health service improvement Flashcards
health services basics
fit for purpose and high quality (public health domain)
maximise pop. benefits from health and care, safe and patient centred
Standards of health care
high standards, transparent responsibility, accountability, constant improvement
clinical governance
responsible for audits, education, training and professional development, evidence based care, patient and carer experience, staff management
efficiency
best value and use out of available resources
equality vs equity
sameness vs access/benefits based on needs
HEIA health equity impact assessment
dependent on good evidence, eg bowel screening for middle aged men in deprived areas of Scotland
need
capacity to benefit from intervention/healthcare
perceived/felt need
what people think their needs are or need to be, easy to assess but subjective (dunning kruger effect)
DUNNING KRUGER effect
cognitive bias eg fat thinking theyre healthy
expressed need
no. people who seek help focus on those taking action, not all people seek help
normative need
falling below standard criteria established by pros authority and or consensus
objective targets but levels can change over time so need for reevaluation
relative/comparative need
measured by gap between level of service in similar communities, can lead to priority distribution of limited resources but can limit resource allocation to under performing areas
need supply demand
need what people benefit from
demand what people ask for
supply what’s given
demand influences
medical
social and educational
media
need influences
political and public pressure
research agenda
medical knowledge
supply influences
medical knowledge
historical patterns
cost
health needs assessment
includes problems with no realistic or available treatment
review issues and prioritise resource allocation to improve health and reduce inequalities in health
planning priority policy
more needs assessment
protection
prevention
promotion
can be at pop. group or individual level
stevens and rafferty model on needs assessment
epidemiological, comparative and corporate approach
research vs evaluation
sets out to prove can be by deriving new knowledge, generalise and replicate
vs
sets out to improve, specific not always guided by theory can be guided by needs
audit
improve care through systematic reviews against explicit measures
audit is quality improvement tool
