Designing Health Care for Populations: Applied Epidemiology in Health Care Administration / Edition 1

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Overview

Designing Health Care for Populations: Applied Epidemiology in Health Administration (2nd ed) contains equal parts basic epidemiology and an overview of descriptive statistics for health care managers.
  • The first section, a primer on epidemiology, contains chapters on the current nomenclature and science of health assessment and health economics.
  • The second section, in which the specific applications of epidemiology to health care administrators are explained, includes chapters on the assessment of health care utilization based on setting of care (ER, hospital-adult, hospital-pediatric, worksite) and the specific needs of the aged. This section also provides a cogent explanation to the pervasive impact of poverty and ethnicity on the assessment of health and health care utilization. Programming planning based on epidemiologic data, and disease management, are both included in this section.

Appendices provide a comprehensive and practical guide to the main performance indicators now applied to hospitals and health care organizations: NCQA, HEDIS, and Malcolm Baldrige Award criteria.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Allen Brinker, MD, MS (Private Practice)
Description: This text contains equal parts basic epidemiology and an overview of descriptive statistics for healthcare utilization.
Purpose: As stated, the intention is to introduce the student or healthcare administrator/manager to the notion of healthcare for populations.
Audience: Healthcare administrators and students are the intended audience.
Features: The first section includes a complete primer on epidemiology, with chapters on the current nomenclature and science of health assessment and health economics. The authors should be complimented on the ease at which mathematical statistics are described and outlined using real life examples. All new students of epidemiology can benefit from this section of the text. The second section includes chapters on the assessment of healthcare utilization based on setting of care (ER, hospital-adult, hospital-pediatric, worksite) and the specific needs of the aged. It is, however, a shortcoming that the authors do not explain in substantial detail the pervasive impact poverty and ethnicity maintained in the assessment of health and healthcare utilization and the limitations of observational information in general. The successful implementation of information from controlled studies (evidence-based medicine) into clinical practice remains the challenge for a system whose public perception is that of managed cost and not managed care.
Assessment: The first section is an enjoyable and readable primer on epidemiology. The second section, with chapters on utilization of healthcare, is informative and provides the groundwork for anyone inclined to begin study of healthcare utilization by objective means. The book does not, however, lend itself to the design or redesign of any healthcare system. The authors, both of whom have outstanding credentials and experience in this area, should be credited with an excellent, basic textbook, but perhaps an over-reaching title.
Allen Brinker
This text contains equal parts basic epidemiology and an overview of descriptive statistics for healthcare utilization. As stated, the intention is to introduce the student or healthcare administrator/manager to the notion of healthcare for populations. Healthcare administrators and students are the intended audience. The first section includes a complete primer on epidemiology, with chapters on the current nomenclature and science of health assessment and health economics. The authors should be complimented on the ease at which mathematical statistics are described and outlined using real life examples. All new students of epidemiology can benefit from this section of the text. The second section includes chapters on the assessment of healthcare utilization based on setting of care (ER, hospital-adult, hospital-pediatric, worksite) and the specific needs of the aged. It is, however, a shortcoming that the authors do not explain in substantial detail the pervasive impact poverty and ethnicity maintained in the assessment of health and healthcare utilization and the limitations of observational information in general. The successful implementation of information from controlled studies (evidence-based medicine) into clinical practice remains the challenge for a system whose public perception is that of managed cost and not managed care. The first section is an enjoyable and readable primer on epidemiology. The second section, with chapters on utilization of healthcare, is informative and provides the groundwork for anyone inclined to begin study of healthcare utilization by objective means. The book does not, however, lend itself to the design or redesign of any healthcaresystem. The authors, both of whom have outstanding credentials and experience in this area, should be credited with an excellent, basic textbook, but perhaps an over-reaching title.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780787952266
  • Publisher: Wiley, John & Sons, Incorporated
  • Publication date: 5/1/1900
  • Series: Public Health/Epidemiology and Biostatistics Series , #5
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 288
  • Product dimensions: 6.14 (w) x 9.21 (h) x 0.88 (d)

Meet the Author

Peter J. Fos, Ph.D., MPH, is associate professor at Tulane University Medical Center, School of Public Health and Tropical Medicine, Department of Health Systems Management, New Orleans, Louisiana.

David J. Fine, M.H.A., is president and CEO of the University of Alabama at Birmingham Health System.

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Table of Contents

List of Figures and Tables
Preface
The Authors
1 Introduction 1
2 Describing Health and Needs of Populations 11
3 Measuring Health and Needs of Populations 37
4 Designs to Study the Health and Needs of Populations 61
5 Standardizing Population Health Information 79
6 Clinical Considerations in Population Health Care 107
7 Assessing Population Health Outcomes 135
8 Marketing Health Care for Populations 155
9 Economic Analysis of Health Care for Populations 169
10 Applied Epidemiology for Managers: Emergency Health Care 185
11 Applied Epidemiology for Managers: Hospital Care 205
12 Applied Epidemiology for Managers: Health and Work Productivity 221
13 Applied Epidemiology for Managers: Regional Pediatric Inpatient Services 237
14 Applied Epidemiology for Managers: Senior Care 251
App. I Overview of Hypothesis Testing 263
App. II One-Sided Hypothesis Tests 269
App. III Statistical Power 271
App. IV Sample Size 277
App. V Hypothesis Testing Using Categorical Data 281
App. VI Extreme Values: Outliers 287
References 291
Index 297
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