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Social medicine, public health organization and economic




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Form No U-3.02

The Health Ministry of Ukraine

M. Gorky Donetsk National Medical University


"APPROVE":

DonNMU,

First Pro-Rector,

Prof. O.M.Talalayenko

“____” “_____________” 2011


SOCIAL MEDICINE, PUBLIC HEALTH ORGANIZATION AND ECONOMIC

SYLLABUS

(with hours included)


For specialties: 7.110101 “General practice

For faculties: IMF

The Department of Social Medicine and Public Health Organization

The Normative Data

Form of

Teaching

Year

Total number of credits

No of Hours

Total

Class-room

IECSW

Lectures

Practical, laboratory, seminar classes

Full

Time

6

2,27

68



50

18


The syllabus was compiled on the basis of typical syllabus confirmed at session of the Commission on medicine of Scientifically-methodical council of the Ministry of Public Education and a science of Ukraine (рrotocol N1, 16.12.2008).


The syllabus was compiled by professor Agarkov V.A., associate professor L.V.Buteva, associate professor V.V.Nikolaenko, associate professor O.V.Shinkar.


The syllabus was approved at the department meeting on “_____” “____________” “_____”

рrotocol N________


The head of the department ______________________________ MD, professor V.I.Agarkov

(signature, titles, name )


The syllabus was approved at the meeting of methodic committee on hygienic subjects on

“_______” “_____________” “______” , protocol N _______________


The head of the methodic committee _________________ MD, professor V.I.Agarkov

(signature, titles, name)






^ Total hours/

credits

Including types of classes

Form of control

Year of study

The topic of the class and key questions




lectures

practical class

IECSW







Total

68/2,25



50


18





6


Module 1. Methodology of statistical research of the population health. and activity of medical establishments. Organization of the primary, secondary and tertiary medical care to the different contingents of population. Economy of public health organization.

68/2,25



50



18






6

The goals of the module:

To be able to:

  • to interpret the basic methods of determination and estimation of factors that influence the population health;

  • to organize activity of doctor and establishments of public health organization;

  • to determine and analyse factors that influence the population health;

  • to determine the rules of medical social expertise of degree of disability;

  • to develop administrative decisions, directed on the improvement of activity of basic establishments of public health organization;

  • to interpret theoretical bases, modern principles and legal principles of economic activity of public health organization;

  • to determine and analyse basic economic indecis hospital activity;

  • to organize economic and financial analysis of activity of establishments of public health organization;

  • to determine prices on medical services;

  • to develop the method of anelizes of market of medical services;

  • to develop administrative decisions in relation to satisfaction of necessities of population in the medical providing, applying marketing.























^ The content of module N 1.



















^ Methodology of planning and the organization of statistical research of the population health.

12,6



9

3,6







1.1. Methodology of planning and the organization of statistical research of the population health.

For the different contingents of population (city, rural, child, workers and others like that):

Set up the goal of research and formulate the tasks of the research; prepare appropriate registration forms; group study subjects and construct appropriate tables for further analysis; construct tables correctly, according to standards and goal of the research; make up managerial and theoretical parts of plan.













Tests, control of practical skills





1.2. A complex estimation of the population health, including reproductive health.

Application of biostatistic methods for evaluation of public health condition and influencing factors (relative and average measures, rates-adjustment, tests of significance of obtained results, study of dynamic of a phenomenon, etc).

Determination of basic indexes of health of population, including indexes of reproductive health.

Determination of sources and place of information for study of health of population (demographic indicators, indexes of morbidity, disability, and others like that).

A complex analysis of demographic situation and estimation of factors that influence on it.

Determination of rating of separate regions of Ukraine on demographic indicators.

Estimation of rating of primary and general morbidity is in the different regions of Ukraine.

Estimation of regional features and modern tendencies of indexes of reproductive health.

Analysis of factors which influence on a reproductive health, in particular on the level of birth-rate, frequency of abortions, morbidity of woman, maternal death rate, infant mortality rate.

Normatively legal principles of saving of reproductive health of population.

Development of administrative decisions, directed on the improvement of health of population, including measures of saving of reproductive health.














