VLVZ9X1c Public Health - practice

Faculty of Medicine
Spring 2018
Extent and Intensity
0/2/0. 2 credit(s). Type of Completion: z (credit).
Teacher(s)
Mgr. Pavlína Kaňová, Ph.D. (seminar tutor)
MUDr. Kräuff Rainer Schwanhaeuser Wulff, MBA, Ph.D. et Ph.D., M.A. (seminar tutor)
Ing. Jitka Dušková, Ph.D. (seminar tutor)
PhDr. Karel Hejduk (seminar tutor)
Mgr. Bc. Michal Koščík, Ph.D. (seminar tutor)
Mgr. Aleš Peřina, Ph.D. (seminar tutor)
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 of Seminar Groups
VLVZ9X1c/01: Mon 28. 5. to Fri 1. 6. each working day 8:00–12:50 C15/308
VLVZ9X1c/02: Mon 14. 5. to Fri 18. 5. each working day 8:00–12:50 C15/308
VLVZ9X1c/03: Mon 30. 4. to Fri 4. 5. each working day 8:00–12:50 C15/308
VLVZ9X1c/04: Mon 16. 4. to Fri 20. 4. each working day 8:00–12:50 C15/308
VLVZ9X1c/05: Mon 2. 4. to Fri 6. 4. each working day 8:00–12:50 C15/308
VLVZ9X1c/06: Mon 19. 3. to Fri 23. 3. each working day 8:00–12:50 C15/308
VLVZ9X1c/09: Mon 21. 5. to Fri 25. 5. each working day 8:00–12:50 C15/308
VLVZ9X1c/10: Mon 7. 5. to Fri 11. 5. each working day 8:00–12:50 C15/308
VLVZ9X1c/11: Mon 23. 4. to Fri 27. 4. each working day 8:00–12:50 C15/308
VLVZ9X1c/12: Mon 9. 4. to Fri 13. 4. each working day 8:00–12:50 C15/308
VLVZ9X1c/15: Mon 26. 3. to Fri 30. 3. each working day 8:00–12:50 C15/308
VLVZ9X1c/16: Mon 12. 3. to Fri 16. 3. each working day 8:00–12:50 C15/308
VLVZ9X1c/30: Mon 11. 6. to Fri 15. 6. each working day 7:30–12:30 C15/309
VLVZ9X1c/31: Mon 12. 3. to Fri 16. 3. each working day 7:30–12:30 C15/309
VLVZ9X1c/32: Mon 26. 2. to Fri 30. 3. each working day 7:30–12:30 C15/309
VLVZ9X1c/33: Mon 4. 6. to Fri 8. 6. each working day 7:30–12:30 C15/309
VLVZ9X1c/34: Mon 2. 4. to Fri 6. 4. each working day 7:30–12:30 C15/309
Prerequisites
( VLFA0822p Pharmacology II - L || VLFA0722p Pharmacology - L ) && VSSL051p Social Medicine - lecture
Prerequisites according to the MU study and examination regulations.
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 Health Care and Policy introduces the students to the analysis of health care systems, managerial and policy issues and techniques for decision-making in health care. The subjects covered include health services research, health policy, health economics, and law.
Learning outcomes
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
  • PUBLIC HEALTH:
  • 1. Information on the course Public Health. Introduction to public health as a subject for teaching, research and healthcare practice area.
  • 2. Methods and research capabilities in the field of public health.
  • 3. Ethical issues in public health and their possible solutions.
  • 4. Causes of increasing health care spending.
  • 5. Transformation of health.
  • 6. Transit demography, epidemiological transformation and health needs.
  • 7. Information base for the description and evaluation of public health.
  • 8. Medical informatics and its application.
  • 9. Health economics. The concept, theoretical background, main areas of interest (subjects), health economics
  • 10. The market and health care.
  • 11. Types of health systems in the world, their strengths and weaknesses. International comparisons, strengths and weaknesses.
  • 12. Healthcare management, its development, benefits and pitfalls. Economic tools for managing healthcare systems.
  • 13. Benefits and risks of economic analysis, waste in health care.
  • 14. Medical insurance (public health insurance, private health insurance).
  • 15. Healthcare financing (sources of finance, structure of cash expenditure on health care reimbursement forms).
  • 16. Effectiveness and efficiency, explanation of terms, their measurement and evaluation.
  • 17. Accessibility of health care services.
  • 18. The quality of health care, definitions, characteristics, possibilities for evaluation.
  • 19. Evaluation of health care services (importance and evaluation methods, used indicators and their interpretation).
  • 20. Medical needs (the needs, requirements and consumption of services).
