Health Inequalties Flashcards
Define a Health Needs Assessment
Systematic method to review health issues facing a population –> Agreed priorities and resource allocation to ^ Health & V inequalities
What is need?
Ability to benefit from intervention
Describe the planning cycle?
Needs assessment –> Planning –> Implementation –> Evaluation –> Needs assessment
What are different types of need?
Felt: Ind. perception of variation from normal health
Exp: Individual seeks help to overcome variation in normal health
Normative: Professional defines interventions appropriate for exp need
Comp: Comparison between severity, range of int and cost
Define supply and demand
Supply: What’s provided
Demand: What people ask for
How are Health Need and Health Care Need different?
HN: Need for health
HCN: Need for HC, looking at someones chance to benefit from HC
What are the 3 types of HN assessments?
1) Corporate
2) Comparative
3) Epidemiological
Who could be involved in a corporate health needs assessment?
1) Politicians
2) Press
3) Providers
4) Professionals
5) Patients
What are 3 negative points for corporate HN assessment?
1) Groups could have vested interest
2) Difficult to separate need from demand
3) Can be influenced by political agendas
What is a comparative HN assessment?
Compares services received by one population to other populations
What are 3 negative points for a comparative HN assessments?
1) Required date may not be available
2) Variable data quality
3 ) Hard to find comparable populations
What are 3 problems with epidemiological HN assessments?
1) Variable data quality
2) Required date may not be available
3) Ignores feelings of need
Why are developing countries health inequalities imbalanced?
1) Take up 84% global population, but accumulate 93% global disease
2) 18% global income, 11% global health spending
3) Unequal distribution of nurse/beds: population
What are 3 main circumstances for health inequalities?
1) Deprivation: Death from all causes, teen pregnancy, infant mortality and chronic illness morbidity/mortality
2) Homelessness: Rough sleep and temp accommodation -> Poor physical/mental health, substance misuse
3) Unemployment: Higher mortality and morbidity
What are the main considerations of a health inequality GP case?
1) Language. culture and Religious barriers
–>Need for interpreters, respect for belief, attitude, practices and background
2) Physical: Claim all available benefits
3) Family: May be left behind and problems with torture
