LF:BZSL051c Community Medicine-p - Course Information

BZSL051c Community Medicine - practice

Extent and Intensity

0/2/0. 2 credit(s). Type of Completion: z (credit).

Teacher(s)

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

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

• Nursing (programme LF, B-SZ)

Course objectives

The course in Community Medicine covers basic principles of health policy, demography, epidemiology, and biostatistics.

Syllabus

• 1. History of community medicine. Community medicine in Central Europe. Methodological, educational, moral, organizational and integrative role of social medicine.
• 2. 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. Death registration. Commonly used indices derived from mortality data. Summary statistics and standardisation. Direct standardisation. Health for All database.
• 4. 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. Ecological study. Cross-sectional study. Cohort study. Case control study. Issues in design and execution. Design strategy: when to use which study.
• 6. 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. Types of variables. Distributions. Measures of central tendency. Measures of variability. Normal and log normal distributions.
• 8. Populations and samples. Confidence intervals. Sampling variability of proportions. Sampling variability of means. Hypothesis testing. Interpretation of p-values.
• 9. 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. Bias, selection bias, measurement bias. Differential and non-differential misclassification. Confounding. Meta-analysis. Causality in medicine.
• 11. Validity of diagnostic tests, sensitivity, specificity. Repeatability. Predictive values of a test result.
• 12. 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. Need, demand and use. Efficacy, effectiveness, efficiency. QALYs.
• 14. Health care systems. Funding mechanisms. Equity. Health care system in the Czech Republic. The health reform process.
• 15. 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 can also be completed outside the examination period.
The course is taught annually.
The course is taught: every week.

• Enrolment Statistics (Autumn 2005, recent)
  
• Permalink: https://is.muni.cz/course/med/autumn2005/BZSL051c