inequalities in healthcare Flashcards

1
Q

name two organisational barriers to accessing healthcare

A

financial- charges for specific treatment. travel costs and cost of time off work

institutional- admin requirements, language barriers, functioning of booking systems and waiting lists

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2
Q

what is the inverse care law and how does it cause health inequality

A

availability of good healthcare varies inversely for the population that need it, meaning locations (poor socioeconomic) that need the services have nothing. areas that don’t need it as soo much have a lot.

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3
Q

what are health inequalities often narrowly linked too

A

behaviour and choice

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4
Q

health systems form part of the social determinants of health so how does this impact on health inequalities

A

can improve or worsen health inequalities

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5
Q

what are the social determinants of health

A

The social determinants of health are the conditions in which people are born, grow, live, work and age.

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6
Q

There are inequalities in health, linked to socio-economic status. do they exist in uk or globally

A

trick question both, they can manifest across all health conditions

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7
Q

why is it difficult for homeless people to access healthcare

A

can’t register at gp, stigma and discrimination, health challenges such as housing food drug dependency, fear and distrust

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8
Q

summarise how healthcare systems can cause or exacerbate inequalities in health

A

organisational barriers
unequal avalibility of care(inverse law)
stigma and discrimination to vulnerable or those living with illness(e.g homeless or hiv)

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9
Q

what is proportionate universalism and how can it address inequalities

A

it is delivering resources at a scale and intensity proportionally to the need and demand. universally available not just for those in need but can respond to new presenting cases that need it

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10
Q

how does cultural and social competence allow clinical practice to intervene in health inequalities

A

Paying attention to the social/structural determinants of health in clinical practice
• Avoids narrow emphasis on individual choice and behaviour in producing health outcomes

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11
Q

how can integrated responses from public health and medics help inequalities

A

ensure fair funding of health services, address barriers, train competent staff with regulations in place to protect from misconduct,

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