Tests, control of practical skills


Control of written solution of individual practical problem





^ The content of module N 2



















^ Use of the statistical information for estimation of the population health and activity of medical establishment.

(или) младенческой смертности в целом, по периодам жизни и причинам смерт

3,8



3

0,8







2.1. Use of the statistical information for estimation of the population health and activity of medical establishment.

The system of statistical information in a public health organization.

Determination of basic types of registration and current medical document.

Medical registration document which is filled in a policlinic and in-patient department (table of contents, setting, governed filling, motion). ICD-X (principles of construction).

The medical accounting (table of contents, setting, motion) is in a policlinic and in-patient department.













Tests, control of practical skills





^ The content of module N 3



















^ The organization of the primary, secondary and tertiary treatment-and-preventive health services for the population.



11,6



10

1,6







3.1. The organization of the primary, secondary and tertiary treatment-and-preventive health services for the population.

Depends on demographic changes, changes of morbidity of adults and children, distribution of socially dangerous diseases.

Improvement of organization of work of basic institution of primary medical care to improvement work of out-patient's clinics of family doctor, policlinic, woman consultation, and others like that.

Determination of role of daily in-patient department in primary medical care.

Primary medical care to rural population.

Primary medical care to children.

Tasks of specialized and higher specialized medical institutions.

Determination of structure and regular providing of hospitals on different level (district hospital, city hospital, central city hospital, central district hospital, specialized (infection, tbc, psychiatric, narcological and others like that)).

Analysis of tasks, structure and activity of dispensaries (tbc, psychiatric, narcological and others like that).

Organizational forms of the medical care of different groups of population

To work out statistical methods for the estimation of activity of medical establishments.

determination and analysis of basic indices of activity of institutions primary, secondary (specialized) and tertiary medical care.

Determination and analysis of indexes of quality of activity of medical institutions.

Development of measures of optimization of activity of medical institutions.















Tests, control of practical skills





3.2. Methodology of organization of medical evaluation of disability in work of different treatment-and-preventive establishments.

Organization of medical expertise of temporary disability.

Determination of sources of information which is used for medical expertise of temporal and permanent disability.

Determination of rules of medical expertise of temporary disability in ambulatory, policlinic, in-patient department, woman consultations, SPA establishments.

Determination of rules of medical expertise of permanent disability.















Tests, control of practical skills





^ The content of module N 4



















^ Working out of ways of improvement of the economic mechanism and planning methods in public health services system.



3



2

1








4.1. Working out of ways of improvement of the economic mechanism and planning methods in public health services system.

Health and public health organization as economic categories. Basic systems of public health organization. Economy of public health organization: methods, purpose, task and role of such course in the medical higher school. A specific and mechanisms of activity of economic laws is in the public health organization. Modern conception of reformation of the system of public health organization. Strategy of development of public health organization.

Functions and methodology of planning of activity in the system of public health organization. Kinds and methods of planning. Determination of volumes of medicare and sanitary epidemiology provision. Strategic plan of medical establishment, his description and tasks. Contents and connection of strategic and operative plans of medical establishments. The system of the operatively calendar planning in the public health organization. Methods of planning of quantity of medical personnel.















Tests, control of practical skills






^ The content of module N 5



















^ The market of public health services and methods of its research.


8



6

2








5.1. The market of public health services and methods of its research.

Principles of marketing of medical services. Organization of marketing activity of medical establishments:

Law of forming, functioning of market of public health organization. Economic and legal methods of adjusting of market of services of public health organization. Basic parameters of market of services of public health organization: demand, suggestion, price, competition. Types of competition structures. Essence, principles, functions and marketing purpose. Key economic categories of marketing (necessities, values, to wash down). Contents and stages of process of management marketing. Medicare and medical service. Economic features of services in public health organization. A type of marketing is depending on demand.

^ Research methods of market of public health organization:

constituents of marketing activity of medical establishment. Process of marketing research. Analysis of possibilities of market of medical services. Strategy and tactic of marketing activity. Facilities of distribution of information, estimation of advertising efficiency. Marketing control.

