HaDSoc Definitions Flashcards

1
Q

Clinical governance.

A

Framework through which NHS organisations are accountable for continuously improving the quality and safeguarding high standards of care by creating an environment in which excellence in clinical care with flourish.

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2
Q

Equity.

A

Everyone with same needs gets same care.

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3
Q

Inequitable care.

A

Patients across England vary in the extent to which they receive high quality care and in access to care.

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4
Q

Adverse event.

A

An injury cased by medical management and prolongs hospitalisation, produces a disability, or both.

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5
Q

Preventable adverse event.

A

An adverse event that could have been prevented given the current state of medical knowledge.

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6
Q

Clinical audit.

A

Quality improvement process that seeks to improve patient care and outcomes through systematic review of care against criteria and implementation of change.

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7
Q

Valid.

A

Measure what they’re supposed to measure.

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8
Q

Reliable.

A

Measure things consistently.

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9
Q

Evidence-based medicine.

A

Integration of individual clinical expertise with best available external clinical evidence from systematic research.

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10
Q

Social class.

A

Segment of population distinguished from others by similarities in labour market position and property relations.

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11
Q

Ethnicity.

A

Identification with a social group - membership of a collectivity - on the basis of shared values, beliefs, customs, traditions, language, and lifestyle.

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12
Q

Inequality.

A

When things are different.

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13
Q

Inequity.

A

Inequalities that are unfair and avoidable.

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14
Q

Biographical disruption.

A

Key concept identifying chronic illness as a major disruptive experience.

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15
Q

Narrative reconstruction.

A

Process of reconstructing shattered self to explain appearance of illness.

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16
Q

Stigma.

A

Negatively defined condition, attribute, trait, or behaviour conferring deviant status.

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17
Q

Discreditable stigma.

A

Nothing seen, stigma yet to be revealed.

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18
Q

Discredited stigma.

A

Physically visible characteristics sets patient apart so they’re discredited and affects behaviour of patient and those around them.

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19
Q

Enacted stigma.

A

Discrimination has happened, prejudice and disadvantage.

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20
Q

Felt stigma.

A

Fear of enacted stigma, feel shame without actual discrimination.

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21
Q

Medical model of disability.

A

Change from medical norms.

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22
Q

Social model of disability.

A

Form of social oppression.

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23
Q

Impairment.

A

Abnormalities in structure of functioning body.

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24
Q

Disability.

A

Performance of activities.

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25
Q

Handicap.

A

Broader social and psychological consequences of living with impairment or disability.

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26
Q

Patient-centred care.

A

Focus on patient’s concerns.

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27
Q

HRQoL.

A

Health related quality of life. Quality of life in clinical medicine presents the functional effect of an illness and its consequent therapy upon a patient, as perceived by the patient.

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28
Q

PROM.

A

Patient-reported outcome measures.

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29
Q

Deniers.

A

Don’t accept diagnosis.

30
Q

Distancers.

A

Don’t accept severity of diagnosis.

31
Q

Pragmatists.

A

Only use preventative medication when disease gets bad.

32
Q

Lay beliefs.

A

Socially embedded constructs from people with no specialised knowledge that are to make sense of areas of life, may lead to rejections of specialised knowledge if incompatible with current beliefs.

33
Q

Lay epidemiology.

A

Attempt to understand why and how illness happens by looking at people around them.

34
Q

Lay referral system.

A

Chain of advice-seeking contacts which the sick make with other lay people prior to or instead of seeking help from health care professionals.

35
Q

Negative definition of health.

A

Absence of illness, lower socioeconomic groups.

36
Q

Functional definition of health.

A

Ability to do certain things.

37
Q

Positive definition of health.

A

State of wellbeing and fitness, more common in higher socioeconomic groups.

38
Q

Health behaviour.

A

Activity undertaken for purpose of maintaining health and preventing illness.

39
Q

Illness behaviour.

A

Activity of ill person to define illness and seek solution.

40
Q

Sick role behaviour.

A

Formal response to symptoms, including seeking professional help.

41
Q

Determinants of health.

A

Factors that have a powering and cumulative effect on health of a population, shapes behaviours and risk factors.

42
Q

Primary prevention.

A

Aims to prevent onset of disease or injury by reducing exposure to risk factors.

43
Q

Secondary prevention.

A

Aims to detect and treat disease at an early stage to prevent progression.

44
Q

Tertiary prevention.

A

Aims to minimise effects of established disease.

45
Q

Delay of intervention.

A

Interventions take time to have an effect.

46
Q

Decay of intervention.

A

Interventions wear off rapidly.

47
Q

Screening.

A

Systematic attempt to detect an unrecognised condition by the application of tests, examinations, or other procedures, which can be applied rapidly and cheaply to distinguish between apparently well persons who probably have a disease or its precursor, and those who probably do not.

48
Q

Sensitivity.

A

Detection rate, proportion of people with disease who test positive, probability a case will test positive.

49
Q

Specificity.

A

Proportion of people without the disease who are test negative, probability a non-case will test negative.

50
Q

Positive predictive value.

A

Probability someone who has tested positive has the disease.

51
Q

Negative predictive value.

A

Probability someone who has tested negative does not have the disease.

52
Q

Lead time bias.

A

Screened patients appear to survive longer but only due to being diagnosed earlier. Live same length of time, but longer knowing they have disease.

53
Q

Length time bias.

A

Better at picking up slow-growing cases than aggressive ones that would have had a better prognosis anyway.

54
Q

Selection bias (in application to screening).

A

Those who have regular screening are likely to have better health behaviours elsewhere too.

55
Q

Universal.

A

Covering everyone.

56
Q

Comprehensive.

A

Covering all health needs.

57
Q

National tariff.

A

Fee for services charged by the service provider.

58
Q

Explicit rationing.

A

Institutional procedures for systemic allocation of resources using rules of entitlement.

59
Q

Implicit rationing.

A

Allocation of resources through individual clinical decisions without criteria for decisions being explicit.

60
Q

Scarcity.

A

Needs outstrip resources, prioritisation is inevitable.

61
Q

Efficiency.

A

Getting the most from limited resources.

62
Q

Equity.

A

Fair distribution of resources.

63
Q

Effectiveness.

A

Whether interventions produce desired outcomes.

64
Q

Utility.

A

Value an individual places on a health state.

65
Q

Opportunity cost.

A

Using a resource means it can’t be used in another way.

66
Q

Profession.

A

Type of occupation able to make distinctive claims about its work practices and status.

67
Q

Professional.

A

Member of a profession.

68
Q

Professionalism.

A

Social and historical process that results in occupation becoming profession.

69
Q

Professional socialisation.

A

Process through which new entrants acquire professional identities.

70
Q

CAM (complementary and alternative medicine).

A

Medical system based on a theory of disease or method of treatment other than the orthodox science of medicine as taught in medical schools.

71
Q

Aromatherapy.

A

Controlled use of essential oils, which have therapeutic properties.

72
Q

Essential oils.

A

Highly fragrant flammable essences from plants, which evaporate quickly.