From previous formative...!

Question 1

Why is a GP known as a gatekeeper?

Answer 1

They’re the person who controls a patients access to further specialist treatment.

Question 2

What are the advantages of GP gatekeepers?

Answer 2

• Identify those patients who are in need of 2° care assessment
• Personal advocacy
• Patient does not necessarily know which specialty to go to
• Increases likelihood of referral to appropriate department
• Increases likelihood of appropriate referral/use of resources
• Limits exposure to certain investigations e.g. MRI scan, X-rays
• GP acts as co-ordinator of care
Puts GP in position to provide patient education

Question 3

Approx what percentage of illnesses are forwarded on to secondary care?

Answer 3

2-4%.

Question 4

Name 6 of the most common other health care professionals utilised in primary care.

Answer 4

Physiotherapy
Councillor - for help with mental health
Dietician - for nutrition assessment and advice
Pharmacist - for medication advice etc
OT - assess for aids in daily living (i.e. getting up the stairs)
Practice Nurse - explaining inhaler use

Question 5

What are the four ethical principles that underly medical practice?

Answer 5

Justice
Beneficence
Non-malificence
Autonomy

Question 6

Define Justice

Answer 6

To treat all people equally and equitably

Question 7

Define Beneficence

Answer 7

Our duty to do good.

Question 8

Define Non-malificence

Answer 8

Our duty to do no harm.

Question 9

Define Autonomy

Answer 9

Respect for the patient’s right to self-determination.

Question 10

Define Culture

Answer 10

Systems of shared ideas; systems of concepts, rules and meanings that underlie and are expressed in the way that human beings live (Keesing, 1981)