Form No u-302 The Health Ministry of Ukraine icon

Form No u-302 The Health Ministry of Ukraine




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The syllabus was compiled on the basis of typical syllabus and approved by Central Methodic Committee on higher medical education. It was confirmed by Health Minister Deputy V.V. Lazorishinez on 15.04.2008.


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


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

Protocol 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)

The topic of the class and key questions

Total hours/credits

Including types of classes

Form of control

Year of study

lectures

Practical class

IECSW

Total

135/4,5

30

50

55







^ Module 1. Heath statistics. Organization of basic types of health services provision to population

90/3

20

30

40




4

The goals of the module:

To be able to:

  • To interpret theoretic basis, modern principles and legislative basis of public health care;

  • to determine and to analyze basic indicators of community health in accordance with factors that influence them;

  • to elaborate measures for improvement of population health condition and certain groups of society;

  • to make an assessment of quality and efficacy of health services that are provided to urban and rural population in terms of health care system reformation.



















^ The content of module N 1.



















Introduction into social medicine and public health organization

8

4

2

2







1.1 Social medicine and public health organization: subject of study, its role in practical branch of public health care



















Social medicine and public health organization: methodological structure, its goals and tasks, methods of social medicine, correlation with other sciences, its role in practical branch of public health care.

The history of social medicine development.

The contribution of outstanding scientists and doctors in the development of Ukrainian health care.

The conceptions of social medicine.



















1.2 The health of population as medical and social target. Strategies of public health organization.

The conceptions of “health”: philosophical, individual theoretical, individual practical, population. Social and biological base of health.

The population health as conditional statistical conception and its medical indicators: demographic indicators, indicators of physical growth, indicators of temporary and permanent disability, prenosological conditions rates.

The most influential factors concerning public health: standard of life, way of life, environmental pollution, biological factors, acceptability and quality of medical services. The dependence of population health from their standard of life: gross domestic product (GDP), index of human potential development. Way of life: conception, methodology, assessment of its influence on people’s life. Peculiarities of health condition of different age and sex groups, social groups who live in various ecological conditions.

Strategies of public health care.



















1.3 Methodology of study and estimation of factors that influence the population 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).

Methodic approaches towards study of factors that influence population health status and health condition of certain social groups. How to assess the influence of biological, ecological, natural and public health organization factors. How to collect appropriate information.

Classification of factors that influence people’s health.













Tests, control of practical skills




Content of module N 2



















Medical and social aspects of demography. How to analyze demographic indicators.

10

2

4

4







2.1 Medical and social problems of demographic processes. The difference among demographic indicators of different countries of the world and certain regions of Ukraine.

Demography as science. Subdivisions of demography. Sources of information concerning population content and movement. The history of census. Dynamic of population number and content in various regions of the world. Medical and social significance of this information. Basic tendencies attributed to Ukraine and other countries concerning age and sex population structure under the terms of urbanization. Medical and social significance of migration processes.

Natural population movement. Regional peculiarities of birth rates in Ukraine and other countries.

Total crude mortality rates and the background for this phenomenon in Ukraine and other countries of the world. Age-sex and regional peculiarities of mortality indicators. Infant mortality: the significance of the indicator in population health status evaluation. Dynamic of infant mortality in Ukraine comparing with other countries of the world. Regional differences among infant mortality rates in different parts of Ukraine. Female- and male-specified infant mortality rates, seasonal peculiarities of infant mortality rates. The leading reasons of infant mortality rates. The most important groups of factors that influence the infant mortality rates.

Average life expectancy: the definition and the calculation. The dynamic of average life expectancy in Ukraine and other countries.




















2.2 Methodology of study and evaluation of indicators of natural movement of population.

What documents and how are used for study of natural movement of population.

How the newborns are registered in Ukraine. The conception of “live birth”, “still birth”, “the death of fetus”. Methodology of study of total crude and specified birth rates.

Total crude mortality rate. How the cases of death are registered in Ukraine. Methodology of mortality indicators study. The calculation and evaluation of total and specified mortality rates.

Natural movement of population. Its application into practical medicine and public health organization.













Tests, control of practical skills




2.3 Methodology of study and evaluation of infant and perinatal mortality rates.

The statistics of perinatal and infant mortality: registration documents, how the still births should be registered, calculation and evaluation of indicators by periods of infants’ life and causes of death. Types of infants mortality.













Tests, control of practical skills




The content of Module 3.



















Medical and social aspects of morbidity. How to study the morbidity rates of the population.

16

4

6

6







    1. The morbidity of the population as medical and social problem. Methods used to study the morbidity.

The conception of morbidity and the goals of its study. Medical and social significance of morbidity as the leading cause of temporary and permanent disability, mortality.

What methods may be used in study of morbidity and their advantages and disadvantages.

Types of morbidity (according to Ukrainian model of morbidity study)

International Disease Classification and how to use it.

The key principles and tendencies in formation of modern type of pathology.



















3.2 Tendencies and peculiarities of certain types of morbidity in different regions of the world (especially socially important and contagious diseases).

The tendencies of dynamic of morbidity rates, age and sex peculiarities of morbidity in different regions of the world. General tendency of morbidity in Ukraine (level, structure and dynamic).

