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Epidemiology and the Delivery of Health Care Services Methods and Applications

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ISBN-10: 0306449684

ISBN-13: 9780306449680

Edition: 1995

Authors: Denise M. Oleske

List price: $54.00
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A text for a first-year graduate course and a reference for practicing health-care managers. Explains the basic epidemiological measures and their use in planning and monitoring the health of populations, and how the various types of study designs and statistical methods can be used to evaluate heal
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Book details

List price: $54.00
Copyright year: 1995
Publisher: Springer
Binding: Hardcover
Pages: 252
Size: 7.75" wide x 10.50" long x 0.75" tall
Weight: 1.540
Language: English

An Epidemiological Framework for the Delivery of Health Care Services
An Epidemiological Model for the Delivery of Health Care Services
The Population
Population Trends
Need for Health Care
Utilization of Health Care Services
Factors Affecting Health Care Utilization
Accessibility of Health Care
Availability of Health Care Resources
Health of Populations Served
Applying Epidemiology in Health Care Management Practice
Monitoring Service Population Size
Distribution of Health Needs in a Population
Understanding the Genesis and Consequences of Health Problems
Understanding the Relationship between Health System Characteristics and the Health Status of Populations Served
Monitoring Health Care Systems, Organizations, and Program Performance
Modifying the Structure and Processes to Respond to Environmental Change
Formulation and Evaluation of Public Policy Affecting the Delivery of Health Care Services
Case Studies
Measurement Issues in the Use of Epidemiological Data
Methods of Measurement
Validity and Reliability of a Measure
Logistics of Measurement
Classification of Health
Functioning and Disability
Mental and Behavioral Disorders
Quality of Life
Other Health Measures
Classification of Health Services
Classifying Organizational Units
Classifying Procedures
Control of Measurement Error
Sources of Data
Case Studies
Descriptive Epidemiological Measures
Measuring the Frequency of Health Events in Populations
Incidence Rate
Prevalence Rate
Sources of Information for Incidence Rate Measures
Sources of Information on Prevalence
Format of Descriptive Epidemiological Measures
Specific Rates
Summary Rates
Ratio Measures
Case Studies
Assessing Causality: Foundations for Population-Based Health Care Managerial Decision Making
Scientific Inquiry
Characteristics of Scientific Inquiry
Logic of Scientific Inquiry
Stages in Scientific Inquiry
Identification and Specification of the Study Problem
Selection of an Informed Theoretical Framework
Quantification of Study Variables
Selection of a Study Design
Specification of the Analytic Framework: Proposing the Hypothesis and Setting Error Tolerances
Selecting a Statistical Test
Multilevel Analysis
Evaluating Causality
Case Studies
Strategic Planning: An Essential Management Tool for Health Care Organizations and Its Epidemiological Basis
Epidemiological Basis of Strategic Planning
Theoretical Basis of Strategic Planning
The Strategic Planning Process
Plan the Planning and Ensure Favorable Conditions for Effective Strategic Planning
Review the Organization's Mission Statement and Revise It as Necessary to Ensure That It Remains Relevant to the Organization's Future. If No Written Statement of Mission Exists, Develop and Adopt One
Do a Situational Analysis that Encompasses Assessments of Elements of the Organization's External and Internal Environments as Well as an Evaluation of the Impact of the Organization's Efforts
Apply an Approach for Defining the Key Issues, Focusing the Attention of the Organization, and Establishing the Framework for the Next Step of Strategy Development
Generate, Evaluate, and Select Alternative Strategies for Achieving Organizational Goals and Objectives or the Best Alignment of the Organization with the Opportunities in Its Environment
Carry Out the Implementation Phase of Strategic Planning, Detailing Operational Action Plans and Budgets, Monitoring Impact, and Making Midcourse Adjustments as Necessary
Data Resources and Issues Related to Use in Strategic Planning
Tools to Facilitate Strategic Planning
Applicability of the Strategic Planning Process
The Format and Content of the Strategic Plan
Case Studies
Evaluating Health Services, Programs, and Systems: An Epidemiological Perspective
Dimensions of Health System Evaluation
Determine the Population Targeted for Intervention
Identify Aspects of Health Care To Be Evaluated
The Evaluation Process
Monitoring and Feedback
Conceptual Framework for Specifying Evaluation Criteria
Analytical Approaches to Evaluation: An Epidemiological Perspective
Study Designs
Analyzing Intervention Effects
Other Analytic Methods
Prospects of Health Services Evaluation
Case Studies
Specialty Areas
Epidemiology and Health Care Quality Management
Interrelationship between Health Care Quality Management and Epidemiology
Quality Management Defined
Organizational Approaches to Quality Management
