Amir A. Khaliq - Managerial Epidemiology: Principles and Applications

World Headquarters
Jones & Bartlett Learning
5 Wall Street
Burlington, MA 01803
978-443-5000
www.jblearning.com

Jones & Bartlett Learning books and products are available through most bookstores and online booksellers. To contact Jones & Bartlett Learning directly, call 800-832-0034, fax 978-443-8000, or visit our website, www.jblearning.com.

Substantial discounts on bulk quantities of Jones & Bartlett Learning publications are available to corporations, professional associations, and other qualified organizations. For details and specific discount information, contact the special sales department at Jones & Bartlett Learning via the above contact information or send an email to .

Copyright 2020 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission from the copyright owner.

The content, statements, views, and opinions herein are the sole expression of the respective authors and not that of Jones & Bartlett Learning, LLC. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not constitute or imply its endorsement or recommendation by Jones & Bartlett Learning, LLC and such reference shall not be used for advertising or product endorsement purposes. All trademarks displayed are the trademarks of the parties noted herein. Managerial Epidemiology: Principles and Applications is an independent publication and has not been authorized, sponsored, or otherwise approved by the owners of the trademarks or service marks referenced in this product.

There may be images in this book that feature models; these models do not necessarily endorse, represent, or participate in the activities represented in the images. Any screenshots in this product are for educational and instructive purposes only. Any individuals and scenarios featured in the case studies throughout this product may be real or fictitious, but are used for instructional purposes only.

The authors, editor, and publisher have made every effort to provide accurate information. However, they are not responsible for errors, omissions, or for any outcomes related to the use of the contents of this book and take no responsibility for the use of the products and procedures described. Treatments and side effects described in this book may not be applicable to all people; likewise, some people may require a dose or experience a side effect that is not described herein. Drugs and medical devices are discussed that may have limited availability controlled by the Food and Drug Administration (FDA) for use only in a research study or clinical trial. Research, clinical practice, and government regulations often change the accepted standard in this field. When consideration is being given to use of any drug in the clinical setting, the health care provider or reader is responsible for determining FDA status of the drug, reading the package insert, and reviewing prescribing information for the most up-to-date recommendations on dose, precautions, and contraindications, and determining the appropriate usage for the product. This is especially important in the case of drugs that are new or seldom used.

This publication is designed to provide accurate and authoritative information in regard to the Subject Matter covered. It is sold with the understanding that the publisher is not engaged in rendering legal, accounting, or other professional service. If legal advice or other expert assistance is required, the service of a competent professional person should be sought.

Production Credits
VP, Executive Publisher: David D. Cella
Director of Product Management: Michael Brown
Product Manager: Sophie Fleck Teague
Product Specialist: Danielle Bessette
Production Editor: Kelly Sylvester
Composition: codeMantra U.S. LLC
Senior Marketing Manager: Susanne Walker
Manufacturing and Inventory Control Supervisor: Amy Bacus
Cover Design: Kristin E. Parker
Rights & Media Specialist: Merideth Tumasz
Media Development Editor: Shannon Sheehan
Cover Image (Title Page, Chapter Opener): Monsitj/Getty Images, dem10/Getty Images
Printing and Binding: Hess Print Solutions
Cover Printing: Hess Print Solutions

Library of Congress Cataloging-in-Publication Data
Names: Khaliq, Amir, author.
Title: Managerial epidemiology: principles and applications / Amir Khaliq.
Description: Burlington, MA: Jones & Bartlett Learning, [2020] | Includes bibliographical references.
Identifiers: LCCN 2017052910 | ISBN 9781284082173 (paperback)
Subjects: | MESH: Epidemiologic Methods | Epidemiologyorganization & administration | Health Services Administration
Classification: LCC RA651 | NLM WA 950 | DDC 614.4dc23
LC record available at https://lccn.loc.gov/2017052910

6048

Printed in the United States of America
22 21 20 19 18 10 9 8 7 6 5 4 3 2 1

To:

Namir, the embodiment of all my hopes and dreams.

Shirin, my East and West and my Sunday rest.*

My parents, to whom the debt of my gratitude shall remain forever unpaid.

*Borrowed from a poem by W. H. Auden

Monsitj/Getty Images

Monsitj/Getty Images

A mir A. Khaliq is a Professor of Health Administration and Policy at the University of Oklahoma Health Sciences Center, College of Public Health, where he has taught courses in Managerial Epidemiology, Operations Research, Decision Analysis, and Comparative International Health Systems since 2000. He was trained as a physician in Pakistan and received MSc in Community Health and MS in Health Services degrees from the Universities of London and California. He earned a PhD in Health Administration from the University of Toronto.

Monsitj/Getty Images

M any academic programs offering a degree in health administration include a course on managerial epidemiology in their curriculum. The content of these courses, understandably, differs from one program to another. The diversity in the content of managerial epidemiology courses across programs reflects the diversity of opinions about the scope and nature of the field called managerial epidemiology . Increasingly, program directors and instructors favor content that combines elements of traditional introductory epidemiology courses with traditional population health courses. The desire to combine concepts, methods, and skills from epidemiology and population health is not accidental but reflects two important realities. First, the whole idea of managerial epidemiology is to extend the boundaries of epidemiology from an investigation of the determinants and distribution of disease and injury to the examination of the determinants and distribution of health outcomes in populations. Second, because of the changes taking place in our thinking about health and healthcare delivery, there is a growing need for healthcare managers to acquire epidemiologic skills on one hand and develop an understanding of the concepts and methods related to population health on the other. As such, managerial epidemiology must include the application of information regarding the determinants and distribution of disease and injury to health promotion, disease prevention, and planning of health services. This text presents a combination of materials from epidemiology and population health with the view that future healthcare managers need to have a good grasp of various aspects of population health as well as a foundational understanding of the epidemiologic principles and methods. The need for a new text in managerial epidemiology is evident from the dearth of existing textbooks on this subject.