EPIDEMIOLOGY IN HEALTH SERVICES MANAGEMENT

Epidemiolgi Ilmu yang mempelajari distribusi penyakit dan faktornya dalam populasi Investigasi Methods Vs Science Penggunaan Epidemiologi: Etiological use Clinical use Administrative use (health service management):community diagnosis and distribution of problem.

Epidemiology in Health Services Management

Health Services Management Planning Organizing Directing Coordinating Controlling Komponen Sistem Input Proses Output

Epidemiology in Health Services Management

Step in Health Program Planning 1. 2. 3. 4. 5. Identification needs and Problem Establish priorities Objectives Activities to obtain objectives Mobilisation/coordination resources - Finance - Technology - Human 6. Evaluation

Comprehensive

Planning

Program Planning

Epidemiology in Health Services Management

Need Assessment Approach and Methods
Approach Methods
Indicator approach - Health Indicator - Social Indicators - Extrapolation Survey Approcah

Information
Analysis Statistic

Measurement
M-->H

Time and Resources need

Moderate

Compilation

Analysis Compilation M survei results Development Consensus Reachig Forum Integration L-->M Approach Development Compilation

Moderate Minimal

Epidemiology in Health Services Management

Population status

Health Problem Description

Gap Services Market

Identification of Community Resources

Analisis Etiologic

Epidemiology in Health Services Management

Health Indicator CDR, MMR, IMR, CSMR, etc Prevalence, Incidence Disability, etc Social Indicator Income Percapita Angka Buta Huruf Perumahan

Assumption/Extrapolation Estimasi penduduk, prevalence dan insidens

Step 2. Determination of Priorities

Step 2. Determination of Priorities

Magnitude of Loss :

Cause of mortality Cause of morbidity

Amenability to Prevention and Reduction

Normatively, using experts judgments Empirically Operasional: cost benefit cost effective cost efisient

Step 3. Setting Objectives

-Indikator yang dapat diukur: Pevelens, Insidens dan Risk Rasio -Kontribusi Epidemiologi

Step 4. Activities to Attain Objectives

Step 4. Activities Operasional kegiatan berdasarkan identifikasi, prediksi dan alocakasi sumber untuk mencapai tujuan Step 5. Mobilization, Coordination of Resources -Kontribusi epidemiologi minimal -Perlu keputusan yang berdasarkan epidemiologi pada saat pelaksanaan Step 6. Evaluation Fiscal evaluation (Input) Evaluasi proses Evaluasi outcome