Module code: NUR7054-B
Module Aims
(1) To develop in-depth critical awareness of the epidemiology to Long Term Conditions (LTC) and their risk factors
(2) To synthesise theory and knowledge of the various approaches to responding to long term conditions, both in policy and in service terms.
(3) To critically discuss and evaluate different public health responses to long term conditions, using specific LTCs as example
Outline Syllabus
Definitions - Long Term conditions, non communicable diseases, chronic diseases. Differences and similarities. Differences and similarities between communicable and non communicable disease. Applying the communicable disease paradigm to NCD (vectors, hosts etc). What¿s happened that has caused LTC to be such a prominent feature of the way in which our system works ¿ long term epi shift.
Metrics for assessing the burden of disease from LTCs.
Understanding the epidemiology of LTC ¿ person / place / time. Surveillance ¿ basic principles, systems and programmes for surveillance, how does the surveillance happen in a chosen country (England) . Global Burden of Disease studies ¿ from WHO 2002 to now. Risk factors for and consequences of LTC. Multimorbidity ¿ definition and importance from PH perspective. Application of epidemiological method to a chosen LTC ¿ learning the basic principles.
Public Health approach to LTC. prevention (population approaches to LTC prevention, individual level prevention). Primary, secondary, tertiary prevention. Health & social care system design in response to LTC. Reducing the burden of disease.
Screening, case finding and early intervention. Overview of basic and underpinning principles, application in practice. How decisions to screen are made, and on what basis. Planning and operation of established screening programmes.
Evaluation of health and healthcare interventions ¿ overview, basic methods in health services research. Different methods for different questions. Fundamentals of health economic evalu