Medical demography

Medical demography is concerned with the consequences of health, sickness, accidents, disability, and death for the size, composition, and structure of the population; and with the economic, social, and policy impacts of those dynamics.
Epidemiological data and methods can be used by medical demographers as part of their population modeling methods.

1. A Presentation on Medical Demography Presented by: Shisam Neupane

2. 1. Concept , Definition and Importance Medical demography is the subfield of demography focusing on practical application of demographic materials and methods Medical demography is the application of demographic concepts, models, and techniques to the analysis of the dynamics of morbidity, disability, and mortality.

3. Medical demography is concerned with the consequences of health, sickness, accidents, disability, and death for the size, composition, and structure of the population; and with the economic, social, and policy impacts of those dynamics. Medical Demography is concerned with factors that explain variations in health and functional transitions across populations ; and the development of methods that reflect the influence of those factors on the health and longevity of individuals.

4. Medical Demography is concerned with changes in the incidence and prevalence of specific medical conditions ,   and with the resulting impacts of those changes on the patterns of other comorbid conditions and disabilities . Medical Demography is concerned with changes in relative risks of specific primary and comorbid medical conditions, and their impacts on population structures, social structures, and health care systems.

5. Medical demography can be used by Epidemiologists as part of their population surveillance methods. Epidemiological data and methods can be used by medical demographers as part of their population modeling methods.

6. 2. Some Measures of Medical Demography Measures of medical demography may be classified as: Doctor-population ratio Doctor-nurse ratio Doctor-nurse ratio Hospital bed-population ratio Birth attained by trained health personal Population per health/sub-health center Population pre traditional birth attendant

7. Doctor-population ratio: the ratio of doctors to population, usually expressed as per 100000 population Hospital bed-population ratio: the ratio of hospital beds to the population, usually expressed as the number of available hospital beds for every 1,000 population

8. Doctor-nurse ratio: the ratio of doctor to nurse Percentage of births attained by trained health personal : percentage of births attained by trained health personal in a given period. The indicator is calculated as

9. Population per health/sub-health center: it is calculated as Number of health facilities per 10000 population: it is defined as

10. Population covered by different health institutions Population Ratio Proposed health institution No. of health institution Level of infrastructure 1:4000 SHP 3199 1/Each VDC 1:29000 HP 611 1/5VDC 1:100000 PHCC 205 1/ Ele . Con. 1:2,00,000 DPHO & DH 75 1/Each Dist 1:13,00,000 Zonal Hospital 14 1/Each Zone 1:36,00,000 Regional Hospital 5 1/each Reg.

11. Population ratio with different levels of health workers at national level Health Occupational Categories/cadres Number HW/1000 population* General medical Practitioners 1776 0.1 Specialist Medical Practitioners 4487 0.2 Nursing Professional 6373 0.2 Nursing Associate professional 8143 0.3 Midwifery Professional Midwifery associate Professionals 15 Paramedical Practitioners 10390 0.4 Dentists 735 Dental Assistants and Therapists 118 Pharmacists 188 Pharmaceutical Technicians and assistants 187

12. Population ratio with different levels of health workers Health Occupational Categories/cadres Number HW/1000 population* Environmental and Occupational Health and Hygiene workers Physiotherapists and physiotherapy assistants 143 Optometrists and opticians 176 Medical Imagining and Therapeutic Equipment Operator 560 Medical and Pathology Laboratory Technician 1906 0.1 Medical and Dental Prosthetic Technicians Community Health Worker 649 Health Management Workers/Skilled Administrative staff 2491 0.1 Other Health Support Staff 19548 0.7 Total 57885 2.2 Source: Data Source: HRH Profiling in Nepal. 2013. NHSSP, WHO and SOLID Nepal *CBS: National Population Census 2011, Nepal

13. Importance of Medical Demography To estimate of Population and health service ratio To aware consequences of sickness and accident To analyze of morbidity and mortality status To analyze different factors of diseases To estimate high risk categories of population To analyze epidemiological status and its preventive measures To set effective planning and implementation of health services delivery system

14. 6.3 Concept of medical records and its importance Medical records is a chronologically written account of a patient’s examination and treatment that includes: the patient’s medical history and complaints, the physician's physical findings, the results of diagnostic tests and procedures, medications and therapeutic procedures, and subsequent developmentsa during the course of illness.

15. Importance of medical records To identify prevalence and incidence rate of disease and disabilities. To set priority to treat existing health problems To get information about morbidity and health status of the country To set and implement effective health policy and planning.