Description
Managerial Epidemiology: Principles and Applications by Amir A. Khaliq, ISBN-13: 978-1284082173
[PDF eBook eTextbook]
- Publisher: Jones & Bartlett Learning (September 21, 2018)
- Language: English
- ISBN-10: 9781284082173
- ISBN-13: 978-1284082173
Managerial Epidemiology provides a solid balance of baseline materials on epidemiologic methods with a focus on tools and skills required to succeed as a healthcare manager. Logically organized, this first edition centers in on the purpose and focus ‘managerial epidemiology’, thus broadening the definition and scope of Epidemiology from the distribution, spread, and containment of health problems in populations to the planning, organization, and management of health services. Written specifically for current and future healthcare managers and masters students in Health Administration, this text is designed to develop hands-on, data-driven, analytic management skills. Managerial Epidemiology helps readers understand that epidemiologic data on incidence and prevalence in conjunction with administrative data on cost and quality are necessary to enhance access and delivery of high quality services in a cost-effective and efficient manner. Written with clarity and currency in mind, Managerial Epidemiology provides: • A logical organization of material, beginning with an overview of the major concepts in epidemiology, before moving on to health services planning, preparedness, and health care management roles and functions • A clear illustration of how epidemiologic tools are used through examples of data-driven managerial decisions and exercises intended to impart quantitative skills • Helpful built-in features, including self-tests, case studies or exercises, and key terms in each chapter
Table of Contents:
Cover
Title Page
Copyright Page
Dedication Page
Contents
About the Author
Preface
Chapter 1 Epidemiology for Evidence-Based Management
1.1 Introduction
1.2 Epidemiology
1.3 Management
1.4 Decision-Making Process
1.5 Evidence-Based Management
1.6 Epidemiology and Evidence-Based Management
1.7 Managerial Epidemiology
1.8 Scenario for Application of Managerial Epidemiology
1.9 Sources of Epidemiologic Data
Case Study 1.1: Impact of Administrative Decisions on Patient Outcomes
Case Study 1.2: Epidemiologic Patterns That Can Guide Policy Decisions
1.10 Summary
References
Chapter 2 Determinants of Individual and Population Health
2.1 Introduction
2.2 Definition of Health
2.3 Definition of a Population
2.4 What Is Population Health?
2.5 Population Health Model Versus Medical Care Model
2.6 Link Between Physical and Mental Health
2.7 Determinants of Health
2.8 Genetic Makeup as a Determinant of Health
2.9 Socioeconomic Determinants of Health
2.10 Race as a Determinant of Health
Case Study 2.1: Effect of Education on Health
Case Study 2.2: Effect of Socioeconomic Status on Health
2.11 Summary
References
Chapter 3 Assessment of Personal and Population Health
3.1 Introduction
3.2 Definition of Disease, Disability, and Death
3.3 Assessment of Personal Health
3.4 Assessment of Physiologic Health
3.5 Assessment of Mental Health and Psychosocial Development
3.6 Assessment of Functioning and Disability
3.7 Self-Assessment of Health and Well-Being
3.8 Assessment of Community Health
3.9 Assessment of Burden of Disease and Summary Measures of Population Health
3.10 Classification of Diseases and Procedures
3.11 Reportable/Notifiable Diseases
Exercise 3.1
Case Study 3.1: Assessment of Burden of Disease
Case Study 3.2: Influence of Gender and Age on Disability After Stroke
3.12 Summary
References
Chapter 4 Epidemiologic Measures of Population Health
