GP - medical evaluation

Question 1

What are the four tests of medical negligence?

Answer 1

Was there duty of care?
Was there a breach of duty of care?
Did the patient come to harm?
Did the breach cause the harm?

Question 2

What are the 4 types of clinical negligence?

Answer 2

Human error
Neglect
Poor performance
Misconduct

Question 3

What are Maxwell’s 6 dimensions of quality in evaluating health services?

Answer 3

Effectiveness - attain all intended benefits
Efficiency - effective with resources
Equity - equal
Acceptibility - acceptable to pop?
Assessibility - convenience, waiting time etc
Appropriateness - over provision, gaps etc

Question 4

What are the 3 parts of evaluating a health service in Donabedian approach?

Answer 4

Structure
Process
Outcomes

Question 5

What are the 3 types of health need assessment?

Answer 5

epidemiological - defines and looks at size using routine and primary data
comparative - compares with similar areas
corporate - asks local pop and health professionals

Question 6

What are the 4 types of need in health needs assessment?

What is it called?

Answer 6

Bradshaw taxonomy of need
felt need
expressed need
normative need
comparative need

Question 7

What are 3 theories for resource allocation?

Answer 7

egalitarian - equal for everyone
Maximising - give to those most likely to benefit the most
Libertarian - each responsible for own health (e.g. bonuses for participating)

Question 8

What is the definition health service evaluation?

Answer 8

an assessment into how well a service is acheiving its attended aims

Question 9

What is an audit?

Answer 9

a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explict criteria and the implementation of change