Epidemiology and the Delivery of Health Care Services: Methods and Applications / Edition 1

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Oleske, Denise M(Rush Medical Coll of Rush Univ)

The contributors represent the specialties of health systems management and health administration. Most are from academic medical centers in the U.S. Institutions prominently represented include Rush Univ in Chicago and Medical Coll of Virginia.

The book contains black-and-white illustrations.

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Editorial Reviews

Robert A. Hiatt
This compact text of 200 pages first briefly reviews the epidemiologic perspective, the use of epidemiologic data, and descriptive epidemiologic measures. Seven chapters follow on topics of relevance to healthcare managers describing how epidemiologic methods relates to each of them. These are the application of epidemiology to strategic planning, the evaluation of healthcare system performance, technology assessment, control of communicable diseases, quality management, systems management, and the formulation of public policy. The traditional focus for healthcare managers has been on internal operations. However, the advent of managed care calls for health systems to take on the responsibility for the health and well-being of defined populations, and managers must now broaden their perspective to a more population-based approach. This text aims to illustrate how epidemiology provides one of the critical tools to do this. The audience is intended to be first-year graduate students and healthcare managers who need ""the basic knowledge and skills required for managing population-based health care."" It provides an introduction to epidemiologic methods and their application for those with no background in the field. A nice feature of this text is the four or five case studies that follow each chapter. These are designed to have the student (or reader) use what they have gleaned from the chapter in practical examples. In addition to suggested answers to these case study questions, a useful glossary is included. The book is adequately indexed. This book fills a unique gap in the interface between epidemiology and health administration. As managed care and the population-basedperspective become more of a central feature of the healthcare system in this country, this interface becomes a critical area for instruction. The chapters vary in their success with how well they demonstrate the application of epidemiology to their respective topics, but overall the book achieves its aim as a text for students at the graduate level.
A text for a first-year graduate course and a reference for practicing health-care managers. Explains the basic epidemiological measures and their use in planning and monitoring the health of populations, and how the various types of study designs and statistical methods can be used to evaluate health systems, programs, technologies, and policies. Annotation c. Book News, Inc., Portland, OR (booknews.com)
Doody's Review Service
Reviewer: Mary E Charlton, PhD (University of Iowa College of Public Health)
Description: This book illustrates the importance and utility of epidemiologic principles and methods in understanding how healthcare delivery can affect population health. Case studies throughout each chapter provide practical examples of the application of epidemiologic methods in specific situations.
Purpose: The purpose is to describe the application of epidemiology to healthcare administration activities. Given the importance of using epidemiologic data in healthcare managerial decision making, this is a worthy objective.
Audience: The intended audience includes graduate students in healthcare administration, nursing, public health, health information management, and related fields. However, students in these areas should take a basic epidemiology course prior to taking a course with this book. This book also would be a good resource for currently practicing healthcare administrators.
Features: The author describes the conceptual framework of epidemiology and the delivery of health services, and then explains the fundamentals of epidemiology in the context of healthcare management at a very high level, which includes a discussion of study design, methods, and measurement. The author specifically addresses the role of managerial epidemiology in areas such as infection control, quality of care, and patient safety. Finally, the author describes the relationship of epidemiology to healthcare policy development and evaluation, and to ethical conduct. Part I is likely to be the most useful to healthcare administrators in terms of explaining the basic methods of epidemiology that can be applied to assessments, planning, and evaluation of health services. The vignettes and discussion questions in each chapter will be especially valuable in helping students understand the potential applications of epidemiologic methods and principles.
Assessment: This comprehensive book can serve as a valuable resource for graduate students and healthcare administrators. However, it does not go into any considerable detail about the strengths and limitations of different epidemiologic methods and measures, and is therefore less relevant to the field of health services research compared to books such as Epidemiology and Health Services, Armenian and Shapiro (Oxford University Press, 1998). Therefore, I would consider using this book in a course intended for students in MPH or MHA programs, but most likely would not choose it for students seeking a PhD in epidemiology or health services research.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780306449680
  • Publisher: Springer-Verlag New York, LLC
  • Publication date: 1/1/1995
  • Series: Language of Science Series
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 235

Table of Contents

Ch. 1 An Epidemiologic Perspective for Health Care Management 1
Ch. 2 Measurement Issues in the Use of Epidemiologic Data 21
Ch. 3 Descriptive Epidemiologic Measures 33
Ch. 4 Strategic Planning, an Essential Management Tool for Health Care Organizations, and Its Epidemiologic Basis 53
Ch. 5 Evaluating Health Care Programs and Systems: An Epidemiologic Perspective 79
Ch. 6 Control of Transmissible Diseases in Health Care Organizations 101
Ch. 7 Technology Assessment 123
Ch. 8 Epidemiology and Health Care Quality Management 149
Ch. 9 Managing Health Care Systems from an Epidemiologic Perspective 171
Ch. 10 Epidemiology and the Public Policy Process 187
Suggested Answers to Selected Case Studies Questions 205
Glossary 221
Index 229
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