Global Health PP Flashcards
What’s Diderischen module?
There is social production of a disease manifesting itself in 5 different areas:
I social stratification → genes, development, education (acquiring a particular social position)
II differential exposure → social position leads to different exposure to a particular illness
III differential vulnerability → the above causes leading to illness
IV differential consequences → having acquired an illness - different consequences for different individual
V impact of consequences
What models shows the structural determinants of health?
Dahlgren and Whitehead
All of these factors co-relate and give us a chance of either good health or bad health
Health inequalities vs social inequity in health
Social inequity is due to not equal access to education, employment prospects, healthy food etc.
if everyone had the same access -> equal chance of good health
Principles of quality improvement
What’s an audit about?
The audit is asking ‘Are we doing what we should be doing; according to current guidelines?’
What does Research do?
It creates a new knowledge that will be potentially used in guidelines
What’s Donabedian’s framework?
It looks at quality improvement and allows us to assess if we have got a good quality system
What’s the leverage in the healthcare system?
Current healthcare service looks more at pricing and competition → moves more towards market-led system
What’s Inverse Care Law?
author: Julian Tudor Hart
The availability of good medical care varies inversely with the need for it
What’s Proportionate Universalism?
Author: Marmot
Focusing on the most disadvantaged people
As just supplying everybody with the same thing it’s not going to make their health better e.g. some communities may need extra support/services/ different delivery in order to reduce health inequalities
What’s Structure, Conduct and Performance of a healthcare system?
