Final goals of study:
To be able to interpret theoretic basis and modern principles of public health organization
To determine and analyze basic indicators of community health condition together wit the factors which influence it.
To work out measures aimed at improvement of population health
To estimate organization aspect, quality aspect and efficacy aspect of health care providers (different types of hospital, polyclinics, sanitary and epidemiologic stations) in terms of public health reformation.
To understand and apply correctly the conception of disability, to differentiate its types and to know how to organize the disability examination.
To know what to do concerning different situations of disability cases
To understand and apply correctly principles and conceptions of management
To work out managerial decisions aimed at improvement of work of basic health care providers.
The list of questions for preparation for final testing.
ORGANIZATION OF MEDICAL CARE IN MODERN SOCIETY.
The content of module 1.
Introduction into social medicine and public health organization
Social medicine and public health organization as science. Basic methods of social medicine. 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.
The targeted approach in defining the “health”. Individual and community health.
The medical indicators of population health condition.
The most influential factors concerning public health and peculiarities of study of these factors and their influence.
Classification of risk factors that influence people’s health.
Application of biostatistic methods for evaluation of public health condition and influencing factors (relative and average measures, rates-adjustment, parametric tests of significance of obtained results, study of dynamic of a phenomenon, correlation and regression analysis, etc).
The content of module 2.
Medical and social aspects of demography.
Methodology of demographic indicators study.
Demography as science. The role of demography data in characteristic of population health. Change of population number and content in various regions of the world, including Ukraine over the recent time.
Methodology of study of natural population movement; sources of information; calculation of indicators.
Birth rate and its values in Ukraine. Factors that influence the birth rate.
Mortality rates. Calculation of total crude mortality rates and specified mortality rates. Peculiarities and causes of death in different social groups. The dynamic of mortality rates in Ukraine and other countries of the word.
Infant mortality; age peculiarities. The most important groups of factors that influence the infant mortality rates. Medical and social aspects of decrease of infant mortality rates.
Still births. The conception and calculation of perinatal mortality rates.
Average life expectancy: the definition. Tendencies in dynamic of average life expectancy overt the world, particularly in Ukraine.
The characteristic of natural movement by region of Ukraine. What measures may be used to improve the demographic condition of Ukraine.
The content of module 3.
Medical and social aspects of morbidity.
Methodology of study of morbidity.
The conception of morbidity and the goals of its study. Medical and social significance of morbidity.
What methods may be used in study of morbidity and their advantages and disadvantages. Factors that influence the data on morbidity of urban and rural population.
International Disease Classification and how to use it.
Methodology of population morbidity study by appealability for medical aid. Types of morbidity and their comparative characteristic.
The total crude morbidity: sources of data, registration documents and how they should be filled, indicators. The dynamic of total crude morbidity in Ukraine and its leading causes.
Infectious diseases morbidity: the appropriateness of special registration, the unit of observation, registration documents and their “course”, basic indicators. Tendencies of this type of morbidity.
The most important non-epidemic diseases morbidity: the list of disease related to this category, the appropriateness of special registration, the unit of observation, registration documents and their “course”, indicators of primary specified morbidity and disease prevalence. The dynamic of cardiovascular and malignant diseases spreading.
Medical and social role of the most important disease: cardiovascular diseases, malignant diseases, tuberculosis, HIV/AIDS.
Hospital morbidity: the definition, the appropriateness of special registration, the unit of observation, registration documents, methodology of study and indicators.
The morbidity followed by temporary disability: sources of data and methods used to study the morbidity, unit of observation and indicators of morbidity followed by temporary disability.
Morbidity peculiarities in different regions of Ukraine and among different social groups.
The content of module 4.
Organization of medical care in urban and rural areas.
Public health care in Ukraine; principles of Ukrainian public health care.
Branches of public health care. Basic organizational principles of Ukrainian health care system. The conception of primary, secondary and tertiary medical care. Health care providers and their structure.
The polyclinic (ambulatoria): structure, the purpose, organization of work.
Doctor’s district and how it is formed.
The duties of registration office (unit) of polyclinic
Advantages and disadvantages of district-approach method in medical care provision
The duties of district physician
Disease preventive work of polyclinic. Dispensarization: the conception, stages and criteria of efficacy.
Dispensarization: principles of population selection for further dispensary observation.
Anti-epidemic work activity of polyclinic. Collaboration with sanitary-and-epidemiologic stations. Organization of cooperative work among polyclinic and sanitary-and-antiepidemic establishments in the source of infectious disease, during immunoprphylaxis and dispensary observation of reconvalescent people.
Indicators that characterize the work of polyclinic.
Organization of primary medical care according to family approach principle. Characteristic of existing models of “family medicine”.
The duties of family doctor, collaboration with different health care providers and social services
In-patient department (therapeutic, surgical, etc): structure and organization of work.
How to use the bed fund effectively. The succession between in-patient department and other health care providers.
Indicators that characterize the work of in-patient department
The role of health care providers that substitute the in-patient department and how they are organized.
Functions and structure of day in-patient department
Peculiarities of rural population life and health conditions. The stages of medical care.
Rural doctor district: duties and structure, tasks. Prospective for future development.
Rural district hospital: categories, structure; what medical services are available there.
