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Harvard Medical School, Boston. Textbook for medical and public health students.

Each topical chapter in this volume crystallizes the findings of a five-year study, under the auspices of the Population Health Program of the Canadian Institute for Advanced Research, that probed the links between social hierarchy, the “macroenvironmental” factors in illness patterns, the quality of the “microenvironmental,” and other determinants of health. In its aggregate, this volume will prove essential to an understanding of the underlying public health issues for the next several decades.

Jekel's Epidemiology, Biostatistics, Preventive Medicine, and Public Health is the only textbook that combines the disciplines of medical epidemiology, biostatistics, preventive medicine, and public health in one convenient resource. Written by renowned epidemiologists and public health experts, this text presents the information you need with a clinical focus, using real-life medical examples throughout. With review questions in each chapter to maximize knowledge retention and target key areas of review, it serves as an outstanding resource for USMLE prep - and is recommended by the American Board of Preventive Medicine as a top review source for its core specialty examination!



  • Grasp and retain vital information easily thanks to quick-reference boxes that showcase key concepts and calculations; succinct text; and dynamic illustrations that facilitate learning in a highly visual approach.
  • Spend more time reviewing and less time searching thanks to an extremely focused, "high-yield" presentation.
  • Deepen your understanding of complex epidemiology and biostatistics concepts through clinically focused, real-life examples.


  • Gauge your mastery of public health concepts and build confidence with case-based questions - now accessed online for a more interactive experience - that provide effective chapter review and help you target key areas for further study.
  • Keep up with the very latest in public health and preventive health - areas that have shown great growth in recent years. New coverage includes the epidemiology of mental health disorders, disaster planning, health care reform, and the 'One Health' concept that highlights the indelible links among the health of people, other species, and the planet itself.
  • Access the complete contents online at Student Consult, plus additional tables and images, supplemental information on the One Health Initiative, the latest childhood immunization schedules, chapter highlights in PowerPoint, 300 multiple-choice chapter review questions and answers, a 177-question comprehensive review exam, and more!

How can society most effectively prevent disease and promote health? That is the challenge addressed by this textbook. Public health is the art and science of preventing disease, prolonging life and promoting health through the organised efforts of society. The 'science' is concerned with making a diagnosis of a population's health problems, establishing their cause and determining effective interventions. The 'art' lies in creatively addressing these problems. Essential Public Health captures both the art and science of the field. This second edition has been fully updated with contemporary examples and includes new chapters on sustainability and change, management and leadership. Examples are taken from health systems throughout the world, giving readers a wider perspective of the challenges faced. This is essential reading for all trainees in health care, social care and related disciplines. An internet companion includes supplementary information and interactive, self-assessment questions to test understanding and aid learning.

This new, innovative text provides concise coverage of basic epidemiology * critical assessment of published medical evidence * environmental epidemiology * the management, finance, outcome, and evaluation of health care * and more. This unique text also offers the basic epidemiological and critical skills needed for assessment and an extensive collection of self-testing material.

Decision making in health care involves consideration of a complex set of diagnostic, therapeutic and prognostic uncertainties. Medical therapies have side effects, surgical interventions may lead to complications, and diagnostic tests can produce misleading results. Furthermore, patient values and service costs must be considered. Decisions in clinical and health policy require careful weighing of risks and benefits and are commonly a trade-off of competing objectives: maximizing quality of life vs maximizing life expectancy vs minimizing the resources required. This text takes a proactive, systematic and rational approach to medical decision making. It covers decision trees, Bayesian revision, receiver operating characteristic curves, and cost-effectiveness analysis; as well as advanced topics such as Markov models, microsimulation, probabilistic sensitivity analysis and value of information analysis. It provides an essential resource for trainees and researchers involved in medical decision modelling, evidence-based medicine, clinical epidemiology, comparative effectiveness, public health, health economics, and health technology assessment.

Behavioral economics has potential to offer novel solutions to some of todays most pressing public health problems: How do we persuade people to eat healthy and lose weight? How can health professionals communicate health risks in a way that is heeded? How can food labeling be modified to inform healthy food choices? Behavioral Economics and Public Health is the first book to apply the groundbreaking insights of behavioral economics to the persisting problems of health behaviors and behavior change. In addition to providing a primer on the behavioral economics principles that are most relevant to public health, this book offers details on how these principles can be employed to mitigating the worlds greatest health threats, including obesity, smoking, risky sexual behavior, and excessive drinking. With contributions from an international team of scholars from psychology, economics, marketing, public health, and medicine, this book is a trailblazing new approach to the most difficult and important problems of our time.

Clinicians and those in health sciences are frequently called upon to measure subjective states such as attitudes, feelings, quality of life, educational achievement and aptitude, and learning style in their patients. This fifth edition of Health Measurement Scales enables these groups to both develop scales to measure non-tangible health outcomes, and better evaluate and differentiate between existing tools.

Health Measurement Scales is the ultimate guide to developing and validating measurement scales that are to be used in the health sciences. The book covers how the individual items are developed; various biases that can affect responses (e.g. social desirability, yea-saying, framing); various response options; how to select the best items in the set; how to combine them into a scale; and finally how to determine the reliability and validity of the scale. It concludes with a discussion of ethical issues that may be encountered, and guidelines for reporting the results of the scale development process. Appendices include a comprehensive guide to finding existing scales, and a brief introduction to exploratory and confirmatory factor analysis, making this book a must-read for any practitioner dealing with this kind of data.

Decision making in health care means navigating through a complex and tangled web of diagnostic and therapeutic uncertainties, patient preferences and values, and costs. In addition, medical therapies may include side effects, surgery may lead to undesirable complications, and diagnostic technologies may produce inconclusive results. In many clinical and health policy decisions it is necessary to counterbalance benefits and risks, and to trade off competing objectives such as maximizing life expectancy vs optimizing quality of life vs minimizing the required resources. This textbook plots a clear course through these complex and conflicting variables. It clearly explains and illustrates tools for integrating quantitative evidence-based data and subjective outcome values in making clinical and health policy decisions. An accompanying CD-ROM features solutions to the exercises, PowerPoint® presentations of the illustrations, and sample models and tables.