Torrens · PUBH6003 · Health Systems and Economics

PUBH6003: ace the report, not just read the notes

Your complete guide to Torrens University Australia's health systems and economics unit. See where the marks are, work real practice questions, and study with an AI tutor that knows PUBH6003.

10 credit points Level 400 postgrad Offered S1 / S2 Public Health

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Worked example

Multiple choice · solution revealed after you answer

A health authority compares two interventions for the same condition. Standard care (A) costs $20,000 and yields 4 QALYs per patient. A new programme (B) costs $50,000 and yields 6 QALYs per patient. What is the incremental cost-effectiveness ratio (ICER) of B versus A, in cost per QALY gained?

Worked solution

The ICER is the extra cost divided by the extra health benefit: ICER = (Cost_B − Cost_A) / (QALY_B − QALY_A).

Incremental cost = 50,000 − 20,000 = $30,000.
Incremental QALYs = 6 − 4 = 2 QALYs.
ICER = 30,000 / 2 = $15,000 per QALY gained (option index 1). Because a QALY is one year of life in full health, B buys each extra healthy year for $15,000, which a decision maker then compares against a willingness-to-pay threshold.

The trap: Dividing total cost by total QALYs for B alone gives 50,000 / 6 = $8,333 per QALY, which is an average cost-effectiveness ratio, not the ICER. Economic evaluation for priority setting is incremental: you compare the extra cost against the extra benefit of switching from A to B, not the standalone average of B. Using $50,000 / 6 ignores that standard care already delivers 4 QALYs for $20,000. classic slip!

your whole grade
Where your grade comes from Reports 75% · Test 25%

One report decides 40% of your grade. Assesses learning outcomes a, b, c and d. This whole page is built around that.

Overview

What PUBH6003 is, and where it sits

PUBH6003 Health Systems and Economics is a postgraduate public-health subject at Torrens University Australia, weighted at 10 credit points over a 12-week delivery (also offered in a 6-week intensive). It runs in two halves. The first half (Modules 1 to 6) builds the health-systems toolkit: what a health system is, the World Health Organisation's six building blocks, the Australian health system and Medicare, systems thinking and the multisectoral approach, health financing and universal health coverage, the health workforce, and primary health care. The second half (Modules 7 to 11) turns to health economics: scarcity, opportunity cost and choice, demand and supply in health care, equity and efficiency, and the methods of economic evaluation. Module 12 reviews everything as preparation for the final online test.

The framing is comparative and applied throughout. You repeatedly contrast how different countries organise and finance their health systems, with Australia (Medicare, the Pharmaceutical Benefits Scheme) and OECD comparators used as running reference points, and developing-country settings used to test whether concepts such as primary health care and the WHO building blocks translate globally. The economics half is grounded in Guinness and Wiseman's Introduction to Health Economics, and it stays applied: priority setting under scarce resources, cost-benefit and cost-effectiveness analysis, and valuing health outcomes with QALYs and DALYs.

Assessment rewards writing and synthesis rather than examination technique. There is no closed-book final exam. Instead, a 35% individual case-study report (1,500 words) applies systems thinking and the building blocks to a country setting, a 40% group report (1,200 words) is due in Week 10, and a 25% individual online test in Week 12 (40 questions in 30 minutes, sat under Respondus LockDown Browser with a webcam) can mix multiple choice, true/false, short answer and calculations across the whole subject.

How it differs from its first-year siblings. PUBH6003 deliberately bridges two literatures that are often taught apart. The health-systems half (WHO building blocks, financing, universal health coverage, primary health care, the health workforce) is policy and organisation focused, while the health-economics half (scarcity and opportunity cost, demand and supply, equity versus efficiency, economic evaluation with QALYs and DALYs) brings the analytic tools for priority setting. Treat them as one argument: the systems half tells you how care is organised and paid for, and the economics half tells you how to choose between options when resources are scarce.

Difficulty & time commitment

Is PUBH6003 hard, and how much time does it take?

PUBH6003 is manageable if you keep a weekly rhythm and treat the back half as the main event. Across student reviews the pattern is consistent: it starts gently and steepens, and the heaviest assessment is the part that separates grades.

