems
  • Understand trends in health care system development
  • Understand global governance of health care systems


Students who are admitted to study programmes at UiO must each semester register which courses and exams they wish to sign up for in Studentweb.

If you are not already enrolled as a student at UiO, please see our information about admission requirements and procedures.




Due to the extensive measures that have been implemented to limit the spread of the coronavirus, the Dean of Studies, based on an application from the study program, has decided that the form of examination in the course is changed from written school examination to Written home exam. The measure is taken to ensure the completion of examinations Fall 2021.


Written home exam.


The Board at the University of Oslo has decided to introduce detailed guidelines for all examinations, which take place at the University. The description of the grading should be clear and transparent. This is done to ensure alignment between learning outcomes, assignments, and grading. The Faculty of Medicine has developed a web page with information regarding exams and the grading procedures (norwegian version).

Examination support material

No examination support material is allowed.

Use of sources and citation

You should familiarize yourself with the rules that apply to the use of sources and citations. If you violate the rules, you may be suspected of cheating/attempted cheating.

Language of examination

For students at Eu-HEM: English

For students at HEPAM: The examination set will be given in English. Answers can be given in Norwegian, Swedish, Danish or in English.

Grading scale

Grades are awarded on a scale from A to F, where A is the best grade and F is a fail. Read more about the grading system.

Explanations and appeals

Resit an examination

For HEPMA students:

For Eu-HEM students:

An EU-hem student cannot present her or himself for the examination in a course more than two times. There will be held re-sits for EU-hem students who have failed an exam or who have legitimate absence (usually illness) in January and August. If you are entitled to a re-sit you must contact the student advisor via email no longer than one week after the result of the exam has been published.

Withdrawal from an examination

It is possible to take the exam up to 3 times. If you withdraw from the exam after the deadline or during the exam, this will be counted as an examination attempt.

Facts about this course






Every autumn


Every autumn

Teaching language