Health Service Research Flashcards
what is health service research
how health policy, organisational structure and processes, societal factors medical technology financing systems personal behaviours affect access to health care, quality and cost of healthcare, morbidity and quality of life
concerned with need, demand, supply, structure, use, outcomes of health services
why do health service research
cptributes to greater understanding of
individual health and collective health behaviour
role and impact of health proiders
options for delivering healthcare in communities
give some examples of health service research
epidemiology evaluation health economics/ cost effectivness management science needs assessment policy development quality and safety systematic reviews/meta analysis clinical trials
how are research topics identified
relevanve avoid duplication urgency (timeliness) aceptibility (patient, ethical, political) feasability application
what is qualatative healthcare analysis
gain understanding of persons experiences, opinions, feelings provide insight generate ideas interviews focus groups (small number of cases) non statistical findings non-conclusive cannot be used to make generalisations about population of interest
what is quantitive healthcare analysis
provide data and generalise results from population of interest
large number of cases
mathematical statistical analysis
findings are conclusive
can be used to recommend a final course of action
what is epidemiology healthcare analysis/research
disease aetiology identify risk factors outbreak invesigation disease surveillance disease screening biomonitoring preventative medicine
observational studies , identify cause of disease (eg. cholera and broad street pumps)
can inform prescribing data and allows better/improved used of medicines and procedures
what is prevalance of a disease
number of current cases of a disease (new and pre-existing) at a specified point in time
% of total population
what is incidence of a disease
number of new cases of disease during specified time interval
% total population
what is “action” healthcare analysis/research
carried out with the aim of affecting change, collective self reflective enquiry to improve the rationality and justice of their situation/practive
participation and action orientated, learning is a large component of the process
identify problem and implement solutions , then review the new implementations (solution is part of the process)
improve practive and
improve the experience and the outcome for the patient care
change practice or behaviour
Reflect
plan
act
observe
(method used depends upon nature and scope of the problem)
what is ‘delphi technique/process” healthcare analysis/research
controlled opinions and feedback process
structured process for collecting and distilling knowledge from group of experts
expert consensus option
discussion between experts without social interactive behaviour which can harmper opinion forming
assumption that group judgements are more valid than individual judgements
good for guideline develop,emt where evidence is limited and largely based on practive
cyclical process
interviews, questionnaires to arrive at a consensus opinion
facilitator coordinates responses
objective is to reach a consensys
what is “audit “ healthcare analysis/research
ongoing cycle of continuous improvemnet
assess the level of service provided against a set of pre-determined standards
results used locally to affect change
used to questions current practice to help reflect, review and act to resolve problems and make changes
compare current practice with evidence fo good practice (e.g against guidelines)
what is the flow of delphi surveys
start define research questiosn select pane design survey conduct survey consensus summarise conclusions
if consensus isnt reached then panel reviews survey results and go back to resign survey bit …
what is the flow of delphi surveys
start define research questiosn select pane design survey conduct survey consensus summarise conclusions
if consensus isnt reached then panel reviews survey results and go back to resign survey bit …
what can audits do…
identify risk, resource and service development implications
reinforce implementation of evidence based practice
influence improvements to individual patient care
provide assurance on the quality of care
