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SOUTH AFRICAN QUALIFICATIONS AUTHORITY 
REGISTERED UNIT STANDARD THAT HAS PASSED THE END DATE: 

Apply knowledge of health economics to make an informed decision 
SAQA US ID UNIT STANDARD TITLE
242571  Apply knowledge of health economics to make an informed decision 
ORIGINATOR
SGB Insurance and Investment 
PRIMARY OR DELEGATED QUALITY ASSURANCE FUNCTIONARY
-  
FIELD SUBFIELD
Field 03 - Business, Commerce and Management Studies Finance, Economics and Accounting 
ABET BAND UNIT STANDARD TYPE PRE-2009 NQF LEVEL NQF LEVEL CREDITS
Undefined  Regular  Level 6  Level TBA: Pre-2009 was L6  3 
REGISTRATION STATUS REGISTRATION START DATE REGISTRATION END DATE SAQA DECISION NUMBER
Passed the End Date -
Status was "Reregistered" 		 2018-07-01  2023-06-30  SAQA 06120/18 
LAST DATE FOR ENROLMENT LAST DATE FOR ACHIEVEMENT
2026-06-30   2029-06-30  

In all of the tables in this document, both the pre-2009 NQF Level and the NQF Level is shown. In the text (purpose statements, qualification rules, etc), any references to NQF Levels are to the pre-2009 levels unless specifically stated otherwise.  

This unit standard does not replace any other unit standard and is not replaced by any other unit standard. 

PURPOSE OF THE UNIT STANDARD 
This Unit Standard is intended for learners who are required to make economic choices and informed funding decisions in healthcare. It would be useful for senior people in administration and managed care, professionals who consult to medical schemes, risk managers, medical advisors, Trustees, Medical Scheme Consultants, Principal Officers, Clinicians, Healthcare Intermediaries and Senior Operational Administrative Staff.

The qualifying learner is capable of:
  • Demonstrating knowledge and understanding of health economics in the provision of healthcare.
  • Applying the principles of health economics to enable informed decision making.
  • Explaining the impact of the regulatory environment on health economics.
  • Demonstrating knowledge and understanding of the role of pharmaco-economics in funding decisions. 
    		•

    LEARNING ASSUMED TO BE IN PLACE AND RECOGNITION OF PRIOR LEARNING 
    It is assumed that learners are competent in Communication and Mathematical Literacy at NQF Level 4 and are working towards or have a Level 5 Financial Services Qualification or equivalent. 

    UNIT STANDARD RANGE 
    The typical scope of this Unit Standard is:
  • Data includes, but is not limited to, information relating to burden of disease statistics, demographics, new drugs and new technology.
  • The regulatory environment includes pending legislation relating to health including, but not limited to, National Health Act, Medical Schemes Act, Pharmacies Act, Medicine and Controlled Substances Act, Compensation for Occupational Injuries and Diseases Act (COIDA), Road Accident Fund (RAF).
  • Formulary includes medicine reference price list or generic substitution.
  • Tools, programmes, methods and models include cost effectiveness, cost benefit and cost minimisation. 
    		•

    Specific Outcomes and Assessment Criteria: 

    SPECIFIC OUTCOME 1 
    Demonstrate knowledge and understanding of health economics in the provision of healthcare. 

    ASSESSMENT CRITERIA     

    ASSESSMENT CRITERION 1 
    The role of health economics is explained in relation to the decision making process in the provision of healthcare. 

    ASSESSMENT CRITERION 2 
    The role of health economics in the practice of evidence based medicine is explained with reference to acceptance protocols. 

    ASSESSMENT CRITERION 3 
    A specialist health economics evaluation on a health economics issue is analysed and interpreted to justify an informed decision. 

    ASSESSMENT CRITERION 4 
    The basics of health economics are explained to a member with reference to consumer rights and medical scheme responsibilities. 

    ASSESSMENT CRITERION 5 
    Basic health economic theory is explained with reference to generally accepted principles. 

    SPECIFIC OUTCOME 2 
    Apply the principles of health economics to enable informed decision making. 

    ASSESSMENT CRITERIA     

    ASSESSMENT CRITERION 1 
    Tools, programmes and methods used to apply health economics are explained with reference to the value and appropriateness of each in selected situations. 

