Managerial Epidemiology: Principles and Applications by Amir A. Khaliq, ISBN-13: 978-1284082173

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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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