Abstract
National Healthcare Systems are an important aspect to study for health administration students, as they provide them with the knowledge and skills necessary to comprehend the organization, financing, and delivery of health services in a nation. The understanding of national healthcare systems allows students to examine healthcare policies, assess healthcare systems' performance, and recognize the strengths and weaknesses in the health care delivery system. Hence, the purpose of this study is to gain relevant and reliable data from the respondents to find out their opinions, experiences, and perceptions about the National Healthcare Systems (HSM479) course taken by the Bachelor in Health Administration (BA265) students. Data were gathered from 83 students who had finished the HSM479 course via online surveys on Google Forms. A structured questionnaire was created that focused on different dimensions such as Course Content and Relevance, Course Teaching and Learning, Student Engagement and Participation, Knowledge and Skill Development, Assessment and Feedback, and Perception and Satisfaction. The collected data were analyzed using descriptive statistics and inferential statistics. The results revealed high levels of sense of relevance, student satisfaction, and positive learning outcomes among the respondents. Additionally, the course content, students' participation and skill development were significantly correlated with students' satisfaction in taking this course. The findings are consistent with maintaining continuity of higher education healthcare system education in higher education curricula, especially in health administration and allied health programs.
Keywords
- National Healthcare Systems Course Search this journal for National Healthcare Systems Course (opens in a new tab)
- Undergraduate Student Search this journal for Undergraduate Student (opens in a new tab)
- Quality Education Search this journal for Quality Education (opens in a new tab)
- MOOC Search this journal for MOOC (opens in a new tab)
References
- Afriadi, B., & Fitri, F. (2025). Curriculum evaluation model: Paradigm and implications in improving the quality of education. Jurnal Evaluasi Pendidikan, 16(1), 50–62. https://doi.org/10.21009/jep.v16i1.58117 DOI: https://doi.org/10.21009/jep.v16i1.58117
- Alsalamah, A., & Callinan, C. (2021). Adaptation of Kirkpatrick’s four-level model of training criteria to evaluate training programs for head teachers. Education Sciences, 11(3), Article 116. https://doi.org/10.3390/educsci11030116 DOI: https://doi.org/10.3390/educsci11030116
- Becker, B., & Gould, R. (2023). Teaching statistics in the era of data science: Building practical data analysis skills. Journal of Statistics and Data Science Education, 31(2), 147–158. https://doi.org/10.1080/26939169.2023.2205608
- Carless, D., & Winstone, N. (2023). Teacher feedback literacy and its interplay with student feedback literacy. Teaching in Higher Education, 28(1), 150–163. https://doi.org/10.1080/13562517.2020.1782372 DOI: https://doi.org/10.1080/13562517.2020.1782372
- Chua, H. T., & Cheah, J. C. H. (2012). Financing universal coverage in Malaysia: A case study. BMC Public Health, 12(Suppl 1), Article S7. https://doi.org/10.1186/1471-2458-12-s1-s7 DOI: https://doi.org/10.1186/1471-2458-12-S1-S7
- Faraz, R., Khajeali, N., Kalantarion, M., & Kheiri, B. (2024). Evaluating the effectiveness of existing in-service training courses on infection prevention and control in nurses: An evaluation using the Kirkpatrick model. Shiraz E-Medical Journal. Advance online publication. https://doi.org/10.5812/semj-147225 DOI: https://doi.org/10.5812/semj-147225
- Fatmawati, H., Muksin, & Febriana, R. (2024). Evaluation of the implementation of upskilling and reskilling training education in the culinary skills program using the Kirkpatrick model. Global Synthesis in Education Journal. https://doi.org/10.61667/3redf095 DOI: https://doi.org/10.61667/3redf095
- Field, A. (2022). Discovering statistics using IBM SPSS Statistics (6th ed.). Sage.
- Garfield, J., & Ben-Zvi, D. (2021). Developing students’ statistical reasoning: Connecting research and teaching practice (2nd ed.). Springer. https://doi.org/10.1007/978-1-4020-8383-9 DOI: https://doi.org/10.1007/978-1-4020-8383-9
- Goel, S., Upadhyay, K., Goel, S., Joshi, P. T., L., Bhatt, G., John, P., & Shah, P. (2026). Developing, implementing, and evaluating a competency-based nursing education curriculum among nurse educators of Odisha—Using Kern’s approach and Kirkpatrick training evaluation model. Indian Journal of Community Medicine, 51(2), 294–304. https://doi.org/10.4103/ijcm.ijcm_724_24 DOI: https://doi.org/10.4103/ijcm.ijcm_724_24
- Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2021). Multivariate data analysis (8th ed.). Cengage.
