Metode istraživanja i vrednovanja zdravstvenih intervencija

Course

Metode istraživanja i vrednovanja zdravstvenih intervencija

ECTS

3.5

Status

Optional course

Execution of classes

P3/S2/V15

Course performers

prof. dr. sc. Stjepan Orešković, Voditelj predmeta

Studies on which it's performed

BIOMEDICINA I ZDRAVSTVO

Contents

Theories: Human capital theory. Determinants of health. Determinants of health outcomes. Three historical periods: Health structures measurement methods. Health processes management and follow up. Methods and indicators for measurement of health outcomes. Health Status Research: Methods of social impact measurements, self-perceived health status. Health condition and Health expectations. Health targets: indicators, instruments and methods. Methodological harmonisation.

Health process and outcomes research: Methods for measurement efficiency of health interventions. Comparative methods use and benchmarking: internal, external and process comparison Theoretical model relations between costs and outcomes. Measurements of processes, status, risks, unexpected effects and effects/standard of health interventions. Methods for measurement of health status and outcomes of population interventions: indicators, instruments and methods. Instruments for measurement health status and practical application: Social indicators for health intervention efficiency measurement (SAS); WHO/HFA; indicators, instruments and methodes General Health Questionarre-GHK; SF 36; EuroQol McMaster Health Utility Index; Socio Economic Classification (SEC); Examples of how systems work in practice: CDC/Healthy People 2010                                                                                        Methods and instruments for measurement efficiency and effects of health interventions: Determination priorities methods.. Methods of measurement effect connections, outcomes, efficiency and intervention costs: Unites and methods of measurment efficiency and usefulness, practises and calculations and computer simulations: Disability-Free Life Expectancy, Quality Adjusted Life Years, Disability Adjusted Life Years, Number Needed to Treat, Sickness Impact Profile.

Costs and efficiency analysis methods: Method of cost identification; Direct and Indirect costs; Cost-benefit analysis, Cost-effectiveness analysis; Cost-usefulness relation analysis; Cost-minimalization method. Modules, simulations and data basis for measurement efficiency and healt outcome prices: NICE Care, Cohranne Collaboration, York Health Economics Centre.


Literature

1.National Institute for Health and Clinical Excellence. Centre for Public Health Excellence.Centre for Health Technology Evaluation. Centre for Clinical Practice. Clinical and Public Health Directorate. http://www.nice.org.uk/Guidance. 26 May 2015.


  1. National Institute for Public Health and Environment Ministry of Health, Welfare and Sport of the Netherlands. Dutch HealtCare Performance Report 2014. http://www.rivm.nl/dsresource?objectid=rivmp:277134&type=org&disposition=inline


  1. National Institute for Public Health and Environment Ministry of Health, Welfare and Sport of the Netherlands. Dutch HealtCare Performance Report 2014. http://www.rivm.nl/dsresource?objectid=rivmp:277134&type=org&disposition=inline


  1. Hrvatski zavod za javno zdravstvo. Hrvatski zdravstveno-statistički ljetopis za 2014 godinu. Zagreb, 2015. http://hzjz.hr/wp-content/uploads/2015/05/ljetopis_2014.pdf


  1. Michael J van den Berg, Dionne S Kringos, Lisanne K Marks and Niek S Klazinga. The Dutch health care performance report: seven years of health care performance assessment in the Netherlands. Health Research Policy and Systems 2014, 12:1  doi:10.1186/1478-4505-12-1. http://www.health-policy-systems.com/content/12/1/1


  1. The Outcome of Outcomes Research at AHCPR: Final Report. US Department of Health and Human Services. Agency for HealthCare Research and Quality. 2009.  http://www.ahrq.gov/clinic/outcosum.htm


  1. Barbara Starfield, Structure, Process, Outcomes in Health System Improvement. http://ocw.jhsph.edu/courses/starfieldcourse/PDFs/Structure-Process Outcome%20FINALSlidesNotes.pdf. 2015


  1. Donabedian A. The definition of quality and approaches to its assessment. Ann Arbor: Health Administration Press; 1980.


  1. de Bruin A, Picavet HSJ, Nossikov A, editors. Health interview surveys. Towards international harmonization of methods and instruments. Copenhagen: World Health Organization, Regional Office for Europe; 1996. (WHO Regional Publications. European Series; n.o 58)


  1. Božičević I, Orešković S, Stevanović R, Rodin U, Nolte E, McKee M. What is happening to the health of the Croatian population. Croat Med J 2001;42:601-6.


  1. Orešković S. New priorities for health sector reform in Central and Eastern Europe. Croat Med J 1998;39:225-33.


  1. Orešković S, Strnad M, Majdak P, Babic S. Opinions of patients on the quality of hospital care. Natl Med J India 2001;14:246-7.


Report of the Malawi Triangulation Project: Synthesis of Data on Trends in the National and Local HIV Epidemics and The Reach and Intensity of Prevention Efforts

WHO, UNAIDS, UCSF, CDC http://www.igh.org/triangulation/Malawi_triangulation.pdf


Teaching forms

Lectures, seminars, autonomous and team research, discussion practical work


Examination procedure

Discussion and presentation of paper