Difficulty
3.0 / 5
Moderate. Gentle early, demanding back half. Hard to fail with steady work; an HD takes consistent practice.
Coursework
100%
Coursework carries most of the grade. The heaviest single component is the report at 40%.
Weekly time
~10 hrs
The standard load for a 10-credit-point unit, around 1.5 hours per credit point per week including class.
Modules 1 to 6 (health systems)conceptual, reading-heavy
Modules 7 to 12 (health economics)steeper, technical

The difficulty curve and the assessment weighting point the same way: the back half is harder and worth more. Front-loading effort there is the highest-return decision in the unit.

Is this unit for you

Who tends to do well, and who tends to struggle

You will likely do well if

  • You keep up with the weekly reading and come to each facilitated session having already worked through the resources, since the subject expects informed discussion rather than first exposure in class.
  • You can write a tight, evidence-based analysis to a word limit: both reports are short (1,500 and 1,200 words) so structure, argument and citing the right WHO and Guinness and Wiseman material matter more than length.
  • You are comfortable holding two lenses at once, reading a health system through the WHO building blocks and financing, then switching to the economic lens of scarcity, efficiency and economic evaluation.
  • You engage early with your group on the 40% report, agreeing scope, roles and a timeline in the first weeks rather than the week before it is due.

You may struggle if

  • You treat it as a content-recall subject and skim the readings, then find the case-study and group reports reward applying frameworks to a real country setting, not summarising.
  • You leave the economics half (Modules 7 to 11) until late, so demand and supply, equity versus efficiency, and economic evaluation with QALYs and DALYs all pile up before the Week 12 test.
  • You under-coordinate the group report and discover in Week 9 that the 40% task has no shared structure or agreed argument.
  • You skip the Respondus LockDown Browser practice test and hit setup, camera or microphone problems on the day of the proctored Week 12 online test.
do this ↘
What HD students do differently
  • Anchor every report claim to a named framework or source: the WHO six building blocks, the three health-financing functions, systems thinking, or Guinness and Wiseman on efficiency and economic evaluation.
  • Make the case study genuinely comparative: choose a specific country setting and contrast it against Australia (Medicare, the PBS) or an OECD comparator rather than describing one system in isolation.
  • For the economics half, be able to explain and apply the core distinctions cleanly: average versus incremental cost-effectiveness, efficiency versus equity, and QALYs versus DALYs, including their limitations.
  • Prepare the online test by revising across all modules with worked definitions and small calculations (for example a clean ICER or a QALY computation), and sit the ungraded LockDown Browser practice test in advance.

Syllabus

The 12 topics, module by module

The exam-weight marker on each topic shows where the marks concentrate. The amber topics carry the highest exam weight.

Wk1

M1 · Analysis of health systems and the building blocks

What a health system is and why we study it, how systems function and evolve, and the World Health Organisation's six building blocks, grounded in the World Health Report 2000 and the WHO framework for action.

Lower exam weight
Wk2

M2 · Australian health care system

How the Australian system is organised and financed, the purpose and role of Medicare and the Pharmaceutical Benefits Scheme, and a compare-and-contrast with developed and developing countries' systems.

Lower exam weight
Wk3

M3 · Systems thinking and the multisectoral approach

Systems thinking as a paradigm shift for complex, interconnected health problems; how it differs from linear thinking; and applying a multisectoral approach to find workable solutions.

Lower exam weight
Wk4

M4 · Health financing and universal health coverage

The three WHO financing functions (raising revenue, pooling funds, purchasing services), financing mechanisms, the concept of universal health coverage, and comparing financing across OECD countries.

Lower exam weight
Wk5

M5 · Health workforce, education, training, competencies and migration

Human resources for health: workforce characteristics, education and training, public-health competencies, the Australian workforce, and the international migration of health personnel. Assessment 1 (individual case study) is due this module.

Lower exam weight
Wk6

M6 · Primary health care

The Declaration of Alma-Ata, the definition, objectives and components of primary health care, its organisation and functions in Australia (including the nursing scope of practice), and its performance in developing countries.

Lower exam weight
Wk7

M7 · Key concepts and principles of health economics

Economics as the study of scarcity and choice; opportunity cost, the margin, efficiency, equity and utility; the four questions economics answers; and how this applies to health care as a sub-discipline.

High exam weight
Wk8

M8 · Demand and supply in health care

Determinants of demand (income and price first, then complements, substitutes and tastes) and supply, elasticity of demand, supplier-induced demand, and why the standard market model is hard to apply to health care.

High exam weight
Wk9

M9 · Equity and efficiency in health care provision

Efficiency as the input-to-output (cost-to-benefit) relationship, types of efficiency, definitions and types of equity, the equity-efficiency trade-off, and why this tension complicates health-system goals.

