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Epidemiology and the Delivery of Health Care Services Methods and Applications

ISBN-10: 0306465256

ISBN-13: 9780306465253

Edition: 2nd 2001 (Revised)

Authors: Denise M. Oleske

List price: $95.00
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Description:

This completely revised and updated edition of an outstanding text enables students and health care systems managers to keep pace with the explosion of information currently available in the field, stressing its importance for epidemiology. It addresses the fundamental knowledge of epidemiological methods and statistics that can be applied to evolving systems, programs, technologies, and policies. Epidemiology and Delivery of Health Care Services examines the complex challenges that health care managers face in furnishing high-technology health services; services in response to environmental threats; and in managing clinical research enterprises and provides the necessary new tools for decision making in these areas. Offering insights into epidemiological applications both globally and locally, this new edition -Incorporates an international perspective as well as the most recent data available on health trends in the U.S. -Presents new chapters on causal thinking, economics, ethics, and web resources among other topics. -Analyzes data on multinational increases in poverty and longevity. -Details the control of transmissible diseases. -Explains quality management, the formulation of public policy, and the evaluation of healthcare system performance. -And more. Epidemiology and Delivery of Health Care Services illustrates epidemiological techniques and shows how to apply them across all health service settings through case studies relevant to the theme of each chapter - making it an indispensable reference for all health care administration and community health care researchers and managers, epidemiologists, and health policy analysts as well as an excellent text for upper-level undergraduate and graduate students in these disciplines.
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Book details

List price: $95.00
Edition: 2nd
Copyright year: 2001
Publisher: Springer
Publication date: 8/31/2001
Binding: Hardcover
Pages: 416
Size: 7.00" wide x 9.75" long x 1.00" tall
Weight: 2.398
Language: English

Fundamentals
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
Summary
Case Studies
References
Measurement Issues in the Use of Epidemiological Data
Introduction
Methods of Measurement
Validity and Reliability of a Measure
Validity
Reliability
Logistics of Measurement
Classification of Health
Disease
Injuries
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
Summary
Case Studies
References
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
Summary
Case Studies
References
Assessing Causality: Foundations for Population-Based Health Care Managerial Decision Making
Introduction
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
Meta-analysis
Conclusions
Case Studies
References
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
Conclusions
Case Studies
References
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
Planning
Implementation
Intervention
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
Conclusion
Case Studies
References
Specialty Areas
Epidemiology and Health Care Quality Management
Introduction
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
Satisfaction
Health Status
Data Sources
Sampling
Levels of Quality Measurement
Quality Improvement Tools and Techniques
Brainstorming
Affinity Diagram
Cause-and-Effect Diagram
Flowchart
Statistical Quality Control Tools
Check Sheet
Histogram
Pareto Chart
Scatter Diagram
Run Chart and Control Chart
Comparison Charts
Application of Quality Control Tools
Risk Adjustment
Conclusion
Case Studies
References
Control of Transmissible Diseases in Health Care Settings
Introduction
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
Hospice
Behavioral Health Care Settings
Conclusion
Case Studies
References
Genetic Epidemiology: The Basis for a New Health Service Delivery Model
Introduction
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
Screening
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
Conclusion
Case Studies
References
Technology Assessment
Defining Technology Assessment and Its Function
Categories of Technology
Devices
Procedures
Pharmaceuticals
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
Meta-analyses
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
ECRI
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
Summary
Case Studies
References
Health Risks from the Environment: Challenges to Health Service Delivery
Introduction
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
References
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
Summary
Case Studies
References
The Contribution of Epidemiological Information in Economic Decision Making
Introduction
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
Conclusion
Case Studies
References
Ethics, Epidemiology, and Health Service Delivery
Introduction
Approaches to Resolving Ethical Dilemmas
Principlism
Casuistry
Communitarianism
Feminist Ethics
Utilitarianism
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
Conclusions
Case Studies
References
Suggested Answers to Selected Case Study Questions
Websites for Health Care Managers Thinking Epidemiologically
Glossary
Index