METHODICAL INRUCTION
TO PRACTICAL LESSONS FOR STUDENTS
LESSON N 1 (practical – 7 hours)
Theme: 1. Medical statistics and its value for the estimation of population’s health and activity of organs and establishments of health protection – 3 hours.
2. Organization of the randomized statistical research – the basis of evidential medicine – 4 hours.
Aim: 1. To capture the knowledge about the basic concepts of medical statistics, factors which influence on a health of population.
2. To master the maintenance of stages of statistical research, conditionality of their sequence and method of drafting of the programs and plan, the method of groupment and report of statistical material.
Professional motivation: In the activity of a doctor the ability of the independent conducting of research work and knowledge of bases of its organization is an inalienable element. Objective estimation of the phenomenon, that is studied, depends on the select rational groupment, which must unite heterogeneous signs with unit of supervision from basic directions of research. Wrong development of material is one of errors of statistical research that negatively influences on an eventual result at the calculation of indexes.
1. Students independent study program.
Theme № 1 of the practical lesson “Medical statistics and its value for the estimation of population’s health and activity of organs and establishments of health protection”
1. Object and maintenance of medical statistics.
2. Criteria and predetermining factors of population’s health.
3. Statistical aggregate and its properties, criteria.
4. General and selective aggregate, ways of forming.
5. Unit of supervision and its registration signs, its groupment.
6. Use of statistical aggregate for the description of health of population.
Theme № 2 of the practical lesson “Organization of the randomized statistical research – the basis of evidential medicine”
1. The stages of statistical research.
2. The subsections of the program and plan of statistical research.
3. The concept about a statistical aggregate.
4. The organization of selective research.
5. Special and official program of statistical supervision.
6. Contents of the development and report of statistical material.
7. Concept about International classification of diseases, traumas and reasons of death.
8. Types of tables, their structure, requirements to their construction and fillings.
9. Application of computer technique in development and report of statistical material.
2. Tasks standards of the tests:
a) to practical lesson “Medical statistics and its value for the estimation of population’s health and activity of organs and establishments of health protection”
1. Give the determination of selective statistical aggregate
A. Aggregate which includes all units of supervision
В. Every special case of the studied phenomenon
С. Criterion, that characterizes unit of supervision
D. Commoumber of supervision’ units .
Е. Aggregate which includes certain part of units of supervision on condition that this part is able to represent or represent all general aggregate
2. Specify the criteria of fourth property of statistical aggregate
А. Error of middle and relative quantity
B. Mode, median, middle arithmetic
С. Common quantity
D. Coefficient of correlation
Е. Limit, amplitude, standard deviation, coefficient of variation
3. What specific particle of persons, which behave to the second group of health (D2)?
A. 1 %
B. 40 %
С. 20 %
D. 35 %
Е. 4 %
4. What property of statistical aggregate characterizes the intercommunication between the signs?
А. The first
В. The second
С. The third
D. The fourth
Е. The fifth
5. Specify the specific particle of influencing of socio-economic factors on a health of man
A. 5 %
B. 40 %
С. 30 %
D. 50 %
Е. 10 %
b) to practical lesson “Organization of the randomized statistical research – the basis of evidential medicine”
1. Specify the third stage of statistical research
А. Collection of material
В. Analysis of results of research
С. Composition of the plan and research program of research
D. Conclusions, suggestions and introductions in practice
Е. Elaboration of statistical information and report of material
2. What is the most responsible stages of statistical research ?
А. Collection of the material
В. Composition of the program and plan
С. Analysis of results
D. Development and report of material
Е. Conclusions and suggestions
3. Name the types of programs of statistical research
A. Simple, difficult, combination
В. Programs of collection and development of material
С. Programs of logical and technical test
D. Programs of collection, development and analysis
Е. State, branch
4. How many classes does International statistical classification of illnesses of 10th revision consist of (in 1996)?
A. 10
B. 15
С. 17
D. 21
Е. 25
5. What from the resulted documents can serve as the program of statistical research, the purpose of which is the study of primary morbidity?
А. List of disability
В. History of development of the child /f. 112/r /
С. Statistical card of drop-out from the permanent establishment /f.066/r/
D. Magazine of the account of patients motion and bed fund of the permanent establishment /f.007/r/
Е. Coupon of ambulatory patient /f.025-7/r/
3. The answers on the tests to practical lesson “Medical statistics and its value for the estimation of population’s health and activity of organs and establishments of health protection”:
1. Е. 2. A. 3. B. 4. Е. 5. D.
