FOM: BSS Flashcards

1
Q

HBM: Percieved severity

  • Definition
  • example
A
  • The probability that a person will change their health behaviours to avoid a consequence depends on how serious they believe the consequence to be
  • People who think STD’s aren’t serious are less likely to wear condoms
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2
Q

HBM: perceived susceptibility

  • Definition
  • Example
A
  • People will not change their health behaviours unless they believe they are at risk
  • E.g. individuals who do not think they will get the flu, won’t get vaccinated
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3
Q

HBM: perceived benefits

A
  • A benefit that will convince someone to change their health behaviours
  • Stopping smoking will improve someones health
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4
Q

HBM: perceived barriers

A
  • Barriers that people may think prevent them from changing their health behaviours
  • E.g. discomfort, expense, inconvenience
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5
Q

HBM: cues to action

A
  • Outside input that can initiate a change in personal health behaviours
  • E.g. media campaigns, physician reminders etc.
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5
Q

HBM: cues to action

A
  • Outside input that can initiate a change in personal health behaviours
  • E.g. media campaigns, physician reminders etc.
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6
Q

HBM: self-efficacy

A
  • A persons belief in their ability to make health related change
  • E.g. if a person believes they are able to quit smoking, they are more likely to
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7
Q

Lay diagnosis:

A
  • A non-professionals attempt to describe and classify their symptoms
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7
Q

Lay diagnosis:

A
  • A non-professionals attempt to describe and classify their symptoms
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8
Q

Why should shared decision making (SDM) be standard practise?: (3)

A
  • Essential for respecting all four pillars of medicine
  • Less legal action can occur
  • Important to hear the patients lay perspective
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9
Q

How to achieve shared decision making: (3)

A
  • Make it clear that there is no one best choice, but a decision must be made
  • Positives and negatives of options
  • Build rapport / trust
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10
Q

Doc/patient relationship: paternalistic

  • info exchange:
  • Deliberation:
  • Decision making:
A
  • Minimal medical info from doctor to patient
  • Doctor leads the discussion
  • Doctor makes the decision and the patient agrees
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11
Q

Doc/patient relationship: Shared (mutual):

  • Info exchange
  • Deliberation
  • Decision making
A
  • Doctor and patient share all relevant information
  • Doctor and patient discuss together
  • Shared decision making
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12
Q

Doc/patient relationship: Informed (consumerist)

  • Info exchange
  • Deliberation
  • Decision making
A

_ Largely from doctor to patient

  • Patient lists the information
  • Patient makes the decision
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13
Q

When may a paternalistic approach be appropriate?

A
  • Acute/emergency scenarios
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14
Q

When may a shared (mutual) approach be appropriate?

A
  • Long-term conditions where a patient has gained extensive knowledge (e.g. asthma, arthritis)
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15
Q

When may an informed (consumerist) approach be appropriate?

A
  • Participation in clinical research
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16
Q

Preference sensitive decisions:

A
  • When there is more than one treatment option
17
Q

Reasons for non-compliance: (3)
-Concerns
-views
Possible

A
  • Concerns about side-effects
  • Views about appropriate treatment
  • Practical barriers
18
Q

Concordance:

A
  • Agreement about treatment

- Means patients are more likely to adhere

19
Q

Placebo effect:

A
  • The positive response of a person to an inert substance or innervation
  • Or, to an active intervention, but a much larger response then expected
20
Q

Nocebo response:

A
  • Harm rather than benefit caused

- More likely if a person has previous experience of adverse effects

21
Q

Context effects (placebo/nocebo): (5)

  • T C
  • P C
  • P/P R
  • H-C S
A
  • Treatment characteristics: colour, size, drug shape
  • Patients characteristics: beliefs, anxiety, adherence)
  • Patient/practitioner relationship: reassurance, compassion
  • Health-care setting: home, hospital
22
Q

Health systems:

A
  • Consists of all organisations, people and actions whose primary intent is to promote, restore and maintain health
23
Q

5 main systems for funding:

A
  • General taxation (social solidarity)
  • National health insurance
  • Privatised health insurance
  • Out of pocket payments
  • Charitable donations
24
Q

UK NHS - a social solidarity system:

- Services provided: (4)

A
  • Hospital services
  • GP services
  • Ambulance services
  • Community health services
25
Q

NHS fundamental rules of distribution: (3)

A
  • Universal coverage
  • Free at the point of delivery
  • Access based on clinical need, not the ability to pay
26
Q

Medical diversity:

A
  • The co-existence of different medical traditions and practises in a single setting
27
Q

Three sectors of health care:

A
  • Popular
  • Folk
  • Professional
28
Q

Sectors of health care: Popular (3)

  • Includes
  • Formality
  • Scale
A
  • Family, social and kinship networks
  • Informal (includes self-medication)
  • Most ill health dealt with here
29
Q

Sectors of healthcare: Folk (2)

A
  • Non professional, specialist healers

- Informal (religious, self-medication)

30
Q

Sectors of health care: Professional (3)

  • Structure
  • Training level
  • Recognition
A
  • Professionally organised system
  • Formal, standardised recruitment
  • Accredited training and qualification
31
Q

CAM:

A
  • Complementary and alternative medicine
32
Q

Why do people use CAM? (4)

  • Ineffectiveness……
  • Concern about ….
  • Discriminatory…..
  • …………-centred approach
A
  • Ineffectiveness of biomed for them
  • Concerned about biomed side effects
  • Ethnicity and culture
  • Discriminatory experience
  • Patient-centred approach
33
Q

Problems with CAMs:

A
  • Healthcare practitioners lack knowledge on CAMS
  • Some forms of CAMS are not respected by practitioners
  • Lack of disclosure
  • CAMs may have an adverse reaction with biomed treatment
34
Q

Traditional medicine:

A
  • The sum-total of the knowledge, skills and practices based on the theories, beliefs and experiences indigenous to different cultures
35
Q

Why do people us TM: (2)

  • Subsaharan africa)
  • Asia
A
  • Affordability and accessibility (subsaharan Africa)

- Cultural, historical and institutional influences (Asia)

36
Q

Examples of Global health inequities: (5)

A
  • Life expectancy
  • Under 5 mortality rate
  • Maternal mortality rate
  • Life expectancy
  • Health expenditure per capita
37
Q

Factors effecting health inequities:

A
  • Lifestyle/behaviour
  • Material/structure
  • Psychosocial
38
Q

Why do inequities exist?: Lifestyle/behavioural

A
  • Certain groups are more likely to engage in health-harming behaviours (smoking, alcohol)
  • Less likely to engage in health promoting behaviours (correct nutrition, exercise)
39
Q

Why do inequities exist: Material/structural explanation

  • Defintion
  • Types of impact (3)
A
  • Poverty is the number one cause of ill health
  • poverty has many impacts on health
    1. Direct impact (unfit homes)
    2. Affects choices (healthy Diet)
    3. Access to services
40
Q

Why do inequities exist?: structuralist perspective

A
  • Society organised into social groups, hierarchical in nature
  • Position in hierarchy determines how much agency one has
41
Q

Agency:

A
  • The capacity to make choices and to put those choices to action
42
Q

Psychosocial explanations:

A
  • Negative psychological experiences can harm your health

- Certain groups more likely to experience negative psychosocial states