The tendency of diagnosing and spreading of diseases of civilization: cardiovascular diseases, oncologic diseases, neural diseases, psychiatric diseases. Medical and social aspects of the disease-specified morbidity: tuberculosis, HIV/AIDS, injury rates, alcohol- and drug abuse.

Modern tendencies in morbidity among workers, including occupational pathology and injury-rates.

The importance of complex approach in decrease of certain types of morbidity. Intra-discipline complex program “The Health of the Nation during the period of 2002-20011” (2002)



















3.3 Morbidity statistics. Population health evaluation according to morbidity indicators.

Methodology of population morbidity study by appealability for medical aid, by the results of medical examination, by the causes of death on the level of curative and prophylactic institution: the unit of observation; registration documents, how they should be filled in and how they should be used for analysis of morbidity. The circulation of medical and statistical registration documents according to Ministry of Health.

Methodology of study and evaluation of specified morbidity rates: infectious morbidity, important non-epidemic morbidity, hospital morbidity (the required documents).














Tests, control of practical skills




The content of module 4



















Organization of curative and prophylactic medical services in urban and rural areas.

38

10

14

14







^ 4.1. Organization of different types of curative and prophylactic medical care provision to population. Polyclinic, hospital (in-patien) and emergency medical care.

Types of medical care and establishments that provide these types of medical care to population. Basic principles of organization of medical care in case of adult population: types of health care providers (according to its profile, complexity) and their characteristic. Primary, secondary and tertiary medical care and respective health care providers. Organizational principles of Ukrainian health care system.

Types of health care providers that provide population with ambulatory and polyclinic medical care. How polyclinic works: the goal, structure, the work of certain subdivisions, succession between polyclinic and in-patient department. Physician’s district: the conception, advantages and disadvantages. How polyclinic (district) physicians should work. The importance of dispensarization; its principles and stages. Priority problems in development of ambulatory and polyclinic medical care.

Organization of emergency medical care in Ukraine: principles, tasks, health care providers, emergency medical care at the hospital and pre-admission levels. The purpose of ambulance stations and sub-stations. Set-off brigades: types, content, functions, organization of emergency medical care in force-major circumstances. The prospect of this type of medical care development.

Factors that influence the demand in hospital (in-patient) medical care and types of health care providers (multi-disciplinary and specialized hospitals, dispensaries). Indications for admission into the hospital. Structure of the in-patient hospital department. The interrelation among physicians and other doctors who work in different health care providers. The succession of work among polyclinic and hospital physicians. Organization of specialized in-patient medical care and effective usage of bed fund of hospital. The prospect of in-patient medical care development.




















4.2 Organization and work of ambulatoria and polyclinic of various levels; accounting and analysis of their activity.

Tasks, work and structure of polyclinic. Personnel number. Functions of the most important subdivisions. Organization of work of district physician and head of the department.

The conception of dispensarization. Structure subdivisions of polylcinic which take place in dispensarization. Disease preventive department is the organizational center of disease preventive activity in polyclinic. Types of medical examinations. What specialities should be involved into medical examinations. The role of district physician in dispensarization. Methodology of organization of dispensarization. Stages of dispensarization and their description. Health groups. Disease preventive activities according to health groups.

The polyclinic documentation and how it should be filled. Calculation of indicators which characterize the quality of polyclinic work, organization of polyclinic work and effectiveness of curative and disease preventive (dispensarization) work.

Working out methods to improve the work of polyclinics and ambulatories.













Tests, control of practical skills




4.3 Organization of work of in-patient departments of various levels; accounting and analysis of their activity.

The reason for creation of in-patient departments. Structure and functions of its subdivisions. How the patients should be assigned for treatment in in-patient department. The work of a physician in an in-patient department. Factors that influence the rational usage of bed fund and effectiveness of work of in-patient department.

The in-patient department’s documentation and how it should be filled. Calculation of indicators which characterize the quality of hospital work, organization of hospital work and effectiveness of work.(Form 20)

Working out methods to improve the work of in-patient departments.













Tests, control of practical skills




4.4 Organization of work of establishments that substitute the in-patient department of the hospital.

Type of establishments that substitute the in-patient department. Purpose and structure of this type of establishments. Functions of day in-patient department and home medical care.

The documentation and how it should be filled in. Indicators of work activity of day in-patient department and home medical care. How to improve the work of this establishments.













Tests, control of practical skills




4.5 Family medicine and its role in provision of population with medical care.

The conception of primary medical and sanitary care. The role of primary medical and sanitary care in legislative aspect of population provision with medical care. How to organize the primary medical and sanitary care in terms of family medicine. Functioning and basic principles of primary medical and sanitary care.

The role of family doctor (general practitioner) in provision the population with medical care. Models of family doctor’s work. How to switch from district approach method of doctors’ work to family approach method of doctors’ work. Problems and prospects of family medicine development in Ukraine.




















4.6 The content and organization of family doctor’s work.

Organization of work of family doctor in different environments. How the family doctor should organize his working hours concerning diagnostic, curative and disease preventive activities; the solution of medical and social problems of a family. Organization of cooperation of family doctors and paramedical specialists and social workers.

Basic registration documents. Calculation and evaluation of indicators of family doctor’s work.














Tests, control of practical skills



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