The answers on the tests to practical lesson “Organization of the randomized statistical research – the basis of evidential medicine:
1. Е. 2. A. 3. D. 4. D. 5. Е.
4. Literature list:
Basic:
1. O. Holyachenko, A. Shulhai, O. Nykytyuk. Social medicine and health protection organizations. – Ternopil, “Ukrmedknyga”, 2004. – 171 p.
2. Соціальна медицина та організація охорони здоров’я /Під заг. ред. Ю.В.Вороненка, В.Ф.Москаленка. Тернопіль: “Укрмедкнига”, 2000. – 680 с.
3. Голяченко О.М., Сердюк А.М., Приходський О.О. Соціальна медицина, організація та економіка охорони здоров’я. – Тернопіль, 1997. – С. 204-219.
4. Програмні тестові питання з соціальної медицини та організації охорони здоров’я /Під ред. Ю.В. Вороненка.- Вид. друге. – Тернопіль, “Укрмедкнига”. – 2002. – 316 с.
Additional:
1. Посібник для практичних занять із соціальної гігієни та організації охорони здоров’я /Під ред. Ю.П. Лісіцина, М.Я. Копита. – М., 1984. – С. 49-52.
2. Статистичні довідники управління охорони здоров’я Тернопільської області.
5. Methodical of the practical activities (900-1200)
Theme № 1 of the practical lesson “Medical statistics and its value for the estimation of population’s health and activity of organs and establishments of health protection”
Work 1.
Determination of the health indexes and the factors, which influence on them.
a) To define the indexes of health.
b) To select and group factors which predetermine the state of health of population.
c) On the example of indexes of health to define the unit of supervision, its registration signs and to draw them as a chart.
Theme № 2 of the practical lesson “Organization of the randomized statistical research – the basis of evidential medicine”
Work 2.
Organization of the statistical research.
а) from a set of registration and current medical documentation to take away a document which is used as a program of statistical supervision;
b) to formulate the purpose of statistical supervision;
c) to formulate the task of statistical supervision;
d) to form a selective statistical aggregate: method of selection, object, volume, kind, time and place of conducting of research;
e) to make the program of collection of material.
f) By International statistical classification to cipher a diagnosis (class, number).
g) To fill the models of tables.
6. Seminar discussion of theoretical questions and practical work (1230-1400)
7. Initial level of knowledge’s and abilities. (1415-1500)
8. Students must know:
Theme № 1 of the practical lesson “Medical statistics and its value for the estimation of population’s health and activity of organs and establishments of health protection”
1. Criteria and stipulating factors, which influence on a health of population.
2. Determination of statistics as a science.
3. The concept about the unit of supervision and registration signs, their groupment.
4. The use of statistical aggregate for the description of the health of population.
Theme № 2 of the practical lesson “Organization of the randomized statistical research – the basis of evidential medicine”
1. Stages of statistical research.
2. Subsections of the program of statistical supervision.
3. The elements, which form the plan of statistical research is from.
4. Contents of development of material.
5. Purpose and order of enciphering of diagnoses of diseases,
6. International classification of diseases, traumas and reasons of death.
7. Order of conducting of groupment of material.
8. Structure of table, types of tables, the basic requirements to construction and fillings of tables.
9. Students should be able to:
Theme № 1 of the practical lesson “Medical statistics and its value for the estimation of population’s health and activity of organs and establishments of health protection”
1. To determine the basic criteria of statistical aggregate, which are used for the analysis of statistical data.
2. To determine the ways of forming of general and selective aggregate.
3. On the example of indexes of health to define the unit of supervision, its registration signs.
Theme № 2 of the practical lesson “Organization of the randomized statistical research – the basis of evidential medicine”
1. To formulate a research purpose.
2. To determine the task of research.
3. To determine the elements of plan: research method, research volume, time and place of conducting of research.
4. To form a selective statistical aggregate.
5. To make the program of collection of material (supervision).
6. To prepare the program of development of material.
7. To conduct enciphering of statistical material.
8. To build and fill different types of tables.
Author Assoc. Professor Panchyshyn N.Ya.
Adopted and confirm at the chair sitting
__August__ _27_ 2008, Protocol № ___1___
Revised and confirm at the chair sitting
__August__ _27_ 2009, Protocol № ___1___