^ A method of making of business plan in public health organization















Tests, control of practical skills





^ The content of module N 6



















The organization and the matter of financial management in public health services.


10



8

2







6.1. The organization and the matter of financial management in public health services.

A method of making of estimate in public health organization:

Basic financial models of the systems of health protection. Budget, mechanism of his drafting. Financial planning of medical establishment (estimate). A method of drafting of estimate is in establishments of public health services.

^ Methods of pricing and adjusting of prices in the public health services:

price as economic category, its value for economic activity of medical establishment. Types of prices. Features of forming and adjusting of prices are in the public health services. Calculation price. Development of price strategy in medical establishment.

^ Method of calculation of payment to the medical personnel:

essence of mechanisms of payment of labour of providers of medical services. Types of payment of ambulatory policlinic and stationary medicare.

Method of financial economic analysis:

essence of financial analysis is in the public health services. Financial state of medical enterprise and mechanism of his estimation. Research of efficiency of financially economic activity of public health services.














Tests, control of practical skills





^ The content of module N 7



















^ The economic analysis and an estimation of activity efficiency of public health services establishments.


8



6

2







7.1. The economic analysis and an estimation of activity efficiency of public health services establishments.

The economic analysis of activity efficiency of public health services establishments.

essence and value of economic analysis of activity of medical establishment.

^ Method of determination of medical, social and economic efficiency of activity of medical establishments:

indexes and criteria of medical efficiency of activity of medical establishments. Social efficiency, its criteria.














Tests, control of practical skills





^ The content of module N 8



















^ Methodology of definition of the insurance tariff at voluntary medical insurance



3



2

1







8.1. Methodology of definition of the insurance tariff at voluntary medical insurance

Content of medical insurance. Types of medical insurance and feature of their organization.

Economic analysis of the systems of medical insurance of some developed states.

A place and role of general practitioner is in the system of medical insurance.

Organization of control of quality of medical services is in the conditions of medico-actuarial science. Financial reliability of insurer. Insurance backlogs.

Method of determination of insurance tariff.














Tests, control of practical skills




Final module testing

8



4

4

Tests, control of practical skills






The plan of practical classes

N

Subject

Hours

Module 1

1

Methodology of planning and the organization of statistical research of the population health. A complex estimation of the population health, including reproductive health.

6,0

2

A complex estimation of the population health, including reproductive health. Use of the statistical information for estimation of the population health and activity of medical establishment.

6,0

3

The organization of the primary, secondary and tertiary treatment-and-preventive health services for the population.

6,0

4

Methodology of organization of medical evaluation of disability in work of different treatment-and-preventive establishments. Working out of ways of improvement of the economic mechanism and planning methods in public health services system.

6,0

5

The market of public health services and methods of its research.

6,0

6

The organization and the matter of financial management in public health services.

8,0

7

The economic analysis and an estimation of activity efficiency of public health services establishments. Methodology of definition of the insurance tariff at voluntary medical insurance.

8,0

8

Final testing

4,0

The plan of IECSW




The subject of IECSW

Hours

Module 1

1

Methodology of planning and the organization of statistical research of the population health.

0,8

2

A complex estimation of the population health, including reproductive health.

0,8

3

Use of the statistical information for estimation of the population health and activity of medical establishment.

0,8

4

The organization of the primary, secondary and tertiary treatment-and-preventive health services for the population.

0,8

5

Methodology of organization of medical evaluation of disability in work of different treatment-and-preventive establishments.

0,8

6

Working out of ways of improvement of the economic mechanism and planning methods in public health services system.

1,0

7

The market of public health services and methods of its research.

2,0

8

The organization and the matter of financial management in public health services.

2,0

9

The economic analysis and an estimation of activity efficiency of public health services establishments.

2,0

10

Methodology of definition of the insurance tariff at voluntary medical insurance.

1,0

11

On completing the IESW task: Complex estimation of the population health and working out of ways of its optimization.

2,0

12

Preparation for final testing.

