VLVZ9X1p Public Health - lecture

Faculty of Medicine
Spring 2015
Extent and Intensity
1/0/0. 0 credit(s). Type of Completion: -.
Teacher(s)
prof. MUDr. Bc. Zuzana Derflerová Brázdová, DrSc. (lecturer)
Mgr. Pavlína Kaňová, Ph.D. (lecturer)
Mgr. Bc. Michal Koščík, Ph.D. (lecturer)
MUDr. Kräuff Rainer Schwanhaeuser Wulff, MBA, Ph.D. et Ph.D., M.A. (lecturer)
Zdeňka Jochová (assistant)
Guaranteed by
Mgr. Pavlína Kaňová, Ph.D.
Department of Public Health – Theoretical Departments – Faculty of Medicine
Contact Person: Mgr. Pavlína Kaňová, Ph.D.
Supplier department: Department of Public Health – Theoretical Departments – Faculty of Medicine
Timetable
Mon 16. 2. to Wed 18. 2. each working day 7:30–9:30 I.CHK N01001
  • Timetable of Seminar Groups:
VLVZ9X1p/VLA: Tue 17. 2. 9:40–11:40 KOM 409, Wed 18. 2. 9:40–11:40 KOM 409, Thu 19. 2. 9:40–11:40 KOM 200
Prerequisites (in Czech)
( VLFA0822p Pharmacology II - L || VLFA0722p Pharmacology - L ) && VSSL051p Social Medicine - lecture
Course Enrolment Limitations
The course is also offered to the students of the fields other than those the course is directly associated with.
fields of study / plans the course is directly associated with
Course objectives
By the end of this course student 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
  • 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
  • KOPSA TĚŠINOVÁ, Jolana, Roman ŽĎÁREK and Radek POLICAR. Medicínské právo. Vyd. 1. V Praze: C.H.Beck, 2011, xxxiii, 41. ISBN 9788074000508. info
  • REQUIRED LITERATURE
  • 1. 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
  • 2. 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.
  • 3. Stone DB, Armstrong WR, Macrina DM, Pankau JW: Introduction to epidemiology. Dubuque, IA - USA: Brown & Benchmark Publishers; 1996. pp 1-10, 163-190.
  • 4. Bonita R, Beaglehole R, Kjellström: Basic epidemiology. 2nd edition. Geneva - Switzerland: World Health Organization; 2006. pp 165-175.
  • 5. Farmer R, Lawrenson R, Miller D: Epidemiology and public health medicine. 5th edition. Oxford - U.K.: Blackwell Publishing; 2004. pp 143-177.
  • 6. Topics (seminar papers) given in the fifth year seminar, will be available at subject's vault for enrolled students - Subject VLZP11XX.
    recommended literature
  • 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
Lectures.
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:
***This subject is part of the Public Health State Examination***.
To sit for Public Health State Examination, it will be required to have the epidemiology of infectious diseases credit - VSEI7X1a, the preventive medicine colloquium - VLPL9X1, and the public health credit VLVZ9X1c.
All questions will be based on ALL REQUIRED LITERATURE, seminars and lectures of given subjects.
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 also listed under the following terms Spring 2000, Autumn 2000, Spring 2001, Autumn 2001, Spring 2002, Autumn 2002, Spring 2003, Autumn 2003, Spring 2004, Autumn 2004, Spring 2005, Autumn 2005, Spring 2006, Spring 2007, Spring 2008, Spring 2009, Spring 2010, Spring 2011, Spring 2012, Spring 2013, Spring 2014, Spring 2016, Spring 2017, Spring 2018, spring 2019.
  • Enrolment Statistics (Spring 2015, recent)
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