Basic Issues In Community Based Health Care Delivery
Phillip L. Sims, Instructor
3 January through 23 February 2005
Monday and Wednesday, 1940 to 2210
Fort Bliss, Texas
I. COURSE DESCRIPTION
Historical and philosophical factors defining the functions and scope of current community and public health based health care delivery. Introduction to the concepts of epidemiology, ecology, community needs assessment and social and cultural influences on utilization of health care by community aggregates.
II. GOALS OF THE COURSE
The course will cover a wide range of subjects dealing with health care in communities and the goals and objectives of community based health care delivery systems. Planning and needs assessment for the community as a whole. Cultural and social factors that affect the utilization of health care delivery.
III. LEARNING OBJECTIVES
To better understand the delivery of health to various types of communities.
The vital need of planning for the delivery of health care not only in day-to-day activities but long-range, as well.
To optimize the communication skills of the student through oral reports and written papers that focus on issues of health care delivery in communities.
IV. COURSE ARRANGEMENTS
ü Lecture / conference ü Lecture review
ü Paper ü Paper presentation
ü Examination (mid-term) ü Final Examination
V. COURSE REQUIREMENTS
Paper. A paper will be required of all students. The paper will be at least seven (7) pages long (not including the index and bibliography), typed, and double spaced. The paper will deal with a subject in relation to the course and agreed upon between the student and the instructor.
Paper presentation. Each student will prepare a 3 to 5 minute oral presentation that will provide an overview of the paper the student researched on a subject dealing with basic
issues in the delivery of health care in and to communities. These research papers will be presented during class with specific dates and times to be discussed in class.
VI. COURSE TEXT
Dimensions of Community Health, Miller & Price, 5th Edition, WCB/McGraw-Hill Publications, 1998.
VII. SUPPLEMENTAL RESOURCES
Health Plan, Alain C. Enthoven, 2nd Edition, 1981.
VIII. CLASS MEETING AND EXAMINATION SCHEDULE
1-3 Administrative announcements, explanation/discussion of the course description/requirements, introductory comments. Discuss Chapter 1, Health: Involvement of the Community.
1-5 Discuss Chapter 2 & 3. Epidemiology and Health Status of Americans
1-10 Discuss Chapter 4 & 5. Federal, State, and Local Health Organizations and International Health.
1-12 Discuss Chapter 6 & 7. The Private Sector of Community Health and Improving Community Health.
1-17 Discuss Chapter 8 & 9. High Cost of Health Care and Access to Health Care.
1-19 Discuss Chapter 10. Quality of Health Care. Consumer Expectations
1-24 Discuss Chapter 11. Disease Control in the Community.
1-26 Mid-Term Examination. Chapters 1 through 11.
1-31 Discuss Chapter 12 & 13. Chronic Diseases and The Enviropnment.
2-2 Discuss Chapter 14 & 15. Injury Prevention & Control and Community Nutrition.
2-7 Discuss Chapter 16 & 17. Community Mental Health and Infant and Early Childhood Health. Student Presentations
2-9 Discuss Chapter 18 & 19. Children & Adolescents and The Adult/Middle Years
2-14 Discuss Chapter 20. Senior Citizens. Student Presentations
2-16 Discuss Chapter 21 & 22 The Urban Environment and Health Problems in the Rural Community. Student Presentations.
2-21 Final Examination. Chapters 12 through 22.
2-23 Review of Final Examination. Make-up student presentations.
IX. CLASS POLICIES
Students are expected to come to all classes and be on time. Roll will be checked each class meeting. Classes missed for legitimate reasons, such as illness, temporary duty, are excusable; however, the student must make up the missed work. The student is responsible for providing the instructor with justification for an excused absence either prior to or immediately after the absence. Two unexcused absences are excessive and three unexcused absences will result in an involuntary withdrawal and a grade of “F” (attendance) for the course.
X. ACADEMIC DISHONESTY
Submitting someone else’s work as your own will not be tolerated. If determined by the
instructor that academic dishonesty has occurred in any part of the course, the student(s)
involved will normally be given an immediate grade of F and dropped from the course.
The second violation resulte in automatic expulsion from the school. The Assistant Vice
President will be notified in writing of the action taken.
XI. GRADING POLICY
The final course grade will be determined using the following measurements:
Mid-term Exam 30%
Final Exam 30%
Comprehensive Cases (Paper) 30%
Paper Presentation 10%
Mid-term exam will cover Chapters 1 through 11, Final Exam Chapters 12 through 22.
The comprehensive case (paper) must be typewritten and submitted at the last lecture prior to the final examination unless previously coordinated with the instructor. Late papers will be marked down accordingly and a failing grade assigned if not submitted before the final examination.
The following will be used to assign course letter grades:
90 - 100 A
80 - 89 B
70 - 79 C
60 - 69 D
Below 60 F (for three or more unexcused absences)