301 Health Economics

Question 2

What are the types of health models?

Answer 2

Biomedical, WHO definition (1948), biopsychosocial Engel 1977, sociological, multifactorial, guideline

Question 3

What are the factors of multifactorial model of health?

Answer 3

Sexual, physical, mental, emotional, spiritual and social

Question 4

What are the evidence based guidelines?

Answer 4

Population based not individuals
Cost-effectiveness
Lifestyle interventions
Single conditions and pathways

Question 5

What are the deontology views of healthcare?

Answer 5

Duty of care to individual
Rule based
Care for individual is without reference to impact on society

Question 5

What are the utilitarian views of healthcare?

Answer 5

The end justifies the means
Greatest benefit
May lead to harm to some individuals

Question 6

What are the undercurrents of health economics?

Answer 6

1. Business side of pharmaceutical industry
2. Free NHS
3. Personal responsibility
4. Screening as a pragmatic approach - need to understand specificity and sensitivity

Question 7

What is the currency of health?

Answer 7

Quality Adjusted Life Year (QALY)
1 year of life in perfect health
Ability to carry out daily activities, freedom from pain, mental disturbance

Question 8

What are DALYs?

Answer 8

Disability Adjusted Life Years
Measures burden of disease