High exam weight
Wk10

M10 · Methods of economic evaluation, Part 1

What economic evaluation is and its types (including cost-benefit and cost-effectiveness analysis), the four steps in conducting an evaluation, and how it informs funding and policy decisions. Assessment 2 (group report) is due this module.

High exam weight
Wk11

M11 · Methods of economic evaluation, Part 2

Measures of health consequences (mortality and morbidity), valuing health outcomes with Quality-Adjusted Life Years (QALYs) and Disability-Adjusted Life Years (DALYs), the differences and limitations of each, and the WHO concept of best buys.

High exam weight
Wk12

M12 · Review of all modules

A consolidating review of Modules 1 to 11 to ground the full health-systems-and-economics picture, in direct preparation for the Week 12 online test. Assessment 3 (online test) is due this module.

Lower exam weight

How it's assessed

Assessment structure

ComponentWeightFormat & timing
Case Study Report (individual)35%Individual case-study report, 1,500 words (+/- 10%): apply systems thinking and the building blocks to a country context or setting in public health, analysing issues and problems. Due Week 5. Assesses learning outcomes a, b and c.
Report (group)40%Group report summary, 1,200 words (+/- 10%). Due Week 10. Assesses learning outcomes a, b, c and d.
Online Test (individual)25%Online test, 30 minutes, 40 questions: may include multiple choice, true/false, short answer and calculations. Sat under Respondus LockDown Browser with a webcam (proctored). Wednesday, Week 12. Assesses learning outcomes a, b, c, d and e.
Case Study Report (individual)35%
Individual case-study report, 1,500 words (+/- 10%): apply systems thinking and the building blocks to a country context or setting in public health, analysing issues and problems.
Report (group)40%
Group report summary, 1,200 words (+/- 10%).
Online Test (individual)25%
Online test, 30 minutes, 40 questions: may include multiple choice, true/false, short answer and calculations. Sat under Respondus LockDown Browser with a webcam (proctored).
  • Pass on a weighted average of at least 50%. No single-component hurdle is stated in the subject materials reviewed.
  • There is no closed-book final exam. The capstone is a 25% online test in Week 12 (40 questions, 30 minutes) sat under Respondus LockDown Browser with a webcam, drawing on the whole subject. Complete the ungraded practice test in LockDown Browser first to check your setup.
  • Calculator policy: The online test may include calculations; the subject outline does not specify a calculator policy, so confirm permitted aids against the test instructions in MyLearn before sitting.
read this! If you read nothing else

This is a coursework unit. Coursework carries 100% of the grade and the report (group) is the single heaviest piece at 40%, so steady work across the semester decides your result more than any one sitting. Assesses learning outcomes a, b, c and d.

Final exam timing: No final exam. Capstone online test in Week 12 (S2 2026; approx Nov 2026, confirm the exact date against the official subject schedule in MyLearn). Confirm the exact date and venue on the official exam timetable.

How to actually pass it

A weekly rhythm, two checklists, and the traps to avoid

The unit rewards consistency over cramming, and practice over re-reading. Here is the loop that works, then what to have nailed before each exam.

The weekly loop

Before the facilitated session
Work through the module's essential readings, videos and learning activities first; the subject expects you to arrive prepared so the session is discussion and application, not first exposure.
During the facilitated session
Use the time to test your understanding and to ask the learning facilitator about the assessments; these sessions are explicitly a place to seek guidance on the reports.
Across the systems half (Modules 1 to 6)
Keep a running note of the WHO building blocks, the Australian system and financing, systems thinking and primary health care, so the Week 5 case study has frameworks ready to apply.
Across the economics half (Modules 7 to 11)
Build a one-page glossary of the economic concepts (scarcity and opportunity cost, demand and supply, equity versus efficiency, cost-effectiveness, QALYs and DALYs) as you meet them, ready for the group report and the Week 12 test.

Before the mid-semester checklist

  • Start the Week 5 individual case study early: pick a specific country setting and the issues you will analyse through systems thinking and the building blocks.
  • Confirm the word count and structure against the assessment brief in MyLearn (1,500 words +/- 10%, addressing outcomes a, b and c).
  • Form and brief your group for the Week 10 report well before it is due, agreeing scope, roles and a timeline.
  • Keep citations tidy from the start: WHO reports and Guinness and Wiseman are the backbone sources for both reports.