4.1 Introduction
4.2 Types of Statistics Reported in Population Health
4.3 Measures of Disease Frequency in a Population
4.4 Measures of the Frequency of Death in a Population
4.5 Other Commonly Reported Statistics
4.6 Adjustment or Standardization of Rates
Exercises 4.1
Case Study 4.1: Example of Cumulative Incidence
Case Study 4.2: Example of a Prevalence Study
4.7 Summary
References
Chapter 5 Descriptive Epidemiology
5.1 Introduction
5.2 Person
5.3 Place
5.4 Time
5.5 Types of Epidemiologic Investigations
5.6 Descriptive Epidemiologic Studies
Case Study 5.1: Example of a Case Series Report
Case Study 5.2: Example of a Cross-Sectional Study
Case Study 5.3: Example of a Cross-Sectional Study
5.7 Summary
References
Chapter 6 Behavioral Epidemiology
6.1 Introduction
6.2 Behavioral Epidemiology
6.3 Epidemiology of Physical Activity
6.4 Epidemiology of Smoking
6.5 Epidemiology of Obesity and Poor Nutrition
6.6 Epidemiology of Alcohol and Substance Abuse
6.7 Epidemiology of Cardiovascular Disease
6.8 Epidemiology of Diabetes
6.9 Patient Incentives to Promote Healthy Behavior
6.10 Incentives for Providers
Case Study 6.1: Behavioral Factors and Risk of Gestational Diabetes
Case Study 6.2: Body Mass Index, Waist Circumference, and Risk of Mortality
6.11 Summary
References
Chapter 7 Infectious Disease Epidemiology
7.1 Introduction
7.2 Infectious Diseases in the United States
7.3 Global Burden of Infectious Diseases
7.4 Emergence of New and Resurgence of Previously Known Infectious Diseases
7.5 The Infectious Disease Triad
7.6 Important Definitions Related to Infectious Diseases
7.7 Infectious Disease Outbreaks or Epidemics
7.8 Outbreak Investigation
7.9 Example of an Outbreak Investigation
7.10 Zika Virus Outbreak 2015
7.11 Ebola Virus Outbreak: West Africa 2014
Case Study 7.1: California Measles Outbreak 2014
Case Study 7.2: Ohio Botulism Outbreak 2015
7.12 Summary
References
Chapter 8 Injury Epidemiology
8.1 Introduction
8.2 Nature, Distribution, and Impact of Injuries in the United States
8.3 Epidemiology of Intentional Injuries in the United States
8.4 Epidemiology of Road Traffic Injuries and Death in the United States
8.5 Epidemiology of Traumatic Brain Injury in the United States
8.6 Epidemiology of Burns in the United States
8.7 Economic Impact of Injuries in the United States
8.8 The U.S. National Violent Death Reporting System (NVDRS)
8.9 The U.S. National Electronic Injury Surveillance System
8.10 Global Injury Epidemiology
8.11 Example of a Study of Injury Epidemiology
Case Study 8.1 Hospital-Based Injury Surveillance
Case Study 8.2 Unintentional Firearm Deaths
8.12 Summary
References
Chapter 9 Epidemiology and Measurement of Quality
9.1 Introduction
9.2 Definition and Goals of Healthcare Quality
9.3 Determinants of Healthcare Quality
9.4 Distribution of Healthcare Quality (Person, Place, Time)
9.5 Severity of Disease and Assessment of Quality
9.6 Use of Checklists in Quality Improvement
9.7 Physician Quality Reporting System
9.8 Hospital Quality Reporting System—Hospital Compare
9.9 Hospital Readmission Reduction Program
9.10 Institute for Healthcare Improvement—Triple Aim
9.11 Example of a Quality Assessment Study
Case Study 9.1: Reasons for Postsurgical Hospital Readmissions
Case Study 9.2: Impact of a Rapid Response System on Inpatient Mortality and Length of Stay
9.12 Summary
References
Chapter 10 Community Health Needs Assessment
10.1 Introduction
10.2 Determinants of Healthcare Needs
10.3 Need Versus Demand
10.4 Definition and Scope of a Community Health Needs Assessment
10.5 Requirements of the U.S. Affordable Care Act
10.6 Methods and Process of Needs Assessment
