2000 Health, healthcare and capitalism Flashcards
what are the 3 different ways to measure health?
Subjective / objective
Age / event
Cross-sectional / longitudinal
what does a subjective health measurement mean?
based on self report
what does an objective health measurement mean?
standardised measurements eg weight/height
what does it mean to measure health by age?
age when an event occurred eg age at first child
what does it mean to measure health by event?
when something occurs eg maternal mortality
what does it mean to measure health longitudinally?
asking as a cohort
what does it mean to measure health cross-sectionally?
asking over a length of time
what could be an issue with giving health details for a research project?
does the data end up in the hands of private companies?
what are some difficulties with collecting health data? (4)
- Hardest to collect data about older and vulnerable people
- Definitions and methods underlying indicators
- Problems with measurement tools
- Expectations with health? –
what technique is used in countries with little resources to collect health data?
focus on collecting objective routine vital data
why is objective routine vital data easy to collect in countries with little resources?
no need for much training, fairly simple to identify
what is an example of ‘easy to measure’ events?
death
why is it an issue that it is difficult to access health information about older and vulnerable individuals?
those are the ones who need it the most
what did Ferri et al find whilst conducting the global prevalence of dementia study?
the West was well covered with studies of good methodological quality, whilst South America, Africa and the Middle East had little to no studies on dementia
how can a post-colonial approach be seen in regards to dementia?
Dementia is a very Western idea, idea that the rest of the world needs to ‘catch up’
how is GDP per capita linked to infant survival within the first year?
within the developed countries there was a high infant survival rate compared to sub-saharan africa
what does the GDP per capita being linked to infant survival mean?
Health isn’t individual but based on the economy
what are some political/cultural influences on health? (6)
- Socio-economic status
- Gender
- Ethnicity
- Political power
- Cultural assets
- Social assets
what are 2 examples of influences on your socio-economic status?
education, employment
how can political power affect an individuals health? (3)
- Household authority
- Healthcare availability
- Safety and stability
how can cultural assets affect an individuals health? (2)
- Privileged lifestyles
* High status consumption practices
what are social assets?
social capital
how does rapid economic, political and social change impact mortality?
usually causes a sharp rise
why does rapid economic, political and social change impact mortality? (3)
- Embargos
- Armed conflicts
- Changes in government/policy
what are two contemporary UK examples of rapid economic, political and social change that impacted mortality?
- Austerity
* Brexit
how many excess deaths in 2015 are linked to cuts in health and social care in the UK?
30,000
how can Russia be applied to see how socio-political changes affect individuals health?
mid 80s, president keen to increase life expectancy, campaigns on excessive drinking, reversed in the mid 90s and so the life expectancy went down
what is an example of a government policy which isn’t explicitly about health but helps individuals health?
free bus pass for the elderly
how does gender affect health? (2)
- Sex selective abortions carried out
* Boy selected to get given healthcare once they’ve grown up if there isn’t enough money for both children