LF:VLVZ9X1c Public Health - Course Information

VLVZ9X1c Public Health - practice

Extent and Intensity

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

Teacher(s)

JUDr. Radek Policar (seminar tutor)
Mgr. Pavlína Kaňová, Ph.D. (seminar tutor)
JUDr. Jana Konečná, Ph.D. (seminar tutor)
Ing. Hana Jechová, Ph.D. (seminar tutor)
PhDr. Jana Kocourková, MBA (seminar tutor)
Mgr. Radek Halouzka (seminar tutor)
MUDr. Vladimíra Danihelková, MBA (seminar tutor)
Mgr. Ing. Eva Kučerová (seminar tutor)
MUDr. Irena Vyzulová (seminar tutor)
prof. MUDr. Bc. Zuzana Derflerová Brázdová, DrSc. (seminar tutor)
MUDr. Kräuff Rainer Schwanhaeuser Wulff, MBA, Ph.D. et Ph.D., M.A. (seminar tutor)
Jana Sovová (assistant)

Guaranteed by

Mgr. Pavlína Kaňová, Ph.D.
Department of Social Medicine and Health Care Administration – Theoretical Departments – Faculty of Medicine
Contact Person: Jana Sovová
Supplier department: Department of Social Medicine and Health Care Administration – Theoretical Departments – Faculty of Medicine

Timetable of Seminar Groups

VLVZ9X1c/01: Mon 26. 5. to Fri 30. 5. each working day 8:00–12:50 C15/333
VLVZ9X1c/02: Mon 12. 5. to Fri 16. 5. each working day 8:00–12:50 C15/333
VLVZ9X1c/03: Mon 28. 4. to Fri 2. 5. each working day 8:00–12:50 C15/333
VLVZ9X1c/04: Mon 14. 4. to Fri 18. 4. each working day 8:00–12:50 C15/333
VLVZ9X1c/05: Mon 31. 3. to Fri 4. 4. each working day 8:00–12:50 C15/333
VLVZ9X1c/06: Mon 17. 3. to Fri 21. 3. each working day 8:00–12:50 C15/333
VLVZ9X1c/09: Mon 19. 5. to Fri 23. 5. each working day 8:00–12:50 C15/333
VLVZ9X1c/10: Mon 5. 5. to Fri 9. 5. each working day 8:00–12:50 C15/333
VLVZ9X1c/11: Mon 21. 4. to Fri 25. 4. each working day 8:00–12:50 C15/333
VLVZ9X1c/12: Mon 7. 4. to Fri 11. 4. each working day 8:00–12:50 C15/333
VLVZ9X1c/15: Mon 24. 3. to Fri 28. 3. each working day 8:00–12:50 C15/333
VLVZ9X1c/16: Mon 10. 3. to Fri 14. 3. each working day 8:00–12:50 C15/333
VLVZ9X1c/30: No timetable has been entered into IS.
VLVZ9X1c/31: No timetable has been entered into IS.
VLVZ9X1c/32: No timetable has been entered into IS.
VLVZ9X1c/33: No timetable has been entered into IS.

Prerequisites (in Czech)

( VLFA0822p Pharmacology II - L || VLFA0722p Pharmacology - L ) && VSSL051p Social Medicine - lecture

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

• General Medicine (eng.) (programme LF, M-VL)
• General Medicine (programme LF, M-VL)

Course objectives

By the end of this course students should be able to: describe the term Public Health, describe theoretical framework and practice of Public Health; identify managerial and policy issues, and techniques for decision-making in health care; demonstrate knowledge and understanding of a diverse range of global and national health policies, including current and emerging trends and also of disciplines relevant to the study of health policy, planning and financing (epidemiology, health economic and other social sciences); apply his knowledge and skills using a multidisciplinary approach to formulate and evaluate health policies and plans.

