VSSL051c Community Medicine - practice

Faculty of Medicine
Autumn 2009
Extent and Intensity
0/2/0. 1 credit(s). Type of Completion: z (credit).
Teacher(s)
Mgr. Ing. Eva Kučerová (seminar tutor)
MUDr. Lenka Dvořáková (seminar tutor)
MUDr. Irena Vyzulová (seminar tutor)
prof. MUDr. Jan Holčík, DrSc. (seminar tutor)
PhDr. RNDr. Jan Huták (seminar tutor)
Guaranteed by
prof. MUDr. Jan Holčík, DrSc.
Department of Social Medicine and Health Care Administration – Theoretical Departments – Faculty of Medicine
Contact Person: Helena Malenová
Timetable of Seminar Groups
VSSL051c/01: Wed 7:30–9:10 105
VSSL051c/02: Wed 7:30–9:10 105
VSSL051c/03: Wed 9:30–11:10 105
VSSL051c/04: Wed 9:30–11:10 105
VSSL051c/05: Fri 7:30–9:10 105
VSSL051c/06: Fri 7:30–9:10 105
VSSL051c/07: Fri 9:30–11:10 105
VSSL051c/08: Fri 9:30–11:10 105
VSSL051c/09: Mon 8:00–9:40 105
VSSL051c/10: Mon 8:00–9:40 105
VSSL051c/11: Mon 10:10–11:50 105
VSSL051c/12: Mon 10:10–11:50 105
VSSL051c/13: Tue 8:00–9:40 105
VSSL051c/14: Tue 8:00–9:40 105
VSSL051c/15: Tue 10:10–11:50 105
VSSL051c/16: Tue 10:10–11:50 105
VSSL051c/17: Thu 7:30–9:10 105
VSSL051c/18: Thu 7:30–9:10 105
VSSL051c/19: Thu 9:30–11:10 105
VSSL051c/20: Thu 9:30–11:10 105
VSSL051c/30: No timetable has been entered into IS.
VSSL051c/31: No timetable has been entered into IS.
VSSL051c/33: No timetable has been entered into IS.
Prerequisites (in Czech)
( VSLT0221s Bas. Med. Terminol. II -s || VSLT011s Bas. Med. Terminology -l ) && VSET021 Medical Ethics I && VSPP3X1 Nursing
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
This course aims to equip students with the practical kknowledge of contents, mission and basic methods of social medicine as well as with the knowledge of measuring and evaluation of health condition of the population. By the end of this course students should be able to: define, calculate and interpret the basic indicators of the health condition of the population and use them for the evaluation of the health condition of the population; define and choose appropriate indicators of morbidity, calculate them and interpret the obtained results; propose and plan population study, formulate conclusions, assess health risks and propose suitable measures to improve the health of the population; on the basis of examples of identification and on the basis of dealing with health problems should have the basis of statistical and systemic thinking in medicine; the basis of methods of critical appraisal of population studies results and consequent organizational measures.
Syllabus
  • 1. History of community medicine. Community medicine in Central Europe. Methodological, educational, moral, organizational and integrative role of social medicine.
  • 2. Health and disease. Prevalence. Incidence, risk, rate, odds. Issues in calculating measures of disease frequency. Analysis of routinely collected data. Value and limitations of routinely collected data.
  • 3. Death registration. Commonly used indices derived from mortality data. Summary statistics and standardisation. Direct standardisation. Health for All database.
  • 4. Ratio measures. Estimating measures of effect for more than one level of exposure. Difference measures. Measures of effect versus measure of impact. Measures of population impact, population attributable risk, population attributable risk fraction.
  • 5. Ecological study. Cross-sectional study. Cohort study. Case control study. Issues in design and execution. Design strategy: when to use which study.
  • 6. Key steps in a randomised controlled trial. Size of the trial. Variants of the randomised controlled trial. Ethical issues. Analysis, interpretation and policy implications.
  • 7. Types of variables. Distributions. Measures of central tendency. Measures of variability. Normal and log normal distributions.
  • 8. Populations and samples. Confidence intervals. Sampling variability of proportions. Sampling variability of means. Hypothesis testing. Interpretation of p-values.
  • 9. Correlation. Linear regression. Chi-squared test for a two-way table. Chi-squared test for trend. Validity of chi-squared tests. Epi-Info statistical package.
  • 10. Bias, selection bias, measurement bias. Differential and non-differential misclassification. Confounding. Meta-analysis. Causality in medicine.
  • 11. Validity of diagnostic tests, sensitivity, specificity. Repeatability. Predictive values of a test result.
  • 12. Study designs for evaluation of screening. Selection bias, lead time bias, length bias, diagnosis bias. Criteria for a successful screening programme. Scope and levels of prevention.
  • 13. Need, demand and use. Efficacy, effectiveness, efficiency. QALYs.
  • 14. Health care systems. Funding mechanisms. Equity. Health care system in the Czech Republic. The health reform process.
  • 15. Health policy for Europe. Health for All programme.
Literature
  • HOLČÍK, Jan, Adolf ŽÁČEK and Ilona KOUPILOVÁ. Sociální lékařství. 3. nezměn. vyd. Brno: Masarykova univerzita, 2006, 137 s. ISBN 9788087192153. info
  • GERYLOVOVÁ, Anna and Jan HOLČÍK. Úvod do statistiky. Text pro semináře. 2. vyd. Brno: Masarykova univerzita, 2000, 31 pp. ISBN 80-210-2301-5. info
  • BONITA, R., R. BEAGLEHOLE and T. KJELLSTROM. Basic epidemiology. 2nd. Geneva: WHO, 2006, 213 pp. ISBN 9789241547079. info
  • KOUPILOVÁ, Ilona and Jan HOLČÍK. Community medicine: Practical Handbook. 2nd ed. Brno: Lékařská fakulta Masarykovy univerzity, 1996, 114 pp. ISBN 80-210-1391-5. info
  • První dva tituly jsou základní, ostatní doplňkové.
Teaching methods
seminar and class discussion
Assessment methods
credit
Language of instruction
Czech
Further Comments
Study Materials
The course can also be completed outside the examination period.
The course is also listed under the following terms Autumn 2000, Autumn 2001, Autumn 2002, Autumn 2003, Autumn 2004, Autumn 2005, Autumn 2006, Autumn 2007, Autumn 2008, Autumn 2010, Autumn 2011, Autumn 2012, Autumn 2013, Autumn 2014, Autumn 2015, Autumn 2016, Autumn 2017.
  • Enrolment Statistics (Autumn 2009, recent)
  • Permalink: https://is.muni.cz/course/med/autumn2009/VSSL051c