4,0

Final goals of study:

To be able:

  • to interpret the basic methods of determination and estimation of factors that influence the population health;

  • to organize activity of doctor and establishments of public health organization;

  • to determine and analyse factors that influence the population health;

  • to determine the rules of medical social expertise of degree of disability;

  • to develop administrative decisions, directed on the improvement of activity of basic establishments of public health organization;

  • to interpret theoretical bases, modern principles and legal principles of economic activity of public health organization;

  • to determine and analyse basic economic indecis hospital activity;

  • to organize economic and financial analysis of activity of establishments of public health organization;

  • to determine prices on medical services;

  • to develop the method of anelizes of market of medical services;

  • to develop administrative decisions in relation to satisfaction of necessities of population in the medical providing, applying marketing.



The list of questions for preparation for final testing.

The content of module N 1.

Methodology of planning and the organization of statistical research of the population health.


1.1. Methodology of planning and the organization of statistical research of the population health.

For the different contingents of population (city, rural, child, workers and others like that):

Set up the goal of research and formulate the tasks of the research; prepare appropriate registration forms; group study subjects and construct appropriate tables for further analysis; construct tables correctly, according to standards and goal of the research; make up managerial and theoretical parts of plan.

1.2. A complex estimation of the population health, including reproductive health.

Application of biostatistic methods for evaluation of public health condition and influencing factors (relative and average measures, rates-adjustment, tests of significance of obtained results, study of dynamic of a phenomenon, etc).

Determination of basic indexes of health of population, including indexes of reproductive health.

Determination of sources and place of information for study of health of population (demographic indicators, indexes of morbidity, disability, and others like that).

A complex analysis of demographic situation and estimation of factors that influence on it.

Determination of rating of separate regions of Ukraine on demographic indicators.

Estimation of rating of primary and general morbidity is in the different regions of Ukraine.

Estimation of regional features and modern tendencies of indexes of reproductive health.

Analysis of factors which influence on a reproductive health, in particular on the level of birth-rate, frequency of abortions, morbidity of woman, maternal death rate, infant mortality rate.

Normatively legal principles of saving of reproductive health of population.

Development of administrative decisions, directed on the improvement of health of population, including measures of saving of reproductive health.


^ The content of module N 2.

Use of the statistical information for estimation of the population health and activity of medical establishment.

The system of statistical information in a public health organization.

Determination of basic types of registration and current medical document.

Medical registration document which is filled in a policlinic and in-patient department (table of contents, setting, governed filling, motion). ICD-X (principles of construction).

The medical accounting (table of contents, setting, motion) is in a policlinic and in-patient department.


The content of module N 3.

The organization of the primary, secondary and tertiary treatment-and-preventive health services for the population.


3.1. The organization of the primary, secondary and tertiary treatment-and-preventive health services for the population.

Depends on demographic changes, changes of morbidity of adults and children, distribution of socially dangerous diseases.

Improvement of organization of work of basic institution of primary medical care to improvement work of out-patient's clinics of family doctor, policlinic, woman consultation, and others like that.

Determination of role of daily in-patient department in primary medical care.

Primary medical care to rural population.

Primary medical care to children.

Tasks of specialized and higher specialized medical institutions.

Determination of structure and regular providing of hospitals on different level (district hospital, city hospital, central city hospital, central district hospital, specialized (infection, tbc, psychiatric, narcological and others like that)).

Analysis of tasks, structure and activity of dispensaries (tbc, psychiatric, narcological and others like that).

Organizational forms of the medical care of different groups of population

To work out statistical methods for the estimation of activity of medical establishments.

determination and analysis of basic indices of activity of institutions primary, secondary (specialized) and tertiary medical care.

Determination and analysis of indexes of quality of activity of medical institutions.

Development of measures of optimization of activity of medical institutions.


3.2. Methodology of organization of medical evaluation of disability in work of different treatment-and-preventive establishments.

Organization of medical expertise of temporary disability.

Determination of sources of information which is used for medical expertise of temporal and permanent disability.

Determination of rules of medical expertise of temporary disability in ambulatory, policlinic, in-patient department, woman consultations, SPA establishments.

Determination of rules of medical expertise of permanent disability.