Syllabus

• 0. Qualitative methods for health research.
• 1. What is meant by "health care"? Lay care: ranges and extent of activities, lay carers, attitudes of formal carers. Inputs to formal health care: staff, facilities, finance. Variations in inputs. Problems of definition. Historical framework for public health and health policy. Cultural conceptions and health beliefs, health as a value.
• 2. What is meant by "disease"? Difference between objective and subjective explanations of disease. What is meant by "a disease"? How do disease categories arise? Why do such categories change over time? History of medicine: bedside, hospital and laboratory medicine. Clinical approaches to the study of health and disease: case study and case series.
• 3. What is health policy? Theoretical approaches to policy making. Political system and public participation. Exogenous factors affecting policy. How far does research influence policy? Implementation of public health policy. United Nations health related organisations. European Health for All strategy. Reforms of health systems. Issues in the Czech Public Health Medicine.
• 4. The role of evaluation in therapeutic and prophylactic decision making. Critical assessment and interpretation of scientific data. Evidence based medicine. Meta-analysis. The advantages and limitations of epidemiology in assessing health needs, determining priorities, establishing and evaluating interventions. The value of epidemiological evidence in health policy decision-making. Health information provision for decision making. Information systems in public health.
• 5. Primary, secondary and tertiary prevention in the context of the natural history of the disease. Epidemiological uncertainties and their consequences for policy. Tension between strategies for populations and high risk groups for preventive interventions. The advantages and disadvantages of primary care as a setting for health promotion. Behavioural aspects of health promotion interventions at both the individual and community level. Is prevention better than cure?
• 6. Conceptual model of inputs and processes: felt need, demand, normative need, met need, unmet need, overmet need, illness behaviour, professional judgement and rationing. Clinical iceberg. Measures of utilisation of health care: service-based, population-based. Need and use: effect of age and social class, use/need ratios, inverse care law. Use as a measure of met and unmet need.
• 7. Patterns in the organisation of health services. Health systems in industrialised countries. Why compare health systems? Frameworks for comparison. Primary health care.
• 8. Public sources of finance. Private sources of finance. Health insurance. Problems of data collection, problems of coordination. Expenditure per capita and as proportion of GDP: problems of definition of expenditure, problems of international comparisons, effect of adjustment on social sector spending. Technology assessment. What financial strategies and methods are available to improve the management of health services?
• 9. Outcome measures. Efficacy, efficiency, effectiveness. Cost-effectiveness analysis. Cost-utility analysis. Cost-benefit analysis. Humanity of care. Defining equity. Measuring equity. Setting priorities for health services: why set priorities for health services?, stages of priority setting, how to involve the public, consensus development methods.
• 10. Current state of health services. Problems in health services management: lack of knowledge about outcome, lack of use of knowledge about outcome, powerful professions, organisational complexity, environmental changes. Outcome research. Quality assurance: methods for changing behaviour or practice, education, feedback of information, incentives, administrative processes, regulation. Organisational and financial management, modelling.

Literature

required literature
• HOLČÍK, Jan. Systém péče o zdraví a zdravotní gramotnost (System of health care and health literacy). 1. vydání. Brno: Masarykova univerzita, 2010, 293 pp. Škola a zdraví pro 21. století. ISBN 978-80-210-5239-0. info
• REQUIRED LITERATURE
• 1. Bonita R, Beaglehole R, Kjellström: Basic epidemiology. 2nd edition. Geneva - Switzerland: World Health Organization; 2006. pp 165-177.
• 2. Stone DB, Armstrong WR, Macrina DM, Pankau JW: Introduction to epidemiology. Dubuque, IA - USA: Brown & Benchmark Publishers; 1996. pp 1-10, 163-190.
• 3. Farmer R, Lawrenson R, Miller D: Epidemiology and public health medicine. 5th edition. Oxford - U.K.: Blackwell Publishing; 2004. pp 143-177.
• 4. Varkey P: Mayo clinic preventive medicine and public health board review. Edited by Prathibha Varkey. New York - United States: Mayo Clinic Scientific Press - Oxford University Press; 2010. pp 253-299.
• 5. Topics (seminar papers) given in the fifth year seminar, will be available at subject's vault for enrolled students - Subject VLZP11XX.
• 6. Study materials for public health and healthcare administration (20 chapters / questions) CAN BE BORROWED at the Department of Public Health A21, office 321. Students MUST return it back the day of examination in the same conditions they borrowed it.

