HADSOC REVIEW Flashcards
what does any system ensuring quality need to do?
set standards
monitor performance
have change mechanisms in place
a clinical audit is a way in which the NHS improves quality, what are its components?
research topic criteria and standards based on research evidence 1st evaluation implement change 2nd evaluation
why are systematic reviews useful to clinicians?
reduce delay between research discoveries and implementation
ensure quality control and increased certainty
up to date, generalisable and authoritative conclusions
save clinicians having to locate and appraise information for themselves
Aim of using QALYs?
maximise amount of health gain in the population
8 domains in SF-36?
general health mental health bodily pain vitality physical functioning social functioning physical role functioning emotional role functioning
founding principles of NHS?
free at point of service
open to whole pop.
access solely on basis of need
funded by general tax revenues
function of secretary of state for health?
overall accountability for NHS
functions of DOH?
sets national standards
shapes direction of NHS and social services
sets ‘national tariff’- fee for services charged by service providers, so comissioners find best provider rather than cheapest as tariff means fixed price
functions of NHS England?
authorises CCGs
supports, develops and performance-manages comissioning
who now comissions general primary care services?
NHS England
who leads clinical directorates and what are these?
clinical directors
way of organising hospital trusts, usually based on speciality or group of specialities
role of clinical director?
induction of new drs
provide continuing medical education and other training
ensure clinical audit carried out and results translated into improvements
develop management guidelines and protocols for clinical procedures
design and implement directorate policies on junior drs’ hrs of work, supervision, tasks and responsibilities
roles of medical director?
approves job descriptions, interview panels and equal opportunities
disciplinary processes
leads on organsiation’s clinical policy and clinical standards
strategic oview of medical staff’s role in organisation
sits on organisation’s board of directors- key link between senior management and medical staff
what are the 3 types of health perceptions?
Negative Definition
Health is the absence of illness
More commonly held belief in lower socioeconomic groups
Functional Definition
Health is the ability to do certain things- more common in elderly
Positive Definition
Health is a state of wellbeing and fitness
More commonly held belief in higher socioeconomic groups
what are determinants of health?
range of factors that have a powerful and cumulative effect on the health of the population as they shape behaviours and environmental RFs
global determinants of health?
the 4 main social causes of ill health globally: poverty social exclusion poor housing poor health systems
prevention is used in health promotion, what is primary prevention?
aims to prevent onset of disease or injury by reducing exposure to RFs
examples of primary prevention?
stop smoking
immunisation against measles
prevention of contact with asbestos to prevent mesothelioma
define secondary prevention?
aims to detect and treat a disease (or its RFs) at early stage, so prevent progression