Epidemiology and the delivery of health care services: methods and applications
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
New York [u.a.]
Plenum Press
1995
|
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XV, 235 S. graph. Darst. |
| ISBN: | 0306449684 |
Staff View
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| 245 | 1 | 0 | |a Epidemiology and the delivery of health care services |b methods and applications |c ed. by Denise M. Oleske |
| 264 | 1 | |a New York [u.a.] |b Plenum Press |c 1995 | |
| 300 | |a XV, 235 S. |b graph. Darst. | ||
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| 650 | 4 | |a Epidemiologic Methods | |
| 650 | 4 | |a Epidemiology | |
| 650 | 4 | |a Health Planning |x methods | |
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Record in the Search Index
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|---|---|
| adam_text | Contents
Chapter 1—An Epidemiologic Perspective for Health Care Management 1
Demise M. Oleske
An Epidemiologic Framework for Health Services Delivery 1
Population Characteristics 2
Need for Health Care 3
Utilization of Health Care Services 5
Health Status of Populations Served 6
Brief History of the Application of Epidemiology in the Delivery of Personal
Health Services in the United States 6
Reasons for Applying Epidemiology in Health Services Management 8
Trends in Service Population Size 9
Service Population Characteristics 10
Understanding the Consequences of Health Problems 11
Understanding the Relationship between Health System Characteristics and
the Health Status of Populations Served 12
Monitoring Health Care Systems, Organizations, and Program Performance ... 13
Modifying Structure and Processes to Respond to Environmental Change .... 13
Formulation and Evaluation of Public Policy Affecting the Delivery of
Health Care Services 13
Feasibility of Using Epidemiology in Planning and Evaluating
Health Care Services 14
Summary 15
Case Studies 15
Service Population of an Urban Public Hospital 15
Rural Populations and Public Health Services 16
Effectiveness of Comprehensive Care Programs in Preventing Rheumatic
Fever 16
References 17
ix
xiv Contents
Ambulatory Uterine Monitoring 144
Positron Emission Tomography 145
Thrombolytic Therapy 145
Treatment of Benign Prostatic Hyperplasia 145
References 146
Chapter 8—Epidemiology and Health Care Quality Management 149
Marie E. Sinioris and Kevin L. Najafi
Theory of Quality Management 149
Interrelationship between Health Care Quality Management and Epidemiology .. 150
Quality Assessment 151
Quality Improvement Techniques 158
Improving System Performance 164
Summary 165
Case Studies 165
Reducing the Nonacute Inpatient Days at Random Medical Center for DRG
182 165
Lowering the Rate of Postsurgical Wound Infection 166
Significant Differences in Individual Provider Outcomes 166
Reducing Infant Mortality 167
Assessing Quality of Care for Chronic Illness in a Health Maintenance
Organization 168
References 168
Chapter 9—Managing Health Care Systems from an Epidemiologic Perspective ... 171
Wayne M. Lerner
Application of Epidemiology in Managing the Delivery of Health Care 172
Linking National or Regional Policy Initiatives with Local Health Systems 174
Strategically Developing New Services or Planning Changes in Existing Ones .. 176
Projecting the Human Resources Necessary to Provide Health Care
to a Population 176
Monitoring Institutional Performance with Respect to Population Health Status .. 177
Measuring the Success of Institutional Linkages and/or System Configurations
to Effect Changes in the Health Status of the Population 180
Conclusion 180
Case Studies 181
Emergency Room and Hospital Resource Utilization 181
Poison Control Center 182
Women s, Infants , and Children s Services 183
Indigent Care 184
References 184
Contents xv
Chapter 10— Epidemiology and the Public Policy Process 187
Iris R. Shannon
A Contextual Framework for the Relationship between Policy and Epidemiology:
Public Health 187
Public Policy: An Interactive Process 189
The Interrelationship between Epidemiology and Public Policy 190
Ethical Considerations of Policy Decisions and Their Relationship to
Epidemiologic Data 194
Summary 195
Case Studies 197
Assessment of Selected National Health Program Legislative Proposals 197
Infant Mortality among African Americans 197
Women, Infants and Children (WIC) Program 198
The Resurgence of Tuberculosis 199
Use of Firearms in Homicides 200