recommended literature
• ŽÁČEK, A. and J. HOLČÍK. Sociální lékařství II, Úvod do veřejného zdravotnictví. Brno: Masarykova univerzita, 1992, 130 pp. ISBN 80-210-0375-8. info
• HOLČÍK, Jan, Adolf ŽÁČEK and Ilona KOUPILOVÁ. Sociální lékařství. 3. nezměn. vyd. Brno: Masarykova univerzita, 2006, 137 s. ISBN 9788087192153. info
• RECOMMENDED LITERATURE
• 1. Petrie A, Sabin C: Medical statistics at a glance. Oxford - U.K.: Blackwell Publishing; 2003.
• 2. Rose G: Roseʼs strategy of preventive medicine. Oxford - U.K.: Oxford University Press; 2008.

Teaching methods

Seminar and class discussion.
Reading and studying ALL REQUIRED LITERATURE.
For those who will have to write research projects and seminar papers during third, fourth and fifth year, it is strongly recommended to enrol the following courses:
 VSIL021 - Information literacy - (3 credits) - e-learning.
 VSKP041 - A course of working with information sources and tools (4 credits).

Assessment methods

Requirements to obtain the credit:
1.   A minimum of 80 % (12 out of 15 blocks) attendance to seminars (Monday to Friday).
 •Absences will be tolerated just due to examinations or medical treatment - Student must provide appropriate documentation or medical excuse.
 •In case of unjustified absence an additional seminar paper will be given on the topic the student has missed.
2.  Seminar paper according to given instructions (by Thursday midnight, draft paper must be sent to subject´s vault on IS, as a requisite for the power point presentation).
3.  Power point presentation according to given instructions. (Friday).
4.  Achieve a minimum sum of 80 points / per cent - (a+b+c) / 3 = 80 points / per cent.

 a)  Seminar paper - (0-100 points / per cent).
Every student will write a seminar paper according to given paramethers and must submitted it given terms (three terms).
No seminar paper will be accepted outside submission dates.
If the seminar paper after being peer-reviewed, does not fulfil the requirements or has deficiencies in contents (the minimum standard - theoretical background, stylistics and adequate citation / quoting) will be rejected and returned back for further corrections.
Students will be able to summit their seminar paper up to three times [on given terms - during the practice and two additional submission terms for corrections] as it is stipulated in the Study rules of Masaryk University.
In case the student will not submit the seminar paper within the first submission term, he / she will lost the submission term and he/she will have to wait for the next, or last submission term.

Submission term dates will be given during practices (Every group submission dates are fixed).

The student who will not submit his / her seminar paper by the last submission term, or his / her seminar paper will be rejected on the last submission term, will fail the subject / course, having to re-enroll the subject on the following school year.

If seminar paper fulfils all requirements, then it will be scan for plagiarism, and given to professor Derflerová-Brázdová for final evaluation.



Plagiarism detection and unethical issues:
Every seminar paper will be checked on university / external systems for online plagiarism detection.
Cases of suspected plagiarism will be investigated and given to the Disciplinary Committee as a motion to open disciplinary proceedings, according to the Disciplinary Code for Faculty Students.
Unethical issues will lead to seminar paper rejection → not getting the credit → repeating the course next spring semester.

Students MUST be aware that before acceptance, all citations are controlled (compared with the original source). It will not be tolerated any attempts to create or manipulate citations (ACADEMIC MISCONDUCT). → Seminar paper rejection → not getting the credit → repeating the course next spring semester.

 b)  Power point presentation [theoretical background, rhetoric’s, quality of the presentation] - (0-100 points / per cent).

 c)  Active participation during the whole seminar (0-100 points / per cent).

Topics can be given in advance at the Department of Public Health - A21 - Office 321.

***This subject is part of the Public Health State Examination***.
See complete requirements and seminar papers at - VLZP11XX Public Health - State Exam.

Language of instruction

Czech

Further Comments

Study Materials
The course can also be completed outside the examination period.
The course is taught annually.

• Enrolment Statistics (Spring 2014, recent)
  
• Permalink: https://is.muni.cz/course/med/spring2014/VLVZ9X1c