- Haque, M., A Rahman, N. A., Rahman, S., Majumder, M. A. A., Syed Mohdhar, S. S. B., Lugova, H., Abdullah, A., Binti Abdullah, S. L., Ismail, M. H. B., Charan, J., Kumar, S., Irfan, M., Sani, I. H., Rabiu Abubakar, A., Chowdhury, K., Akter, F., Jahan, D., & Ahmad, R. (2022). Medical students’ perception regarding health policy teaching and their participation in health policy roles: A survey at a public university in Malaysia. Healthcare, 10(6), Article 967. https://doi.org/10.3390/healthcare10060967 DOI: https://doi.org/10.3390/healthcare10060967
- Hew, K. F., & Cheung, W. S. (2023). Students’ and instructors’ use of massive open online courses (MOOCs): Motivations and challenges. Educational Technology Research and Development, 71(2), 611–630. https://doi.org/10.1016/j.edurev.2014.05.001 DOI: https://doi.org/10.1016/j.edurev.2014.05.001
- Jamaludin, N. L., Sani, A., Sohid, F. M., Mashahadi, F., & Yusof, N. (2024). Students' perceptions towards the relevance of tertiary education. Information Management and Business Review, 16(1), 49–57. https://doi.org/10.22610/imbr.v16i1(I)S.3726 DOI: https://doi.org/10.22610/imbr.v16i1(I)S.3726
- Jones, B. D., Krost, K., & Jones, M. W. (2021). Relationships between students’ course perceptions, effort, and achievement in an online course. Computers & Education Open, 2, Article 100051. https://doi.org/10.1016/j.caeo.2021.100051 DOI: https://doi.org/10.1016/j.caeo.2021.100051
- Jordan, K., Andres, J., & Teixeira, A. (2022). MOOCs and higher education: Implications for teaching and learning in global contexts. International Review of Research in Open and Distributed Learning, 23(2), 45–63.
- Khanom, M., Hoque, A., Miah, M. A., Roy, S., & Yusuf, O. F. (2026). Evaluation of training on teaching methodology and assessment for nursing faculty: A pilot study. Bangladesh Journal of Medical Education. https://doi.org/10.3329/bjme.v17i1.87082 DOI: https://doi.org/10.3329/bjme.v17i1.87082
- Liu, Y., Peng, Y., Zhu, B., Xia, Z., Yuan, Y., & Zhang, F. (2025). Implementing cancer pain management training for pharmacists using the Kirkpatrick evaluation model. Journal of Pain Research. https://doi.org/10.2147/JPR.S493936 DOI: https://doi.org/10.2147/JPR.S493936
- Miranda, F. M. D., Santos, B. V. D., Kristman, V. L., & Mininel, V. (2025). Employing Kirkpatrick’s framework to evaluate nurse training: An integrative review. Revista Latino-Americana de Enfermagem. https://doi.org/10.1590/1518-8345.7250.4431 DOI: https://doi.org/10.1590/1518-8345.7250.4431
- Nair, M., & Webster, P. (2012). Health professionals' migration in emerging market economies: Patterns, causes and possible solutions. Journal of Public Health, 35(1), 157–163. https://doi.org/10.1093/pubmed/fds087 DOI: https://doi.org/10.1093/pubmed/fds087
- Payán, D. D. (2021). Cultivating health policy analysis and communication skills in undergraduate public health education: An active learning approach. Pedagogy in Health Promotion, 7(3), 235–241. https://doi.org/10.1177/23733799211003248 DOI: https://doi.org/10.1177/23733799211003248
- Pereira, D., Flores, M. A., Simão, A. M. V., & Barros, A. (2016). Effectiveness and relevance of feedback in higher education: A study of undergraduate students. Studies in Educational Evaluation, 49, 7–14. https://doi.org/10.1016/j.stueduc.2016.03.004 DOI: https://doi.org/10.1016/j.stueduc.2016.03.004
- Santoso, M., Chua, P. S. N., Radzi, P. A. M., Kong, P. Y. F., Chwa, M. C., Raffoul, P. A., Craddock, P. N., & Austin, S. S. B. (2024). Case method teaching, strategic storytelling, and social change: A pilot evaluation of an online course to address colorism in Malaysia. Pedagogy in Health Promotion. https://doi.org/10.1177/23733799241263010 DOI: https://doi.org/10.1177/23733799241263010
- Tabachnick, B. G., & Fidell, L. S. (2021). Using multivariate statistics (8th ed.). Pearson.
- Ucha, C. R. (2023). Role of course relevance and course content quality in MOOCs acceptance and use. Computers and Education Open, 5, Article 100147. https://doi.org/10.1016/j.caeo.2023.100147 DOI: https://doi.org/10.1016/j.caeo.2023.100147
- Weidlich, J., Fink, A., Frey, A., Jivet, I., Gombert, S., Menzel, L., & Drachsler, H. (2025). Highly informative feedback using learning analytics: How feedback literacy moderates student perceptions of feedback. International Journal of Educational Technology in Higher Education, 22(1), Article 43. https://doi.org/10.1002/tea.21929 DOI: https://doi.org/10.1186/s41239-025-00539-9
- Zawacki-Richter, O., Bozkurt, A., Alturki, U., & Aldraiweesh, A. (2023). What research says about MOOCs – An exploratory content analysis. International Review of Research in Open and Distributed Learning, 24(1), 1–21. https://doi.org/10.19173/irrodl.v19i1.3356 DOI: https://doi.org/10.19173/irrodl.v19i1.3356
- Zhu, M., Sari, A. R., & Lee, M. M. (2018). A systematic review of research methods and topics of the MOOC literature (2014–2016). The Internet and Higher Education, 37, 31–39. https://doi.org/10.1016/j.iheduc.2018.01.002 DOI: https://doi.org/10.1016/j.iheduc.2018.01.002
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Copyright (c) 2026 Mohd Zulkifli Abdullah (Author); Nor Zaihan Mat Hasan Mat Hussin (Corresponding Author); Mohamad Naqiuddin Md Mansor, Naffisah Mohd Hassan, Elsa Roselina, Intan Akirah Zakri (Author)

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Keywords
- National Healthcare Systems Course Search this journal for National Healthcare Systems Course (opens in a new tab)
- Undergraduate Student Search this journal for Undergraduate Student (opens in a new tab)
- Quality Education Search this journal for Quality Education (opens in a new tab)
- MOOC Search this journal for MOOC (opens in a new tab)
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