healthcare in the UK

Question 1

financing of the NHS

Answer 1

Tax based naton insurance
Senign on health at national level GDP
10% GDP

Question 2

what does the NHS provide - Bismarck model insurance system

Answer 2

Comprehensive care , free at the point of service , irrespective of contributions made or ability to pay

moving to integrated care system , Gps working as primary care networks

Question 3

ICS

3 aims

Answer 3

Integrated care systems

Triple AIM developed by institute for healthcare improvement

Improving patient experience of care ( incl.quality and satisfaction)

Improving health of populations

Reducing cost per capita cost of health care

Quadruple - improving staff experience

Question 4

strengths of NHS

Answer 4

financial protection
management of chronic conditions
health technology assessment
research and innovation

Question 5

relative weakness of NHS

Answer 5

health outcomes and inequalities
funding, workforce and capacity
preparedness and response

Question 6

what part of UK has only free personal care over 65

Answer 6

scotland

Question 7

free prescriptions in all countries except

Answer 7

England

Question 8

Top lifestyle factors that contribute to the burden of disease in the UK

Answer 8

High systolic BP 
Alcohol and drug use 
Diet 
Unsafe sex 
Air pollution 
Low levels of exercise 
High BMI 
HIGH TOTAL cholesterol 
Low bone mineral density 
Tobacco smoke

Question 9

The COM-B system/model - behaviour occurs as an interaction between 3 necessary conditions what are they

Answer 9

capability
motivation
opportunity

Question 10

what is capability

Answer 10

psychological or physical ability to enact the behaviour

Question 11

what is motivation

Answer 11

reflective and automatic mechanisms that activate or inhibit behaviour

Question 12

opportunity

Answer 12

physical and social environment that enables the behaviour

Question 13

e.g. what increasing physical activity in adults living in deprived urban envrionemtns

Answer 13

capability - psychological, physical - knowledge and or skills to change behaviour

Opportunity - physical or social - social interperson and physical envrionment factors in peoples lives ( street layout, what people do around here)

motivation - defective and automatic ) - emotions, impulses and associative learning ( role models) and evaluation, plans and reflective processes

Question 14

purpose of COM-B model

Answer 14

model of behaviour widely used to identify what needs t change in orders for a behaviour change intervention to be effective. 3 factors that need to be present for any behaviour to occur - capability , opportunity and motivation

Question 15

in the synthesis of 19 frameworks to classify intention ( health, environment , culture change and social marketing) on the outside there is seven policy categories, inner ring is nine intervention functions like what purpose and in the centre there is

Answer 15

COM-B model

Question 16

on the basis of healthy eating - education - increasing knowledge or understanding example would be providing info to promote healthy eating

what are doctors roles in health improvement

Answer 16

model attitudes and health
facilitate patent involvement in assessment and goals
teach self care strategies
assist individuals to chose better options
educate patients to be effective health care consumers
guide decision making
assist communities
advocate in community
commission effect health improvement interventions

Question 17

the behavioural change wheel includes things like what

Answer 17

envronemtn 
social planning
guidlines 
fiscal measure 
regulation 
service provision 
legislation 
communication
marketing