Trauma Care 201
References 202
Suggested Answers to Selected Case Studies Questions 205
Glossary 221
Index 229
x Contents
Chapter 2—Measurement Issues in the Use of Epidemiologic Data 21
Denise M. Oleske
Methods of Measurement 21
Logistics of Measurement 23
Reliability and Validity of a Measure 23
Reliability 24
Validity 25
Classification of Health Status 26
Diseases 27
Injuries 27
Functional Ability 28
Quality of Life 28
Control of Measurement Error 28
Summary 29
Case Studies 29
Measuring Quality of Life 29
Measuring Restoration of Function from a Work Related Low Back Disorder 30
Inappropriate Emergency Department Visits by Members of a Health
Maintenance Organization 30
A Breast Cancer Screening Program 31
References 31
Chapter 3—Descriptive Epidemiologic Measures 33
Denise M. Oleske
Measuring the Frequency of Health Events in Populations 33
Incidence Rate 33
Prevalence Rate 35
Sources of Information for Incidence Rate Measures 36
Sources of Information on Prevalence 37
Format of Descriptive Epidemiologic Measures 39
Specific Measures 39
Summary Measures 39
Relative Measures 44
Summary 48
Case Studies 48
In Hospital Mortality from Hip Fractures in the Elderly 48
Medicaid Prenatal Care: Fee for Service versus Managed Care 49
Risk Factors for Coronary Artery Disease 50
Violence in the Workplace 50
References 51
Contents xi
Chapter 4—Strategic Planning, an Essential Management Tool for Health Care
Organizations, and Its Epidemiologic Basis 53
Frances J. Jaeger
Epidemiologic Basis of Strategic Planning 53
The Theoretical Basis of Strategic Planning 56
The Strategic Planning Process 57
Step 1. Plan the Planning and Ensure Favorable Conditions for Effective
Strategic Planning 58
Step 2. 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 Exists, Develop and Adopt One 58
Step 3. 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 59
Step 4. Apply an Approach for Denning the Key Issues, Focusing the
Attention of the Organization, and Establishing the Framework for
the Next Step of Strategy Development 64
Step 5. 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 65
Step 6. Carry Out the Implementation Phase of Strategic Planning,
Detailing Operational Action Plans and Budgets, Monitoring Impact,
and Making Midcourse Adjustments as Necessary 65
Data Resources for Strategic Planning 66
Tools to Facilitate Strategic Planning 66
Applicability of the Strategic Planning Process 70
The Format and Content of the Strategic Plan 70
Conclusions 70
Case Studies 71
Strategic Planning for a County Health Department 71
Strategic Planning for Inpatient Rehabilitation Services 73
Strategic Planning for Health Professionals Education 73
Strategic Planning for a Perinatal Center 74
Strategic Planning for a University Based Wellness Center 75
Strategic Planning for Professional Associations 76
References 77
Chapter 5—Evaluating Health Care Programs and Systems: An Epidemiologic
Perspective 79
Dolores Gurnick Clement, Thomas T. H. Wan, and MeriBeth Herzberg Stegall
Conceptual Dimensions of Health System Evaluation 80
Population Targeted for Intervention 80
Aspects of Health Care to Be Evaluated 80
xii Contents
The Process of Evaluation 83
Conceptual Framework for Specifying Evaluation Criteria 85
Analytic Approaches to Evaluation: An Epidemiologic Perspective 86
Study Designs for Evaluating Interventions 86
Analyzing Intervention Effects 90
Other Analytic Methods 93
Prospects of Health Services Evaluation 94
Conclusion 95
Case Studies 95
Mandated Evaluation of the Elderly in Preferred Provider Organizations 95
Impact of a Hospital Based AIDS Program 96
Planning and Evaluation of a Program for Maternal Cocaine Users and
Their Babies 96
Evaluating a Community Based Hypertension Control Program 97
References 98
Chapter 6—Control of Transmissible Diseases in Health Care Organizations 101
Andrew Kucharski and Robert Mittendorf
Infectious Disease Concepts 102
Managing Disease Outbreaks 105
Blood Borne Disease Transmission 106
Airborne Disease 109
Hierarchy of Control Measures Ill
Risk Assessment and Development of a Written TB Control Plan 112
Early Detection and Management 112
Skin Testing Programs and Health Care Worker Education 113
Special Considerations in Infectious Disease Control by Specific Health Care
Service Setting 114
Inpatient Acute Care Facility 114
Ambulatory Care 114
Home Care Setting 116
Long Term Care/Skilled Nursing Facility 116
Hospice 117
Conclusion 117
Case Studies 118
