Healthcare Statistics

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9781284108217_CH01_SLID.ppt

Chapter 1

Introduction

Learning Objectives (1 of 2)

  • Define biostatistical applications and their objectives
  • Explain the limitations of biostatistical analysis
  • Compare and contrast a population and a sample
  • Explain the importance of random sampling

Learning Objectives (2 of 2)

  • Develop research questions and select appropriate outcome variables to address important public health problems
  • Identify the general principles and explain the role and importance of biostatostistical analysis in medical, public health, and biological research

What Is Biostatistics? (1 of 2)

  • Application of statistical principles to medical, public health, and biological applications
  • Collecting, summarizing, and interpreting information and
  • Making inferences that appropriately account for uncertainty

What Is Biostatistics? (2 of 2)

Population

(unknown information)

Sample

  • Summarize sample
  • Make inferences about Population

Issues and Limitations (1 of 2)

  • Must clearly define research question
  • Must choose appropriate study design (i.e., the way in which data are collected)
  • Must select a sufficiently large, representative sample
  • Must carefully collect and summarize data

Issues and Limitations (2 of 2)

  • Must quantify uncertainty
  • Must appropriately account for relationships among characteristics
  • Must limit inferences to appropriate population

Important Questions

  • H1N1 outbreak
  • Risk factors for heart disease
  • Drug safety and efficacy
  • High-risk health behaviors
  • Genetic determinants of disease
  • Risk factors for autism
  • Impact of diet and exercise on health
  • Impact of Gulf oil spill on health

Issues for Biostatisticians (1 of 2)

  • Children: Obesity, immunizations, asthma, autism, etc.
  • Adolescents: Alcohol and tobacco use, depression, STDs, traffic accidents, etc.
  • Adults: Cancer, CVD, substance abuse, HIV/AIDS, mental health, etc.
  • What is number one killer of men and women in United States?
  • What are the risk factors?

Issues for Biostatisticians (2 of 2)

  • Research question
  • Study sample
  • Sample size
  • Analytic techniques
  • Inferences—cause/effect
  • Limitations

Types of Studies

  • Laboratory studies
  • Animal studies
  • Clinical studies
  • Observational studies
  • Experimental trials

Research Teams

  • Principal investigator
  • Biostatistician
  • Co-investigators
  • Project manager
  • Statistical programmers
  • Research assistants

Biostatistician’s Role on Team

  • Study design
  • Research question
  • Study sample
  • Sample size
  • Enrollment/follow-up strategies
  • Ongoing monitoring
  • Interim and final analysis
  • Reporting of results

Careers

  • Pharmaceutical industry
  • Government
  • Academia
  • Health insurance

Demand far exceeds supply of qualified biostatisticians today.

Training/Skills

  • Mathematics background
  • Biostatistics/statistics
  • Public health/biology
  • Computer skills
  • Communication skills
  • Analytic skills
  • Organizational skills
  • Attention to detail