    ASSESSMENT CRITERION 2 
    Data used in specialised health economics reports is evaluated for authenticity, reliability and relevance in a specific situation. 

    SPECIFIC OUTCOME 3 
    Explain the impact of the regulatory environment on health economics. 

    ASSESSMENT CRITERIA     

    ASSESSMENT CRITERION 1 
    The relevant regulatory environment is analysed in terms of how it impacts positively or negatively on heath economics. 

    ASSESSMENT CRITERION 2 
    The powers of statutory bodies operating in the health environment are explained with reference to their positive and negative impact on the industry. 

    SPECIFIC OUTCOME 4 
    Demonstrate knowledge and understanding of the role of pharmaco-economics in funding decisions. 

    ASSESSMENT CRITERIA     

    ASSESSMENT CRITERION 1 
    Pharmaco-economics is explained as a branch of health economics. 

    ASSESSMENT CRITERION 2 
    Tools, programmes, methods and models used in pharmaco-economices are explained with reference to the value and appropriateness of each in selected situations. 

    ASSESSMENT CRITERION 3 
    A selected model for a formulary or protocol is analysed to determine whether the principles of pharmaco-economics have been applied effectively. 


    UNIT STANDARD ACCREDITATION AND MODERATION OPTIONS 
  • Anyone assessing a candidate against this Unit Standard must be registered as an assessor with the relevant ETQA or ETQA where a Memorandum of Understanding (MOU) exists with the relevant ETQA.
  • Any institution offering learning that will enable achievement of this Unit Standard must be accredited as a provider through the relevant ETQA or ETQA where a Memorandum of Understanding (MOU) exists with the relevant ETQA.
  • Moderation of assessment will be overseen by the relevant ETQA according to the moderation guidelines and the agreed ETQA procedures. 
    		•

    UNIT STANDARD ESSENTIAL EMBEDDED KNOWLEDGE 
    N/A 

    UNIT STANDARD DEVELOPMENTAL OUTCOME 
    N/A 

    UNIT STANDARD LINKAGES 
    N/A 


    Critical Cross-field Outcomes (CCFO): 

    UNIT STANDARD CCFO IDENTIFYING 
    The learner is able to identify and solve problems in which responses show that responsible decisions using critical and creative thinking have been made in applying knowledge of health economics to decision making. 

    UNIT STANDARD CCFO COLLECTING 
    The learner is able to collect, organise and critically evaluate information in analysing a formulary or protocol for effectiveness. 

    UNIT STANDARD CCFO DEMONSTRATING 
    The learner is able to see the world as a set of related systems in applying knowledge of health economics to decision making. 

    UNIT STANDARD ASSESSOR CRITERIA 
    N/A 

    REREGISTRATION HISTORY 
    As per the SAQA Board decision/s at that time, this unit standard was Reregistered in 2012; 2015. 

    UNIT STANDARD NOTES 
    Search words:
  • Economics, pharmaco-economics, health economics, medial schemes, managed care. 
    		•

    QUALIFICATIONS UTILISING THIS UNIT STANDARD: 
      ID QUALIFICATION TITLE PRE-2009 NQF LEVEL NQF LEVEL STATUS END DATE PRIMARY OR DELEGATED QA FUNCTIONARY
    Elective  66611   National Certificate: Wealth Management  Level 5  NQF Level 05  Passed the End Date -
    Status was "Reregistered"     		 2023-06-30  As per Learning Programmes recorded against this Qual 


    PROVIDERS CURRENTLY ACCREDITED TO OFFER THIS UNIT STANDARD: 
    This information shows the current accreditations (i.e. those not past their accreditation end dates), and is the most complete record available to SAQA as of today. Some Primary or Delegated Quality Assurance Functionaries have a lag in their recording systems for provider accreditation, in turn leading to a lag in notifying SAQA of all the providers that they have accredited to offer qualifications and unit standards, as well as any extensions to accreditation end dates. The relevant Primary or Delegated Quality Assurance Functionary should be notified if a record appears to be missing from here.
     
    NONE 


    All qualifications and part qualifications registered on the National Qualifications Framework are public property. Thus the only payment that can be made for them is for service and reproduction. It is illegal to sell this material for profit. If the material is reproduced or quoted, the South African Qualifications Authority (SAQA) should be acknowledged as the source.