MARKETING HEALTH CARE FOR POPULATIONS
MARKETING HEALTH CARE FOR POPULATIONS
Stuart Pettingill, chief of the medical staff at East Bank Regional Hospital, has decided to
recruit a neurologist to add to the hospital’s existing Cerebrovascular Disease (CVD) Clinical Care
Center. This new physician will begin work on the first of the following year. Pettingill needs to present
a proposal to the hospital board for approval. To prepare, he asks Dana Lopez, who has recently
been hired as Vice President for Clinical Practice, to gather some information to “put some meat” into
his planned presentation. Lopez reviews data from the CDC, the U.S. Census, and other sources for
the defined population service area of East Bank Regional Hospital, which can be described as a
moderate-sized metropolitan area. Partial results of Ms. Lopez’s review are listed in the text as Table
9.1.
TABLE 9.1. Race White Black Totals Managerial Epidemiology for Health Care Organizations INCIDENCE OF CVD IN THE EAST BANK REGIONAL HOSPITAL SERVICE AREA. Number of newly Midyear Incidence rate diagnosed cases population (per 1,000 of CVD in the population) previous year 4,590 846,?11 5.42 2,4?0 425,064 5.81 7,060 1,2?1,??5 5.55
Lopez knows that the prevalence of the disease in the East Bank Regional Hospital service area
would be an important factor to determine the potential population with CVD in a given period for the
targeted service area. Ms. Lopez reviewed data from the CDC National Health Interview Survey,
which showed that the prevalence rate for cerebrovascular disease is 10.7 per 1000. In addition, she
determined that the five-year annual mean incidence rate for CVD is 7.8 per 1,000.
1. Using the prevalence rate provided, calculate the total estimated number of persons
with cerebrovascular disease among the Midyear population. Show your work.
2. Using the incidence rates provided in Table 9.1, calculate the total estimated number
of persons with cerebrovascular disease among the three (3) groups below. Use the
Midyear population for each group. Show your work.
1) Whites
2) Blacks
3) Total
3. Do the totals in #1 and #2 differ? If so, why? If not, why not?
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