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2 - LOCO/HSPH/CANCER > HSPH practitioner > Flashcards

HSPH practitioner Flashcards

1
Q

Inverse care law

A

Those how need care the most actually receive the least

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2
Q

Patient education

A

Set of planned education activities that intend to improve health behaviours

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3
Q

Health education

A

Interventions that provide learning opportunities directed towards improving health beliefs and behaviours

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4
Q

Patient centred care

A

Providing care that is respectful of and responsive to patients individual preferences, needs and values where their views guide all clinical decisions

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5
Q

Controlling behaviour

A

Acts designed to make a person subordinate by regulating their everyday behaviour

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6
Q

Coercive behaviour

A

Acts designed to harm, punish or frighten the victim

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7
Q

Number of female murders by partner

A

54%

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8
Q

Number of male murders by partner

A

5%

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9
Q

Risk factors for DVA

A

Women
Younger age
Poverty
Separation

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10
Q

Presentation of DVA

A 
Most consistent = gynaecological problems 
Chronic pain 
GI disorders 
Mental health problems
- depression 
- PTSD 
- alcohol abuse 
- suicidal thoughts
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11
Q

HARKS template

A 
Humiliate 
Afraid 
Rape 
Kick 
Safe
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12
Q

Lifetime prevalence of DVA

A

1/3

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13
Q

People experiencing physical violence in the past year

A

1/10

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14
Q

Ethnicity

A

Distinct set of cultural characteristics that can include common geographic and ancestral origins, language, rituals and traditions

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15
Q

Epidemiology

A

Study of patterns of disease that influence the emergence, propagation and frequency of a disease in a population

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16
Q

Institutional racism

A

Collective failure of an institution to provide an appropriate service to people because of their colour, culture or ethnic origin

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17
Q

Social capital

A

Network of relationships among people who work and live in a particular society, enabling that society to function collectively

18
Q

Problems with EBM

A 
Limitations of RCTs 
- this 
- rare diseases 
- emergency cases
- time lag 
Design of RCT 
- bias 
- internal and external validity 
Cost 
Politics --> who funds? 
Deproffesionalisation
19
Q

Mechanic’s 10 variables to influence illness behaviour

A 
Visibility of symptoms 
Perceived severity 
Disruption to daily life 
Frequency of symptoms 
Tolerance threshold of person 
Available information and understanding 
Denial of symptoms 
Normalisation 
Availability of treatment resources 
Need to compete with illness responses
20
Q

Zola’s triggers to consultation

A

Interpersonal crisis
Perceived interference with vocational or physical activity
Temporalisation = setting deadline
Sanctioning = pressure/permission from other people to seek help

21
Q

What does health inequality loop describe?

A

Places during the planning and delivery of care in which inequalities can occur

22
Q

Most deprived boroughs in London

A

Hackney
Newham
Tower Hamlets

23
Q

Child poverty in Tower Hamlets

A

49%

London average = 37%

24
Q

Leading cause of premature death

A

Ischaemic heart disease

25
Q

Enacted stigma

A

Unfair treatment because of having a conditions

26
Q

Felt/anticipated stigma

A

Fear of discrimination occurring that leads to behaviour change

27
Q

Courtesy stigma

A

Stigmatisation of the people association with the stigmatised person

28
Q

Define poverty

A

Where people lack many of the opportunities available to the average citizen

29
Q

Define absolute poverty

A

Set standard that is the same in all countries and does not change with time

30
Q

Define relative poverty

A

Standard that is defined in terms of the society in which an individual lives and therefore differs depending on country and time scale

31
Q

Define child poverty

A

Child living in a household that learns <60% of the median income

32
Q

General rate of adherence

A

50%

33
Q

Adherence rate for acute illness with short term treatment

A

78%

34
Q

Adherence rate for chronic illness with long term treatment

A

54%

35
Q

Adherence rate for medication to prevent illness

A

60%

36
Q

Adherence rate for lifestyle changes

A

2-10%

37
Q

Memory in adherence

A

More told, more you forget
Remember first and last things said best
More medical knowledge means you remember more

38
Q

Practical barriers to adherence

A

Cost
Mobility
Healthcare hours

39
Q

Define compliance

A

How much the patient does what they were told by the doctor

40
Q

Define adherence

A

Extent to which patients behaviour corresponds with the agreed recommendations from the HCP

41
Q

Define concordance

A

Process of consultation that is based on partnership

42
Q

Components of adherence

A 
Initiation = do they start 
Persistence = how long do they do it for
Execution = how well do they follow the regime, e.g. dosing hours

2 - LOCO/HSPH/CANCER (9 decks)

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