10.7 Planning for a Community Health Needs Assessment
10.8 Nature and Type of Data for a Community Health Needs Assessment
10.9 Sources of Data for a CHNA
10.10 Priority Setting for Healthcare Needs
10.11 Community Health Needs Assessment After a Disaster
10.12 Assessment of Unmet Healthcare Needs—Market Analysis
10.13 Estimation of Future Healthcare Needs
10.14 Forecasting Methods
Case Study 10.1: Healthcare Needs of the Homeless
Case Study 10.2: Impact of Unmet Healthcare Needs
10.15 Summary
References
Chapter 11 Healthcare Planning and Marketing
11.1 Introduction
11.2 Definition and Purpose of Planning
11.3 Determinants of Geographic Markets and Service Areas
11.4 Estimation of Geographic Markets and Service Areas
11.5 Estimation of Service Area and Market Share: Hospital Administrator Perspective
11.6 Estimation of a Geographic Market: Policy Maker Perspective
11.7 Measuring the Level of Competition in a Geographic Market
11.8 Priority Setting and the Role of Healthy People
11.9 Small Area Health Planning
11.10 Facility Location Planning
11.11 Certificate of Need Programs
11.12 Designation of Health Professional Shortage Areas
11.13 Determinants of Access to Health Services
11.14 Sources of Epidemiologic Data
11.15 Healthcare Marketing
Exercise 11.1
Exercise 11.2
Case Study 11.1: Example of Regional Market Analysis
Case Study 11.2: Planning for Mental Health Services
11.16 Summary
References
Chapter 12 Prevention, Detection, and Monitoring of Disease
12.1 Introduction
12.2 The Nature, Scope, and Levels of Prevention
12.3 Screening
12.4 Surveillance
Exercise 12.1
Exercise 12.2
Case Study 12.1: Nosocomial Infection Surveillance
Case Study 12.2: Screening for Colorectal Cancer
12.5 Summary
References
Chapter 13 Basic Statistical Concepts and Tests
13.1 Introduction
13.2 Examples
13.3 Basic Statistical Concepts
13.4 Statistical Tests for Comparison of Groups
Exercise 13.1
Exercise 13.2
13.5 Summary
Chapter 14 Observational Studies
14.1 Introduction
14.2 Observational Studies
14.3 Ecological Studies
14.4 Example of an Ecological Study
14.5 Cohort Studies
14.6 Example of a Prospective Cohort Study
14.7 Example of a Retrospective Cohort Study
14.8 Case-Control Studies
14.9 Example of a Case-Control Study
14.10 Risk Factor and Exposure in Cohort and Case-Control Studies
14.11 Comparison of Cohort and Case-Control Study Design
14.12 Association and Causality
14.13 Bias
14.14 Confounding
Case Study 14.1: An Ecological Study
Case Study 14.2: Prospective Cohort Study
Case Study 14.3: Retrospective Cohort Study
Case Study 14.4: Case-Control Study
14.15 Summary
References
Chapter 15 Experimental Studies
15.1 Introduction
15.2 Experimental or Interventional Study Design
15.3 Categorization of Experimental Studies
15.4 Randomized Controlled Trials or Clinical Trials
15.5 Example of a Randomized Clinical Trial
15.6 Community Trials
15.7 Example of a Community Trial
15.8 Natural Experiments
15.9 Factorial Trials
Case Study 15.1: Randomized Control Trial – Chlorhexidine Bathing in ICUs to Prevent HAIs
15.10 Summary
References
List of Acronyms
Glossary
Index
Amir A. Khaliq is a Professor of Health Administration and Policy at the University of Oklahoma Health Sciences Center, College of Public Health where he has taught courses in Managerial Epidemiology, Operations Research, Decision Analysis, and Comparative International Health Systems since 2000. He was trained as a physician in Pakistan and received MSc in Community Health and MS in Health Services degrees from the Universities of London and California. He earned a PhD in Health Administration from the University of Toronto.
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