Health Economics Flashcards
WHO 1948 definition of health?
A state of complete physical, mental and social well-being not merely to absence of disease or infirmity
Biomedical model definition of heath?
Absence of disease, an abnormality
WHO 1986 definition of health?
A resource for everyday life, not the objective of living. Heath is a positive concept emphasising social and personal resources, as well as physical capacities
What is evidence based medicine?
The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients
The evidence based medicine triad?
Patient values and expectations
Individual clinical expertise
Best external advice
Features of evidence based guidelines?
Population based not individuals
Cost effectiveness
Lifestyle interventions
Single conditions and pathways
Utilitarian views of healthcare?
The end justifies the means
Greatest benefit
May lead to harm to some individuals
Deontology views of healthcare?
Duty of care to individual
Rules based
Care for individual is without reference to impact on society
When was the birth of the NHS?
1948
What is a QALY?
Quality adjusted life year
What does 1 QALY equal?
One year of life in perfect health
What is DALY?
Disability adjusted life years
What does DALYs measure?
Burden of disease
