| Course Unit Code | 450-4089/01 |
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| Number of ECTS Credits Allocated | 4 ECTS credits |
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| Type of Course Unit * | Choice-compulsory type B |
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| Level of Course Unit * | Second Cycle |
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| Year of Study * | First Year |
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| Semester when the Course Unit is delivered | Winter Semester |
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| Mode of Delivery | Face-to-face |
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| Language of Instruction | Czech |
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| Prerequisites and Co-Requisites | There are no prerequisites or co-requisites for this course unit |
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| Name of Lecturer(s) | Personal ID | Name |
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| JUR51 | MUDr. František Jurek |
| Summary |
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| Studnets become acquainted with the basics and content of public health care. They will become more familiar with the health system, its structure and management processes at multiple levels. The course is focused on the support of provided healthcare IT / ICT technologies. Students will be familiar with the basic concepts, theories and determinants of health and the position of public health in the context of Czech health policy, will be able to compare the development of health status of the Czech population with other countries and in the historical context, will be able to recognize and understand basic economic problems in health care, focus and main health programs of the WHO and their implementation within the Czech Republic will be familiar with health systems and relationships within the system including inputs and outputs, both in the Czech Republic and abroad, will be able to determine the indicators and parameters of the quality of health care, will know the basic principles and components of community care and health care for specific population groups. Last but not least, they will be familiar with the principles of health insurance, especially in Europe, and with complex issues of health care financing and investment. Part of the course is also an introduction to the issue of telemetry of biological signals and general application of telemetry in the field of medicine. |
| Learning Outcomes of the Course Unit |
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| The student is able to describe the public health system, put it into the legal system of the Czech Republic and the EU. They will understand its individual components from the point of view of organization and management of health care provision and from the point of view of medical law. They will be able to design and implement telemetric solutions for biological signal acquisition. |
| Course Contents |
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Lectures
1. Definition and content of the subject of public health. Medicine and Health. Public health. Public Health and New Public Health. Determinants of health. Potential of health and its behavior in the population.
2. Man as a bio-psycho-social unit of the population. The impact of human behavior on its own health, on the environment and on the health potential of the population. His individuality and paradigm. Family, childhood, school, patterns. Social gradient in population, vulnerable groups. Health Trends of the Czech Population.
3. Recognition, support and protection of public health, prevention of nosocomial infections. Fundamentals of epidemiology. Population and intervention clinical trials. Scientific approach versus spiders. Quality of life, QALY, DALY. Social and health insurance in the Czech Republic, Europe and the United States of America.
4. Ethics and morality. Code of Ethics. Risks of Ethical Failure at National, Collective and Personal Levels. Failure of Ethics in Science and Pharmacology. Genuine and generic medicines, food supplements.
5. Organization and management of health care provision. The health system and its executive medical segment, their structure and relationships. Methodological and economic management in the health system. Medical efficiency, economy and quality of the healthcare system. HTA.
6. Health policy, its content at transnational, national and local levels. WHO, UNICEF. State and its higher territorial units. Public administration and health. Public and private healthcare sector.
7. Health law. Hierarchy of Legislation, Legislative Initiative. Selected Legislation - Basic Charter of Rights and Freedoms, Public Health Insurance and Health Insurance Companies, Establishment of Health Service Providers, Financing of Health Care, Medical Occupations, Medical Devices, Asset Management. The importance of standards in health care (EN CSN).
8. Organizational Structure and Management of Health Service Providers. Driving models. Management, HR, Economics, Operations. Internal legislation (regulations, directives, orders). Quality of health service provider management. Location, role and importance of biomedical engineering at the hospital.
9. Quality management (quality). QI / QA, TQM, Process Certification, Workplace Accreditation. Clinical recommended practices and standards of nursing care. Protection against ionizing radiation. Risks and adverse events in healthcare.
10. Medical devices and their management. Acquisition, safe use, service and disposal of medical devices. Their types and security classes.
