inequalities in healthcare Flashcards
name two organisational barriers to accessing healthcare
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
what is the inverse care law and how does it cause health inequality
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.
what are health inequalities often narrowly linked too
behaviour and choice
health systems form part of the social determinants of health so how does this impact on health inequalities
can improve or worsen health inequalities
what are the social determinants of health
The social determinants of health are the conditions in which people are born, grow, live, work and age.
There are inequalities in health, linked to socio-economic status. do they exist in uk or globally
trick question both, they can manifest across all health conditions
why is it difficult for homeless people to access healthcare
can’t register at gp, stigma and discrimination, health challenges such as housing food drug dependency, fear and distrust
summarise how healthcare systems can cause or exacerbate inequalities in health
organisational barriers
unequal avalibility of care(inverse law)
stigma and discrimination to vulnerable or those living with illness(e.g homeless or hiv)
what is proportionate universalism and how can it address inequalities
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
how does cultural and social competence allow clinical practice to intervene in health inequalities
Paying attention to the social/structural determinants of health in clinical practice
• Avoids narrow emphasis on individual choice and behaviour in producing health outcomes
how can integrated responses from public health and medics help inequalities
ensure fair funding of health services, address barriers, train competent staff with regulations in place to protect from misconduct,