^ The content of module N 4.

Working out of ways of improvement of the economic mechanism and planning methods in public health services system.

Health and public health organization as economic categories. Basic systems of public health organization. Economy of public health organization: methods, purpose, task and role of such course in the medical higher school. A specific and mechanisms of activity of economic laws is in the public health organization. Modern conception of reformation of the system of public health organization. Strategy of development of public health organization.

Functions and methodology of planning of activity in the system of public health organization. Kinds and methods of planning. Determination of volumes of medicare and sanitary epidemiology provision. Strategic plan of medical establishment, his description and tasks. Contents and connection of strategic and operative plans of medical establishments. The system of the operatively calendar planning in the public health organization. Methods of planning of quantity of medical personnel.


^ The content of module N 5.

The market of public health services and methods of its research.

Principles of marketing of medical services. Organization of marketing activity of medical establishments:

Law of forming, functioning of market of public health organization. Economic and legal methods of adjusting of market of services of public health organization. Basic parameters of market of services of public health organization: demand, suggestion, price, competition. Types of competition structures. Essence, principles, functions and marketing purpose. Key economic categories of marketing (necessities, values, to wash down). Contents and stages of process of management marketing. Medicare and medical service. Economic features of services in public health organization. A type of marketing is depending on demand.

^ Research methods of market of public health organization:

constituents of marketing activity of medical establishment. Process of marketing research. Analysis of possibilities of market of medical services. Strategy and tactic of marketing activity. Facilities of distribution of information, estimation of advertising efficiency. Marketing control.

^ A method of making of business plan in public health organization


The content of module N 6.

The organization and the matter of financial management in public health services.


A method of making of estimate in public health organization:

Basic financial models of the systems of health protection. Budget, mechanism of his drafting. Financial planning of medical establishment (estimate). A method of drafting of estimate is in establishments of public health services.

^ Methods of pricing and adjusting of prices in the public health services:

price as economic category, its value for economic activity of medical establishment. Types of prices. Features of forming and adjusting of prices are in the public health services. Calculation price. Development of price strategy in medical establishment.

^ Method of calculation of payment to the medical personnel:

essence of mechanisms of payment of labour of providers of medical services. Types of payment of ambulatory policlinic and stationary medicare.

Method of financial economic analysis:

essence of financial analysis is in the public health services. Financial state of medical enterprise and mechanism of his estimation. Research of efficiency of financially economic activity of public health services.


^ The content of module N 7.

The economic analysis and an estimation of activity efficiency of public health services establishments.


The economic analysis of activity efficiency of public health services establishments.

essence and value of economic analysis of activity of medical establishment.

^ Method of determination of medical, social and economic efficiency of activity of medical establishments:

indexes and criteria of medical efficiency of activity of medical establishments. Social efficiency, its criteria.

The content of module N 8.

Methodology of definition of the insurance tariff at voluntary medical insurance.


Content of medical insurance. Types of medical insurance and feature of their organization.

Economic analysis of the systems of medical insurance of some developed states.

A place and role of general practitioner is in the system of medical insurance.

Organization of control of quality of medical services is in the conditions of medico-actuarial science. Financial reliability of insurer. Insurance backlogs.

Method of determination of insurance tariff.


References:

  1. Beaglehole, R. and Bonita, R. (1997) Public health at the crossroads: achievements and prospects. Cambridge, Cambridge University Press

  2. Jackson, R.T. and Mitchell E.A. (1988) Trends in hospital admission rates and drug treatment of asthma in New Zealand. New Zealand medical journal, 96: 728-730.

  3. McGinnis, T.M. (1990) Setting objectives for public health in the 1990: experience and prospects. Annual review of public health, 11:231-249.



Structured plan for preparation on the subject

Social Medicine Public Health Organization and Economic.


Structure of syllabus

Hours

Year of study

Type of contorl

Total hours/credits

In class

ICSWE

lectures

Practical classes

Totals

68/2,25



50

18

6




Module 1

Contents of module – 8,


Including final module testing

68/2,25





50


4

18

6

Tests, control of practical skills



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