Health needs

Question 1

What is a health needs assessment t

Answer 1

a way of systematically reviewing health issues to find a list of agreed priorities and resource allocations that will improve health and reduce inequalities

Question 2

describe bradshaws taxonomy of need

Answer 2

felt need - individual perceptions
expressed - felt needs turned into action
normative - need that is defined by experts
comparative need - needs identified by comparing the services received by one group of individuals with those received by another comparable group

Question 3

What are epidemiological approaches to health needs assessment?

Answer 3

Defines the problem and looks at the size of it using routine and primary data

Question 4

What are comparative approaches to health needs assessment?

Answer 4

Looks at services received and compares with a similar area – may compare health outcomes

Question 5

what are corporate approaches to health needs assessment?

Answer 5

Asks the local population and health profs what the needs are using focus groups etc

Question 6

What are advantages and disadvantages of epidemiological approaches?

Answer 6

adv: addresses clear problem.
disad: can be expensive. Involves analysis of existing data / data collection.
Reinforces biomedical model.

Question 7

What are advantages and disadvantages of comparative approaches to health needs assessments?

Answer 7

adv:
Can see evidence of benefit / success in population.
Can be fairly quick and inexpensive.
disad: hard to find similar popn

Question 8

What are advantages and disadvantages of corporate approaches to health needs assessments?

Answer 8

adv:
recognises ppl important in the services success
based upon wishes and needs of relevant parties
disad:
BIAS
demands and needs can blur
might fit agenda of particular individual
delicate balancing act to keep everyone engaged and focused on same end. goal
political agendas involved

Question 9

Give examples of tings in healthcare that are wanted and supplied but not needed

Answer 9

● Antibiotics for viral illness
● PSA for prostate cancer -
not always clinically appropriate

Question 10

Give examples of tings in healthcare that are wanted and needed but not supplied

Answer 10

● Cure for cancer
● Cures for chronic disease
● Better mental health services
● (Ideally - nothing)

Question 11

Give examples of tings in healthcare that are needed, supplied but not wanted

Answer 11

smoking cessation
alcohol cessation
colorectal cancer

Question 12

Give examples of tings in healthcare that are wanted, needed and supplied

Answer 12

● Free contraception
● Breast cancer screening*
● Smoking cessation

Question 13

What is PICO?

Answer 13

Problem. patient, popn
Intervention
Comparison
Outcome