  • 21. Management theory and management of medical facilities.
  • 22. Prevention and its obstacles (motivation to prevent, categorization prevention, prevention of barriers).
  • 23. Primary care and self-care.
  • 24. Medical education; role, importance and types of health literacy.
  • 25. Educational program (preparation, implementation, evaluation).
  • 26. Forms of decentralization.
  • 27. Privatization of health care facilities.
  • 28. Cumulative assessment of the activities of the healthcare system (performance - responsiveness, decent financing, stewardship, methodology, interpretation).
  • 29. The role of the state in health care.
  • 30. The government protecting the public health.
  • 31. Healthcare policy (term, focus, tools and healthcare policy goals). Regionalization and decentralization.
  • 32. The European healthcare policy (source and basis of European healthcare policy, program WHO Health 2020).
  • 33. Current issues in healthcare development.
  • MEDICAL LAW AND HEALTHCARE MANAGEMENT:
  • 1. Management theory and management of healthcare facilities.
  • 2. State administration and local government in healthcare. Estates chamber, origin and historical development, current role. The basic rules of professional conduct, rights and obligations of members of the ČLK (Czech Medical Chamber).
  • 3. The role of law in health care; basic legal standards in health care.
  • 4. The rights and duties of citizens in health care (citizens' rights, patient rights, patient's right to information).
  • 5. The provider of health care services, operating conditions; standardization and accreditation of health care providers; system providers, health care services, types and forms of health care.
  • 6. The system of medical professions, the basic assumptions practice medicine; medical specialized education, lifelong learning for physicians.
  • 7. Basic duties of health care professionals.
  • 8. Lex artis (state of the art), definition, legal basis for liability.
  • 9. Informed consent for medical procedures, denial of medical care, requirements for a negative reverse (denial of health care).
  • 10. Legal liability in health care (civil liability of health care providers; criminal liability of doctors, the disciplinary responsibility of a doctor, offenses and administrative violations in health care)
Literature
    required literature
  • POVINNÁ LITERATURA
  • *
  • 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
  • TĚŠINOVÁ, Jolana, Roman ŽĎÁREK a Radek POLICAR. Medicínské právo. Vyd. 1. V Praze: C.H.Beck, 2011. xxxiii, 41. ISBN 9788074000508
  • *
  • DOPORUČENÁ LITERATURA
  • *
  • MAAYTOVÁ, Alena. Otázky ekonomiky zdravotnictví s ohledem na zvyšování efektivnosti. 1. vyd. Praha: Wolters Kluwer Česká republika, 2012. 164 s. ISBN 9788073579128
  • DUDOVÁ, Jana. Právo na ochranu veřejného zdraví. Ochrana veřejného zdraví před rizikovými faktory venkovního prostředí. 1. vyd. Praha: LINDE Praha, a.s., 2011. 420 s. 899. publ. ISBN 978-80-7201-854-3.
  • Key concepts in public health. Edited by Frances Wilson - Mzwandile Mabhala. 1st ed. Los Angeles: SAGE Publications, 2009. xiii, 312. ISBN 978-1-4129-4880-7
  • *
  • *
    recommended literature
  • REQUIRED LITERATURE
  • *
  • 1. Bonita R, Beaglehole R, Kjellström: Basic epidemiology. 2nd edition. Geneva - Switzerland: World Health Organization; 2006. pp 39-60, 99-114, 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. Study material 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 good condition.
  • The study material is part of the Public Health State Examination Questions (Group C)
  • 6. Seminar papers (Forty-two) in the subject’s vault VLVZ9X1c - Public Health State Examination Questions (Group D).
  • *
  • *
  • RECOMMENDED LITERATURE
  • *
Teaching methods
Seminars / practices 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.   100 % attendance to seminars / practices during the semester.

