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Summary Epidemiology

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Summary study book Clinical Epidemiology of Diederick E. Grobbee, Arno W. Hoes - ISBN: 9781449674328, Edition: 2nd Revised edition, Year of publication: - (Educational)

Voorbeeld 3 van de 21  pagina's

  • Ja
  • 30 oktober 2021
  • 21
  • 2021/2022
  • Samenvatting
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Week 7: From epidemiology to public health policy

Learning Objectives:


Critical appraisal of the objectives of Epidemiology and Health Outcomes Research


Overview of evaluation of preventive and therapeutic measures for a disease or condition

Introduction to and critical appraisal of development of public health policy

Introduction to and critical appraisal of the World Health Organization (WHO) STEPwise

framework


Contents
Introduction .................................................................................................................................................. 1
Epidemiology and Health Outcomes Research ............................................................................................. 1
Evaluation of preventive and therapeutic measures for a disease or condition.......................................... 3
Evaluation Design...................................................................................................................................... 3
Building an evaluation framework ............................................................................................................ 5
Using a logic model to identify outcomes and benefits ........................................................................... 7
Development of public health policy ............................................................................................................ 8
National health policies .......................................................................................................................... 10
Example of WHO tool in elaborating Health Policies, Strategies and Plans ........................................... 11
WHO STEPwise approach to NCDs surveillance ..................................................................................... 12
Example of importance of epidemiological evidence in health risk assessment and development of
regulations .............................................................................................................................................. 16
References .................................................................................................................................................. 17

,Introduction
Epidemiology – the science of distribution of diseases and risk factors in populations – is the basis

for evidence-based recommendations and the formation of public health programmes and policies

(Davis et al. 2012, Westin 2015). Decisions on implementing programmes and policies should be

based on the best evidence available at the time (Hanson and Jones 2017). It is therefore essential

that evaluators generate the most robust evidence possible to help understand what are the benefits

and limitations of a program or policy, from the planning stage to evaluation, and in all steps in-

between. Although each country develops and modifies policies depending on identified needs

and socio-cultural context, there are some universal recommendations that come from authoritative

bodies such as the World Health Organization which are set to help countries to collect

(epidemiological) data and develop national policies and strategic plans- for example- for tackling

communicable and non- communicable diseases. Within the context of public health, policy

development includes the advancement and implementation of public health law, regulations, or

voluntary practices that influence systems, organizations, and individual behaviours to promote

improvements in health. This week we will define Health Outcomes Research and its role in

epidemiology and public health policy; we will describe how prevention and/or treatment

programs can be evaluated, and we will look more in detail what development of public health

policy is, and what the role of WHO is that context is.


Epidemiology and Health Outcomes Research
Nowadays, healthcare professionals are increasingly turning to Health Outcomes Research for the

evidence-based guidance they need to prevent or treat diseases. In that context, Health Outcomes

Research is a methodology used to identify and measure the link between treatments or




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, interventions delivered and the actual outcomes achieved (Harvard T.H. Chan 2015). For example,

outcomes research studies can be used to:



 Determine if specific treatments are over- or under-used for populations of patients


 Incorporate non-traditional outcomes measures such as patient preference and quality of life

into the decision-making process


 Help match treatments to individual patients, based on patient-specific criteria.


Health Outcomes research is valuable largely because of the scope of issues it addresses: it uses

data from medical records, insurance databases, patient questionnaires, and the measures

of frequency and association of exposure and outcome which are commonly reported in

epidemiological research. Those data are used by a diverse and growing number of organizations

– health care delivery organizations, insurers, pharmaceutical companies, and governments – to

help them make better decisions about the value of different treatments and interventions. It is

important as by improving the decision-making process across organizations, outcomes research

increases the value of resources spent on health care (Harvard T.H. Chan 2015). It is similarly used

to identify successful public health programs and to share the lessons learned. Health Outcomes

Research data is also being used to create measurement tools that can be used to compare different

health care related facilities and performances (Harvard T.H. Chan 2015). This makes it possible

to identify areas of weakness in resources or facilities, as well as to assess gaps in treatments or

interventions, and can help healthcare providers to address these issues and make necessary

improvements.




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