An Epidemic in a Neonatal Unit 118
Evaluating Efficacy of Handwashing Systems 119
Prevention of Needlestick Injuries in Hospital Employees 119
An Outbreak of TB Infection in an HIV Unit 120
An Outbreak of Hepatitis A among Health Care Workers 120
References 121
Contents xiii
Chapter 7—Technology Assessment 123
Karl A. Matuszewski
Defining Technology Assessment and Its Function 123
Categories of Technology 124
Devices 125
Procedures 125
Pharmaceuticals 125
Technology Life Cycle 126
Targeting Technologies for Assessment 127
High Utilization 128
High Potential for Harm 128
High Cost 128
How Is Technology Assessment Performed? 129
Literature Review and Synthesis 129
Consensus Panels 131
Decision Criteria 131
Meta Analyses 132
Outcomes Assessment 134
Randomized Clinical Trials 135
Other Methods 135
Who Does Technology Assessment? 135
U.S. Food and Drug Administration 135
Agency for Health Care Policy and Research 136
American College of Physicians 136
American Medical Association 137
Blue Cross and Blue Shield Association 137
ECRI 138
Office of Health Technology Assessment 138
Office of Technology Assessment 138
University Hospital Consortium 138
Others 139
International Efforts 139
Problems in Performing Technology Assessment 140
Lack of Evidence 140
Lack of Agreement on How to Perform the Assessment 140
Inconsistent Evidence 140
Legal Interference 141
Breadth of Topics 141
New Information 141
Future of Technology Assessment 141
Technology Assessment and Health Care Reform 142
Summary 143
Case Studies 143
Extracorporeal Shock Wave Lithotripsy for Kidney Stones 143
Chorionic Villus Sampling 144
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| spelling | Epidemiology and the delivery of health care services methods and applications ed. by Denise M. Oleske New York [u.a.] Plenum Press 1995 XV, 235 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Epidemiologie gtt Gezondheidszorg gtt Organisatie gtt Gesundheitswesen Delivery of Health Care organization & administration Epidemiologic Methods Epidemiology Health Planning methods Health planning Methodology Health services administration Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Epidemiologie (DE-588)4015016-1 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Epidemiologie (DE-588)4015016-1 s Gesundheitswesen (DE-588)4020775-4 s DE-604 Oleske, Denise M. Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007757106&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Epidemiology and the delivery of health care services methods and applications Epidemiologie gtt Gezondheidszorg gtt Organisatie gtt Gesundheitswesen Delivery of Health Care organization & administration Epidemiologic Methods Epidemiology Health Planning methods Health planning Methodology Health services administration Gesundheitswesen (DE-588)4020775-4 gnd Epidemiologie (DE-588)4015016-1 gnd |
| subject_GND | (DE-588)4020775-4 (DE-588)4015016-1 (DE-588)4143413-4 |
| title | Epidemiology and the delivery of health care services methods and applications |
| title_auth | Epidemiology and the delivery of health care services methods and applications |
| title_exact_search | Epidemiology and the delivery of health care services methods and applications |
| title_full | Epidemiology and the delivery of health care services methods and applications ed. by Denise M. Oleske |
| title_fullStr | Epidemiology and the delivery of health care services methods and applications ed. by Denise M. Oleske |
| title_full_unstemmed | Epidemiology and the delivery of health care services methods and applications ed. by Denise M. Oleske |
| title_short | Epidemiology and the delivery of health care services |
| title_sort | epidemiology and the delivery of health care services methods and applications |
| title_sub | methods and applications |
| topic | Epidemiologie gtt Gezondheidszorg gtt Organisatie gtt Gesundheitswesen Delivery of Health Care organization & administration Epidemiologic Methods Epidemiology Health Planning methods Health planning Methodology Health services administration Gesundheitswesen (DE-588)4020775-4 gnd Epidemiologie (DE-588)4015016-1 gnd |
| topic_facet | Epidemiologie Gezondheidszorg Organisatie Gesundheitswesen Delivery of Health Care organization & administration Epidemiologic Methods Epidemiology Health Planning methods Health planning Methodology Health services administration Aufsatzsammlung |
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