2.   It will be required to successfully complete the prerequisite subjects.

3.   Absences will be tolerated just due to medical reasons - Students must provide appropriate documentation or medical excuse.
  + Students must be aware that even with justified absences (medical excuse), a minimum of 80% attendance is required to obtain the credit. In case a student will have more than 20 % justified / unjustified absences, he / she will have to repeat the course in the following school year.

4.   Fulfilment of given tasks:
  + In case of unjustified absence (per each one), a 1,500-2,000 word seminar paper and a 5-8 minutes power point presentation on the seminar paper topic will be given. If the seminar paper is rejected due to deficiencies and it is not corrected and submitted again, the student will not fulfil with the subject’s requirements, and he / she will not get the credit (See Absence and latecomer policy, Academic misconduct, plagiarism detection and unethical issues).

5.   Active participation during the seminars / practices / lectures.

6.   Pass the credit test. Students will be allowed to take the credit test only if they have fulfilled numeral 4 (requirements to obtain the credit).



CREDIT TEST INFORMATION:

1.   Get at least 70 % (14 out of 20 questions) in the credit test, which is a requisite to sit for examination.

2.   Each student must register in the Information System (IS) in one of the offered credit test terms. The credit test has fixed examination terms / dates - (Only during the examination period, except the examination pre-term). No extra-terms will be given.

3.   Students registered to a credit test term will fail the term if:
  a-) arrive late to the test. No late arrival will be allowed after the start of the credit test.
  b-) they are not present and previously do not cancel the term in the stipulated periods (see IS).

4.   In case of failure, EACH STUDENT CAN RETAKE THE CREDIT TEST TWO MORE TIMES, only in given terms (according to Masaryk University study and examination regulations).

5.   In case of failure during the third term (second resit), the student must repeat the course in the following school year.

6.   All credit test questions are based on ALL REQUIRED LITERATURE, seminars and lectures.


The credit test is a written examination → 20 multiple choice question test, with only one correct answer - (to pass the test, it is required a minimum of 14 correct answers / points).

SCORE:

  Passed → 14 and more correct answers / points.
  Failed → 13,5 or less correct answers / points.



In order to omit / avoid guessing while answering the MCQ test / examination, the following system will be used:
  Correct answer = 1 point.
  No answer = 0 point.
  Wrong answer = -0,5 point.

  Test scoring will be according to the next formula:
  Final score = Number of correct answers - (Number of wrong answers / two).

  For example:
  15 correct answers (15 x 1 point = 15 points) - Passed.
  5 wrong answers (5 x -0,5 = -2,5 points).
  15 - 2,5 = 12,5. The final score of the test will be 12,5 answers / points.
  Final result = Failed.


  ** For that reason, only answer the question when you are sure of the answer.



ABSENCE AND LATECOMER POLICY:

1.   Justified, unjustified absences and late coming to classes:
  a-) Justified absences → just due to medical reasons - Student must provide appropriate documentation or medical excuse in original.
  b-) Unjustified absences → the student does not present the medical excuse (original) in the following week of the absence.
  c-) Late coming to classes → the student arrives after attendance has been taken (3 minutes).

2.   Measures against absenteeism or late coming to classes:
  a-) Every unjustified absence or late coming to classes leads to a 1,500-2,000 word seminar paper plus a 5-8 minutes power point presentation on the same topic (the topics will be assigned in the same week of the absence or late coming).
  b-) The seminar paper must be submitted on the subject’s vault within the next 6 days of the incident (absence or late coming), in other case it will be rejected → They will not get the credit.
  c-) Students will receive an email with the seminar paper instructions, and the word and power point frames.
  d) Students take full responsibility for their seminar paper(s) and power point presentation(s). (See Academic misconduct, plagiarism detection and unethical issues).

3.   THERE WILL BE NO EXCEPTIONS. In the following cases, students will be not get the credit / allowed to take the credit test:
  * Not submitting the assigned seminar paper.
  * If the seminar paper is rejected due to deficiencies and is not corrected and submitted again.
  * If despite the fact the seminar paper is accepted but the power point presentation is not shown in class.
  * If the seminar paper is rejected three times.
  * If the seminar paper has plagiarism or any unethical issues.



ACADEMIC MISCONDUCT, PLAGIARISM DETECTION AND UNETHICAL ISSUES:

1.   Any attempts of ACADEMIC MISCONDUCT, such as cheating or assisting someone else to cheat during the credit test, will result in disciplinary actions, such as:
  a-) You will be required to hand over your examination paper and asked to leave the examination room. This means, you failed the examination (examination term), with the respective score F / 4, on your academic records in the information system.
  b-) Opening disciplinary proceedings.
  c-) Failing the subject / course.
  d-) Expulsion from university.

2.   During the examination, it is forbidden to:
  a-) Use smart phones / Tablets.
  b-) Use laptops.
  c-) To wear earphones or headphones (if not medical prescribed).
  d-) To talk.

*In such cases, disciplinary actions will be taken (See above numeral 1).

3.   Every seminar paper will be checked / scanned on university and external systems for online plagiarism detection.

4.   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.

5.   Unethical issues will lead to seminar paper rejection → not getting the credit → repeating the course next school year or expulsion from university.

6.   The plagiarism scan system is able to detect cut and paste from other languages with its respective translation into English. Avoid complications. Simply read the source and use your own words and the citate (quote) the source of information.

7.   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 school year or expulsion from university.
Language of instruction
Czech
Further Comments
Study Materials
The course can also be completed outside the examination period.
The course is taught annually.
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 2015, Spring 2016, Spring 2017, spring 2019.
  • Enrolment Statistics (Spring 2018, recent)
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