BZSL051 Community Medicine

Faculty of Medicine
Autumn 2004
Extent and Intensity
1/2/0. 3 credit(s). Type of Completion: k (colloquium).
Teacher(s)
prof. MUDr. Jan Holčík, DrSc. (lecturer)
prof. RNDr. Anna Gerylovová, CSc. (seminar tutor)
Guaranteed by
prof. MUDr. Jan Holčík, DrSc.
Department of Social Medicine and Health Care Administration – Theoretical Departments – Faculty of Medicine
Contact Person: prof. MUDr. Jan Holčík, DrSc.
Course Enrolment Limitations
The course is only offered to the students of the study fields the course is directly associated with.
fields of study / plans the course is directly associated with
Course objectives
The course in Community Medicine covers basic principles of health policy, demography, epidemiology, and biostatistics.
Syllabus
  • 1. Community medicine in a historical perspective. History of community medicine. Community medicine in Central Europe. Methodological, educational, moral, organizational and integrative role of social medicine.
  • 2. Measures of disease frequency. Health and disease. Prevalence. Incidence, risk, rate, odds. Issues in calculating measures of disease frequency. Analysis of routinely collected data. Value and limitations of routinely collected data.
  • 3. Mortality statistics. Death registration. Commonly used indices derived from mortality data. Summary statistics and standardisation. Direct standardisation. Health for All database.
  • 4. Comparing disease occurrence, population impact. Ratio measures. Estimating measures of effect for more than one level of exposure. Difference measures. Measures of effect versus measure of impact. Measures of population impact, population attributable risk, population attributable risk fraction.
  • 5. Observational studies. Ecological study. Cross-sectional study. Cohort study. Case control study. Issues in design and execution. Design strategy: when to use which study.
  • 6. Intervention studies. Key steps in a randomised controlled trial. Size of the trial. Variants of the randomised controlled trial. Ethical issues. Analysis, interpretation and policy implications.
  • 7. Distributions and summary measures. Types of variables. Distributions. Measures of central tendency. Measures of variability. Normal and log normal distributions.
  • 8. Estimation and testing. Populations and samples. Confidence intervals. Sampling variability of proportions. Sampling variability of means. Hypothesis testing. Interpretation of p-values.
  • 9. Measures of association. Correlation. Linear regression. Chi-squared test for a two-way table. Chi-squared test for trend. Validity of chi-squared tests. Epi-Info statistical package.
  • 10. Interpretation of epidemiological studies. Bias, selection bias, measurement bias. Differential and non-differential misclassification. Confounding. Meta-analysis. Causality in medicine.
  • 11. Diagnostic tests. Validity of diagnostic tests, sensitivity, specificity. Repeatability. Predictive values of a test result.
  • 12. Screening. Study designs for evaluation of screening. Selection bias, lead time bias, length bias, diagnosis bias. Criteria for a successful screening programme. Scope and levels of prevention.
  • 13. Health care planning and evaluation. Need, demand and use. Efficacy, effectiveness, efficiency. QALYs.
  • 14. Health care systems. Health care systems. Funding mechanisms. Equity. Health care system in the Czech Republic. The health reform process.
  • 15. Current issues in health policy. Health policy for Europe. Health for All programme.
Literature
  • HOLČÍK, J., A. ŽÁČEK and I. KOUPILOVÁ. Sociální lékařství. (Social Medicine.). 2. dopl. vyd. Brno: Masarykova univerzita, 1998, 137 pp. ISBN 80-210-1907-7. info
  • GERYLOVOVÁ, Anna and Jan HOLČÍK. Úvod do statistiky. Text pro semináře. 2. vyd. Brno: Masarykova univerzita, 2000, 31 pp. ISBN 80-210-2301-5. info
  • BEAGLEHOLE, R. Basic epidemiology. [1st ed.]. Geneva: World Health Organization, 1993, viii, 175. ISBN 92-4-154446-5. info
  • KOUPILOVÁ, Ilona and Jan HOLČÍK. Community medicine: Practical Handbook. 2nd ed. Brno: Lékařská fakulta Masarykovy univerzity, 1996, 114 pp. ISBN 80-210-1391-5. info
  • První dva tituly jsou základní, ostatní doplňkové.
Language of instruction
Czech
Further Comments
The course is taught annually.
The course is taught: every week.
The course is also listed under the following terms Autumn 2000, Autumn 2001, Autumn 2002, Autumn 2003, Autumn 2005, Autumn 2006, Autumn 2007, Autumn 2008, Autumn 2009, Autumn 2010, Autumn 2011, Autumn 2012, Autumn 2013, Autumn 2014.
  • Enrolment Statistics (Autumn 2004, recent)
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