Rural ambulatory of family practice: structure, staff, organization of work.
Central district hospital is the provider of specialized medical care in rural areas. Its tasks, categories, structure and prospects of development.
Regional hospital: structure; what medical services are available there (both polyclinic and in-patient).
Organization of emergency medical care; institutions that provide population with this type of medical services.
Station of emergency medical care: duties and purposes of emergency medical care.
Set-off medical brigade: staff, duties and purposes.
Hospital of emergency medical care: staff, structure and basic functions
Organization of emergency medical care in rural area
Peculiarities of elderly people health condition
Basic tendencies in organization of geriatric medical care in Ukraine and in other countries
Health care providers that provide medical care to elderly population in Ukraine
Prospects of development of geriatrics in Ukraine and in other countries.
The content of module 5.
Insurance medicine. Medical insurance.
The conception of “medical insurance” and “insurance medicine”.
Peculiarities of implementation of obligatory and voluntary medical insurance
Problems of insurance medicine implementation in Ukraine.
DISABILITY EXAMINATION. MANAGEMENT IN PUBLIC HEALTH CARE.
The content of module 6.
Organization of maternity and childhood health care.
The role of maternity and childhood medical care in public health care organization. Legislative basis. The prominent establishments.
Organization of obstetrician and gynecological medical care in urban and rural areas.
Maternity house: duties and structure
Women’s consulting health center: structure, duties, indicators used for estimation of its work. The role of women’s consulting health center in antenatal care after the fetus and its collaboration with pediatric polyclinic and sanitary-and-epidemiologic station.
Organization of curative and prophylactic medical care provision to children; types of institutions. Pediatric polyclinic: duties and structure. Prophylactic and anti-epidemic work of pediatric polyclinic.
Implementation of district approach method in organization of childhood welfare centers. Duties of district pediatrician and district nurse.
Duties of health children’s centers and centers of immunoprophylaxis.
Peculiarities of organization of in-patient medical care provision to youth population.
The content of module 7.
Medical and social aspects of disability examination.
Types of medical examination of disability. Medical and social disability examination (both temporary and permanent).
Duties and organization of medical examination of temporary disability. Medical (physicians’) consultative committee: staff and duties.
How the documentation that certify the temporary disability should be issued in different cases.
Organization of permanent disability examination. Medical and social committee on disability examination: staff, types and duties.
Types of causes of permanent disability
Documentation that certify the permanent disability.
The content of module 8.
The quality aspect in provision the population with medical care.
The components of the quality of medical care.
Methodology of quality evaluation. Requirements towards the methodologies.
Methodology of estimation of level of medical care quality, the finishing results.
Methodological approaches in selection of indicators of result and impairments in activity of various types of health care providers.
Methodology of estimation of the integral indicator of efficacy
Quality standards of medical care and medical technologies
Organization of control of quality aspect of medical care.
The content of module 9.
Organization of sanitary-and-epidemiologic welfare of population.
The role of sanitary-and-epidemiologic stations in guaranteeing the sanitary-and-epidemiologic welfare of population.
The legislative basis:
The structure of local, district and regional sanitary-and-epidemiological stations.
The work of sanitary-and-epidemiologic station according to its level
How doctors-hygienists work: current and prophylactic sanitary and epidemic control
The duties of head and other authorized sanitary-and-epidemiological doctors.
Duties and rights of other institutions (non-medical) and teams of people in provision of sanitary and epidemiologic welfare of population.
Types of responsibilities if anybody breaks the rules of sanitary legislation.
The work of sanitary-and-epidemiologic stations and health care providers concerning primary disease prevention.
The collaborative work of sanitary-and-epidemiologic stations and health care providers: the purpose, the tasks, the obligations and rights of medical workers concerning infectious disease breakout, conduction of immunoprophylaxis, dispensarization of carriers and reconvalescents of infectious diseases agents.
The content of module 10.
Basis of management. Management in public health care
Management is both a science and a kind of practice in administration.
Basic modern conceptions of management.
Basic methods of administration.
Subject and object of administration
Structural and functional systems of administration
Leading administrative functions
Components of public health. The governing system and the system under administration in public health organization.
Structure of administration in public health
Components of administrative cycle
How to make and implement into practice administrative (managerial) decisions.
How to govern the staff (HRM). The role of a leader. Types of manager’s behaviour.
Social and psychological problems of management in public health care system. Factors that influence its efficacy.
The content of module 11.
How to form the healthy life style.
The leading factors in formation of life style which influence the health condition of population.
Primary, secondary and tertiary disease prevention. Principles of healthy life style. Directions of health life formation. Methods used for estimation and correction of way of life.
Health care providers that take place in formation of healthy life style
Basic directions and means of medical and hygienic education in terms of various health care providers.
Methods and means of hygienic education of population: advantages and disadvantages
Preparation of a lecture on sanitary education of population
Plan of lecture. How to compile the lecture.
Beaglehole, R. and Bonita, R. (1997) Public health at the crossroads: achievements and prospects. Cambridge, Cambridge University Press
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.
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 and Public Health Organization.
Structure of syllabus
Year of study
Type of contorl
Contents of module – 5,
Including final module testing
Tests, control of practical skills
Contents of module – 6,
Including final module testing
Tests, control of practical skills