Evidence for Population Health

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1 University Press Scholarship Online You are looking at 1-10 of 70 items for: keywords : population health Evidence for Population Health Richard Heller ISBN: eisbn: Item type: book acprof:oso/ This book aims to show the value of developing and applying an evidence base to public health. The application of evidence to clinical practice is well established, and the field of evidence-based medicine accepted as a basic clinical science, not so for public health. The book examines the methods used for Evidence Based Medicine, and shows how these can be applied to public health. In the process, a number of new measures are necessary to extend clinical measures to the population. Population impact measures are described and their value in public health policymaking described and discussed. The book identifies evidence for population health as an appropriate field of study. The chapters are divided in three sections to follow the structure of the Population Health Evidence Cycle: Ask the question, Collect the evidence, and Understand and use the evidence. Integrating Positive Psychology Into Epidemiologic Theory: Reflections on Love, Salutogenesis, and Determinants of Population Health Jeff Levin in Altruism and Health: Perspectives from Empirical Research Published in print: 2007 Published Online: September 2007 ISBN: eisbn: acprof:oso/ This chapter seeks to integrate the emerging field of positive psychology into epidemiologic theory. It demonstrates that the putative health effects of positive-psychological constructs, exemplified by altruistic and compassionate love, can be understood in terms of concepts implicit in existing theoretical perspectives on the psychosocial determinants of population health. The discussion is in four parts. First, it is shown Page 1 of 6

2 how the effects of constructs taken from the field of positive psychology can be investigated and understood in an epidemiologic context. This discussion emphasizes key concepts in population health, including risk status, the natural history of disease, and pathogenesis. Second, a summary is provided of Antonovsky's views on salutogenesis and coherence. These are key components of any metatheoretical discussion of a potentially salutary role of positive-psychological characteristics. Third, important conceptual distinctions are made among the determinants of morbidity, disease, and health in order to clarify existing confusion regarding the impact of psychosocial variables. Finally, an overview is provided of how the putative health benefits of love might be assessed from several popular theoretical perspectives that specify how psychosocial constructs affect indicators of population health. This discussion summarizes how epidemiologists conceive of the psychosocial determinants of morbidity, disease, and health. Health Systems in Low- and Middle-Income Countries: An economic and policy perspective Richard D. Smith and Kara Hanson (eds) Published in print: 2011 Published Online: January 2012 ISBN: eisbn: Item type: book acprof:oso/ This book outlines the key aspects and issues concerning health systems of low- and middle-income countries, recognizing the current global context within which these systems operate and the dynamics of this context. Chapters tackle the issues that face population health and health care in the 21st century. The focus is predominantly low- and middle-income countries, with a distinct meeting of economic and policy perspectives, and grounding analysis of key issues within the broader international context. The book therefore provides a unique and comprehensive analysis of health systems, with a very different and unique flavour in the field. What is evidence for population health? Richard F. Heller in Evidence for Population Health ISBN: eisbn: acprof:oso/ Page 2 of 6

3 Why do we need to consider evidence for population health and how can it draw on the success of evidence-based medicine? This chapter describes the Population Health Evidence Cycle: Ask, collect; understand; use. Health Statistics: Shaping policy and practice to improve the population's health Daniel J. Friedman, Edward L. Hunter, and R. Gibson Parrish (eds) ISBN: eisbn: Item type: book acprof:oso/ Health statistics have been an essential tool for improving the health of populations for centuries. This book provides an account of the essential concepts and complex underpinnings of health statistics. It gives a broad and detailed view of the sources and uses of health statistics, and explores contemporary issues confronting the health statistics enterprise, including privacy, technology, and the emergence of health data standards. It also proposes fundamental changes needed to improve health statistics that can be embraced by practitioners at all levels of government and the private sector. The book is guided throughout by a model of population health that expands the traditionally held view of what factors influence health. The chapters are grouped into five sections: defining health statistics-context, history, and organization; collecting and compiling health statistics; putting health statistics to use; identifying current and forthcoming issues and transforming health statistics through new conceptual frameworks. Defining Health Statistics and Their Scope R. Gibson Parrish II, Daniel J. Friedman, and Edward L. Hunter in Health Statistics: Shaping policy and practice to improve the population's health ISBN: eisbn: acprof:oso/ This chapter provides a definition of health statistics, the purpose of health statistics, and an overview of their many uses. It describes the broad scope of health statistics and a model of population health to guide the health statistics enterprise in its goal of providing comprehensive, coherent, and useful data with which populations can create fundamental knowledge, guide their health policies, and implement and refine their Page 3 of 6

