Social Medicine: notes and exam prep for MU Sofia

Topics50 topics

1. 1Social Medicine as a science - subject matter, objectives and methods
2. 2Public Health - definition, components, basic areas. Systematic approach to analysis of public health
3. 3Health and disease - contemporary definitions. Dimensions of health. Health continuum. Life cycle and health. Salutogenesis
4. 4WHO's concept of social determinants of health and inequalities in health
5. 5Social factors of health and disease. Classification. Effects of poverty, education, occupation, social network on health
6. 6Socio-medical approach to health and disease. Social history of health and disease
7. 7Sociological approach in social medicine. Sources and methods of collecting personal data - types, essence, advantages and disadvantages. Application in medical practice and health services
8. 8Epidemiological approach in social medicine. Scope, essence and applications of epidemiology in medicine and health care
9. 9Measuring disease frequency. Comparing disease occurrence. Absolute and relative comparison (risk difference, etiological fraction, population attributable risk, relative risk, odds ratio)
10. 10Types of epidemiological studies - classification. Descriptive studies. Ecological studies. Cross-sectional studies. Applications in medical practice
11. 11Analytical epidemiological studies. Case control studies - types, design, conducting, advantages and disadvantages, potential errors
12. 12Analytical epidemiological studies. Cohort studies - types, design, conducting, advantages and disadvantages
13. 13Experimental epidemiological studies - randomized control trials, field trials, community trials - design, conducting, applications
14. 14Evidence Based Medicine - basic concepts. Rating of evidences
15. 15Disease prevention - essence, scope and levels. Strategies of primary prevention. Screening - definition, types, measures of screening tests performance
16. 16Health Promotion - definition, principles, and strategies. Ottawa Charter for Health Promotion
17. 17Life style as an integral factor of health. Healthy life style - definition and elements. Motivation of health behavior. Types of motives of health behavior
18. 18Health culture - essence. Health education - definition, goals, models, principles, methods and forms
19. 19Population health assessment - sources and methods of determining the indicators of population health, basic groups of population health indicators
20. 20Demographic approach to population health assessment. Population statics. Age structure of the population. Population age pyramid. Medical and social implications of population ageing
21. 21Population dynamics. Migration - types of migration processes. Health influences of migration
22. 22Population dynamics. Natural movement of the population. Population reproduction rates. Physician's obligations in the registration of vital events
23. 23Fertility related indicators. Birth rate - definition, worldwide trends and regional variation. Family planning and reproductive behavior
24. 24Mortality related indicators. Crude death rate - definition, worldwide trends and regional variation. Standardized mortality rates. Proportional mortality. Maternal mortality
25. 25Infant mortality - definition, worldwide trends and regional variation. Under-5 mortality rate
26. 26Life expectancy - definition, life tables, worldwide trends and regional variation
27. 27Physical development as a measure of population health assessment. Medical and social problems of accelerated physical development
28. 28Morbidity as a measure of population health. Sources of information and methods of studying morbidity. International classification of diseases (ICD)
29. 29Working ability, temporary and permanent disability - definitions. Medical and social problems of disability
30. 30Integral measures of population health - Healthy life expectancy, Disability adjusted life years, avoidable mortality
31. 31Major diseases - definition, criteria, trends of morbidity and mortality worldwide. Global burden of diseases
32. 32Major determinants of non-communicable chronic diseases (NCD). Strategies for prevention and control of NCD
33. 33Family and health. Family impact on individual health. Family health. General practitioner as a family physician
34. 34Global problems of public health. International health cooperation - needs, objectives and types. World Health Organization (WHO)
35. 35WHO global health strategies and programs. European health strategies and programs
36. 36Health system as an integral component of the social system. Fundamental goals and functions. Principles of organization and activity
37. 37Health management - definition, importance for the health system. Management process and the basic management cycle. Contemporary trends in health planning and management
38. 38Health legislation. Health as a right. Human rights and health. Basic health legislation acts - Health Act, Health Insurance Act, Medical-treatment Facilities Act
39. 39Resources in health care. Human health resources. Types of professions in the field of health. Medical profession. Global and regional state and trends of human health resources
40. 40Financing the health system. Typology of health systems in developed countries. Basic characteristics of health insurance system
41. 41Health service - functions, goals, factors of development. Health care and medical care. Levels of health care. Nomenclature of medical establishments
42. 42Health policy - definition, levels, setting priorities. Health policy priorities in developed countries
43. 43Primary health care - definition, objectives, elements. Primary medical care - goals, organization, functioning. General practitioner as the main provider of basic health care for the population
44. 44Role of the physician in management process. Management of medical practice. Management of disease/health
45. 45Hospital care - functions, organization, financing. Assessment of hospital performance. Current state and trends in hospital care in developed countries and in Bulgaria
46. 46Emergency care - goals and organization. Current state and trends in emergency care in developed countries and in Bulgaria
47. 47Preventive care - goals and organization. Preventive programs. Dispensary method. The role of General practitioner in preventive care
48. 48Health of women. Healthcare for women - goals, organization and specific health programs for mothers
49. 49Health of children by age periods. Healthcare for children - goals, organization and specific health programs for children
50. 50Health of the elderly. Health services for the elderly