Programmatic Options in Quality Management
Quality Planning
Performance According to Standards, Guidelines, and Other Management Strategies
Performance According to Standards
Clinical Practice Guidelines
Utilization Management
Case Management
Risk Management
Best Practices
Models for Systematic Improvement
Plan-Do-Check-Act Model
Clinical Value Compass
Quality Measurement
Process Measures
Clinical Outcomes
Health Status
Data Sources
Levels of Quality Measurement
Quality Improvement Tools and Techniques
Affinity Diagram
Cause-and-Effect Diagram
Statistical Quality Control Tools
Check Sheet
Pareto Chart
Scatter Diagram
Run Chart and Control Chart
Comparison Charts
Application of Quality Control Tools
Risk Adjustment
Case Studies
Control of Transmissible Diseases in Health Care Settings
Infectious Disease Concepts
Managing Disease Outbreaks
Managerial Responsibilities in Infection Control
Bloodborne Disease Transmission
Epidemiology of Hepatitis B
Epidemiology of Human Immunodeficiency Virus Infection
Bloodborne Disease Control Measures
Hazard Communication
Airborne Disease
Airborne Disease Control Measures
Special Considerations in Infectious Disease Control for Specific Health Care Service Settings
Inpatient Acute Care Facility
Ambulatory Care
Home Care
Long-Term Care/Skilled Nursing Facility
Behavioral Health Care Settings
Case Studies
Genetic Epidemiology: The Basis for a New Health Service Delivery Model
Basic Genetic Concepts
Mendelian Genetics
Exceptions to Mendel's Laws
The Human Genome Project
Scope and Progress
Genetic Mapping
Epidemiology and the Human Genome Project
International Implications
Genetics and Epidemiology
Roles of Epidemiology
Genetic Techniques and Epidemiology
Genetic Epidemiology Studies
Health Services Management and Genetic Epidemiology
Population-Based Genetic Health Screening Service: Screening for Phenylketonuria, a Model
Future of Genetic Screening Programs
Economic and Health Impact of Genetic Testing
Information Systems Support for Genetic Health Services
The Ethical Challenges of Genetics
Case Studies
Technology Assessment
Defining Technology Assessment and Its Function
Categories of Technology
Technology Life Cycle
Targeting Technologies for Assessment
High Utilization
High Potential for Harm
High Cost
How Is Technology Assessment Performed?
Literature Review and Synthesis
Consensus Panels
Decision Criteria
Outcomes Assessment
Randomized Clinical Trials
Other Methods
Who Does Technology Assessment?
US Food and Drug Administration
Agency for Healthcare Research and Quality
American College of Physicians
Blue Cross and Blue Shield Association
Center for Practice and Technology Assessment (CPTA)
University Health System Consortium
Other Assessment Centers
International Efforts
Problems in Performing Technology Assessment
Lack of Evidence
Lack of Agreement on How to Perform the Assessment
Inconsistent Evidence
Legal Interference
Breadth of Topics
New Information
Imperfect Use of Technology
Future of Technology Assessment
Case Studies
Health Risks from the Environment: Challenges to Health Service Delivery
Problems in Environmental Health
Gene-Environment Interaction
Impact of the Environment on the Reproductive System
Impact of the Environment on the Immune System
Impact of the Environment on the Nervous System
Impact of the Environment on the Respiratory System
Environmental Terrorism
Climate Changes, Cataclysmic Events, and Other Disasters
Environmental Equity
Global Environmental Health
Recognition and Assessment of Environmentally Related Disease
Risk Assessment
Health Services for Environmentally Provoked Diseases
Primary Prevention
Secondary Prevention
Tertiary Prevention
Summary and Conclusion
Case Studies
Spanning Topics
Epidemiology and the Public Policy Process
A Contextual Framework for the Relationship between Public Policy and Epidemiology: Public Health
Public Health
National Health Objectives
Public Policy: An Interactive Process
The Interrelationship between Epidemiology and Public Policy
Application of Epidemiology in the Policy Process
US Department of Health and Human Services Initiative to Eliminate Disparities in Health
Infant Mortality
Vaccine-Preventable Diseases
Childhood Hepatitis B Infections and Hepatitis B Vaccine Use
Case Studies
The Contribution of Epidemiological Information in Economic Decision Making
Background: Public Goods
Government Provision of Public Goods
Health Care and Public Goods
Overview of the Definition and Core Elements of Cost-Benefit Analysis and Cost-Effectiveness Analysis
Cost-Effectiveness Analysis, Epidemiological Data, and Application to Managerial Decision Making
Case Studies
Ethics, Epidemiology, and Health Service Delivery
Approaches to Resolving Ethical Dilemmas
Feminist Ethics
Principles, Rules, and Guidelines
The Nuremberg Code and Declaration of Helsinki
The International Covenant on Civil and Political Rights
CIOMS and WHO International Guidelines
United States Guidelines and Regulations
Operationalizing Codes, Guidelines, and Regulations in the Context of Research and Patient Care
Informed Consent
Confidentiality and Privacy Concerns
Case Studies
Suggested Answers to Selected Case Study Questions
Websites for Health Care Managers Thinking Epidemiologically