4 health programs and other interventions to improve health. The model has three components: (1) the context or broad setting in which the population exists and acts; (2) factors acting at the community or individual level; and (3) measures of a population's health. The model positions a population's health as the central outcome variable. The health of a population is described by measures of disease, functional status, and well-being that reflect both the level and distribution of health in the population. Measuring overall population health: the use and abuse of QALYs Richard Cookson and Anthony Culyer in Evidence-based Public Health: Effectiveness and efficiency Published in print: 2009 Published Online: February 2010 ISBN: eisbn: acprof:oso/ This chapter begins by explaining how Quality Adjusted Life Year (QALY) is produced, setting out the basic arithmetic of the QALY, and then describing how QALYs incorporate evidence on health-related quality of life from surveys of patients and the general public. It then turns to potential uses and abuses of the QALY. The final section discusses future research directions, focusing in particular on how one might try to value QALYs vis-à-vis the many non-health outcomes that are often important in public health. The main aim of the chapter is to provide a clear introduction to the QALY with an emphasis on practical application to public health. A secondary aim is to assuage, if not dispel, some of the methodological and ethical concerns that can arise in relation to the QALY. The QALY is simply a tool. Few tools are fit for all purposes, just as few horses are fit for all courses. The emphasis ought, as always, to be on sensible application and interpretation, based on a full appreciation of the pros and cons. Public health and the burden of disease John Walley in Public Health: An action guide to improving health Published in print: 2010 Published Online: May 2010 ISBN: eisbn: acprof:oso/ Page 4 of 6

5 This chapter discusses the following topics: What is public health?; Who is involved in public health?; and burden of disease and determinants of disease. Public health is concerned with improving the health of the population, rather than just the individuals seeking treatment. Appropriate health services must be made available to the whole population, especially those at risk. The demographic and epidemiological transitions affect the rankings of high-burden diseases. Preventive interventions and essential health services are needed to tackle these diseases. Health Surveys: A Resource to Inform Health Policy and Practice Jennifer H. Madans and Steven B. Cohen in Health Statistics: Shaping policy and practice to improve the population's health ISBN: eisbn: acprof:oso/ This chapter reviews the various kinds of health surveys that are used to support the development, implementation, and evaluation of health policies and practices, and characterizes each by its strengths and weaknesses. It discusses the current status of health surveys in the United States and addresses some major policy issues that affect how well these surveys meet the needs of the user community. Although the examples used are primarily from the United States, surveys conducted in other countries are similar in design. Universal Medical Care and Health Inequalities: Right Objectives, Insufficient Tools Noralou P. Roos, Marni Brownell, and Verena Menec in Healthier Societies: From Analysis to Action Published in print: 2006 Published Online: ISBN: eisbn: acprof:oso/ This chapter aims to answer the question: What role does medical care play in determining population health? The Canadian health care system, with its universal medical care coverage, provides an important opportunity for assessing the impact of medical care on health. This chapter presents the findings of research examining this question in Page 5 of 6

6 the province of Manitoba in a study that spans ten years, and reviews existing evidence on the relation between socioeconomic disparities, health care use, and health. It concludes that while a universal health care system is definitely the right policy tool for delivering care to those in need, investments in health care should not be confused with policies whose primary intent is to improve population health or reduce inequalities in health. Page 6 of 6

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