11. Reserved technical facilities in healthcare. Specific technical risks and adverse health events. Microshock hazard. Hospital spaces, their equipment and classification. Patient environment. Legislation.
12. Provision of health care. Systems of health service providers. Types and forms of health care. Quality of health care. Legislation.
13. Medical Informatics. Data and information, their standardization and sharing. Health Information Systems, NIS and its Subsystems. Health documentation - its classic (paper) and electronic form. Patient identification. Protection of sensitive data and information in healthcare. Qualified certificate, timestamp, GDPR.
14. Ensuring health care in emergency and crisis situations. Emergency call center, cooperation of the rescue units of a higher administrative unit. Traumatology and evacuation plan of the hospital. Fundamentals of 1st Aid.
Laboratory exercises:
During the laboratory exercises the students will work on a controled semestral project. Part of the exercise will always be a theoretical introduction to the issue. The result of this project will be a functional telemetry device applied to a remote home care lab. The individual steps of the project are:
• Design and telemetry devices using Arduino or similar development platforms to measure selected biological signals.
• Selection and implementation of analog circuits to measure selected biological signals (single-conduction ECG or plethysmography or body weight or EMG, or inertial sensors and body temperature, or other types of bioscientists).
• Digitalization of measured analog signals and transferring data to a personal computer using either USB or Ethernet.
• Design and implementation of communication protocol, creation of software for visualization of measured data in a personal computer.
• Implementation the chosen wireless technology (Bluetooth, Bluetooth Low energy, proprietary radio communication, Internet of Things).
• Implementation of developed measurement system into remote home care systems - initial testing in the remote home care lab.
• Practical tests with other measuring systems in a remote home care lab. Monitoring of the movement of people, work with remote home automation systems.
• Design and implementation of test schemes to verify the benefits of telemetry facilities in a remote home care lab. |
| Recommended or Required Reading |
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| Required Reading: |
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HU, Fei. Telehealthcare computing and engineering: principles and design. xix, 726 pages. ISBN 15-780-8802-X.
BUZUG, Thorsten M., Heinz HANDELS a Dietrich HOLZ, ed. Telemedicine: medicine and communication. New York: Kluwer Academic/Plenum Publishers, 2001. ISBN 0-306-46552-3.
BJÖRKMAN, James Warner a Christa ALTENSTETTER, ed. Health policy. Cheltenham: Edward Elgar, c1998. ISBN 1-85898-587-0. |
JUREK, František. Veřejné zdravotnictví pro klinickou praxi. Ostrava: VŠB - Technická univerzita Ostrava, 2013.
ISBN 978-80-248-3099-5.
ČERNÝ, M., PENHAKER, M.: Biotelemetrie přednášky, VŠB TU Ostrava 2007. ISBN: 978-80-248-1605-0.
HU, Fei. Telehealthcare computing and engineering: principles and design. xix, 726 pages. ISBN 15-780-8802-X. |
| Recommended Reading: |
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| MAHEU, Marlene M., Pamela WHITTEN a Ace ALLEN. E-health, telehealth, and telemedicine: a guide to start-up and success. San Francisco: Jossey-Bass, c2001. ISBN 0-7879-4420-3. |
JAROŠOVÁ, Darja. Veřejné zdravotnictví. Ostrava: Vysoká škola báňská - Technická univerzita, 2007. ISBN 978-80-248-1285-4.
BERGER, Josef. Informatika v klinické praxi pro lékaře a klinické biology. Praha: Grada, 1993. ISBN 80-85623-78-1. |
| Planned learning activities and teaching methods |
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| Lectures, Individual consultations, Tutorials, Experimental work in labs, Teaching by an expert (lecture or tutorial) |
| Assesment methods and criteria |
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| Task Title | Task Type | Maximum Number of Points
(Act. for Subtasks) | Minimum Number of Points for Task Passing |
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| Graded credit | Graded credit | 100 (100) | 51 |
| Leaded Project | Laboratory work | 60 | 30 |
| Written exam | Written test | 40 | 20 |