Before the final heaviest topics

  • Revise across all twelve modules, because the Week 12 online test draws on outcomes a to e and covers both the systems and economics halves.
  • Drill the small calculations that may appear: a clean ICER, an average versus incremental cost-effectiveness comparison, and a QALY computation.
  • Practise concise short-answer definitions (building blocks, universal health coverage, supplier-induced demand, equity versus efficiency, QALYs versus DALYs) since the test is fast at 40 questions in 30 minutes.
  • Install Respondus LockDown Browser and complete the ungraded practice test in advance to confirm your camera, microphone and environment pass the check.

The mistakes that cost marks

01

Confusing average and incremental cost-effectiveness. Economic evaluation for priority setting is incremental: the ICER divides the extra cost by the extra benefit of switching from one option to another, not the total cost of one option by its total QALYs. Reaching for the average cost-effectiveness ratio is the most common slip in the economics half.

02

Writing description instead of analysis in the reports. Both reports reward applying frameworks (the building blocks, systems thinking, financing functions, economic evaluation) to a real setting and drawing a conclusion. Summarising how a system works without analysing its issues or making a comparative judgement loses the marks the criteria are looking for.

03

Under-coordinating the 40% group report. At 40%, the group report is the single heaviest task. Leaving scope, roles and a shared argument until late produces a disjointed 1,200-word summary. Agree the structure and timeline in the first weeks and divide the work deliberately.

04

Skipping the LockDown Browser practice test. The Week 12 test is proctored under Respondus LockDown Browser with a webcam. Students who do not install it and run the ungraded practice test first risk losing time to setup, camera or microphone failures during a tight 30-minute, 40-question test.

Where it fits

Prerequisites, related units & why it matters

PUBH6003 is a postgraduate (400-level) public-health subject; the subject outline reviewed lists no prerequisite or co-requisite. Check your course structure in the Student Hub for where it sits in your program and any program-level requirements.

Why it matters beyond the grade. PUBH6003 installs the two capabilities public-health and health-policy roles assume: reading a health system through the WHO building blocks and its financing, and using economic evaluation (cost-effectiveness, QALYs and DALYs) to justify and prioritise programs under scarce resources. That combination underpins work in health policy and planning, program management, health financing, and public-health practice across government, non-government and global-health settings.

FAQ

Frequently asked questions

Is PUBH6003 hard?

It is moderate for a postgraduate subject. There is no closed-book final exam, and the conceptual health-systems half (Modules 1 to 6) is reading-heavy rather than technical. The step up comes in the economics half (Modules 7 to 11), where demand and supply, equity versus efficiency, and economic evaluation with QALYs and DALYs introduce new analytic tools. With consistent weekly reading and early work on the two reports it is very manageable.

How is PUBH6003 assessed?

Three tasks totalling 100%: a 35% individual case-study report of 1,500 words due in Week 5, a 40% group report of 1,200 words due in Week 10, and a 25% individual online test in Week 12. You pass on a weighted average of at least 50%, with no single-component hurdle stated in the materials reviewed.

What is the online test like?

It is a 30-minute, 40-question individual test in Week 12 that may mix multiple choice, true/false, short answer and calculations across the whole subject. It is sat under Respondus LockDown Browser with a webcam, so it is proctored. Install LockDown Browser and complete the ungraded practice test first to confirm your setup, camera and microphone work before exam day.

How much economics and maths is involved?

The economics is applied rather than mathematical. You work with scarcity and opportunity cost, demand and supply and elasticity, equity versus efficiency, and economic evaluation. The numerical content is light: cost-effectiveness and cost-benefit reasoning, and valuing outcomes with QALYs and DALYs. The online test may include some calculations, but the major deliverables are written analysis, not problem sets.

What do I need for the group report?

Assessment 2 is a 40% group report (1,200-word summary) due in Week 10, so it is the single heaviest task and depends on coordinating with your group early. Read the assessment brief in MyLearn carefully for the required components, agree roles and a timeline in the first weeks, and use the facilitated sessions to ask your learning facilitator about scope and structure.

What are QALYs and DALYs and why do they matter here?

They are summary measures used to value health outcomes in economic evaluation. A QALY (Quality-Adjusted Life Year) measures health gain on a scale from 0 (death) to 1 (full health), combining length and quality of life. A DALY (Disability-Adjusted Life Year) measures healthy time lost, adding Years of Life Lost to Years Lived with Disability, where 0 is full health and 1 is death. Modules 10 and 11 use them to compare interventions and set priorities under scarce resources.

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