Measuring Health and Disease Flashcards

1
Q

Why measure the health of a population?

A

find out how common a disease is (prevalence) and how many new cases occur (incidence)

identify longitudinal tends in a disease

Indentify differences in disease patterns between different population groups or locations

Service planning are the right services in the right places for the right people

Are interventions or policies to improve health working in an area?

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2
Q

What is Prevalence

A

How many people have a disease at any one point in time

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3
Q

What is incidence how do you calculate incidence rate

A

The number of NEW cases of a disease in a given period of time

No of new cases of a given time period /
person years at risk (tot pop at risk X time period)

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4
Q

What is the birth rate?

A

no of live births per 1000 of the population

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5
Q

What is fertility rate?

A

General fertility rate no of lives births per 1000 of population in females between 15-44years

Total the average number of children that a woman would bear if they experienced the age-specific fertility rates at that point in time.

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6
Q

What are the differences between birth and fertility rate?

A

Birth rate measure of whole population no age groups fertility rate is in a specific age group

Frailty rate determines birth rate but no the other way round

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7
Q

What is mortality rate?

A

Number of deaths from a disease in relation to.a population in a given period of time

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8
Q

How do you calculate infant mortality rate

A

no of deaths in children aged less than 1yr/ All live births X1000

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9
Q

What is crude mortality rate?

A

total no of deaths in 1 year/

total mid-year population

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10
Q

What is disease specific mortality rate?

A

no of deaths from a disease/

total mid year population X 1000

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11
Q

How can health status be measured?

A
Census
Death certification
health survey for England
General lifestyle survey
Hospital episode statistics
GP research database
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12
Q

What is the census?

A

survey required to complete by law every 10 years

information on population demographics where they live how old economic status and employment

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13
Q

Whats death certification

A

Registering of death legal requirement since 1937

Must record what the person died of
how old they were
other factors that may have contributed to death e.g. fell down stairs broke hip surgery caught respiratory infection and died

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14
Q

What are hospital episode statistics

A

Give information of all admissions to NHS hospitals in England.

collects data on diagnoses and operations
age gender and ethnicity of people using healthcare services
time waited and date of admission
outcome discharge, care home death

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15
Q

General lifestyle survey?

A

similar to census
whole of GB information of demographics such as housing tenure access to vehicles employment education family information like marriage status cohabitation

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16
Q

What is direct standardisation what are the advantages disadvantages?

A

Age specific death rates from a population study are applies to a standard population

Advantages:
can be used to compare diseases temporally and spatially
can be used to asses relative burden of disease in pop

Disadvantages:
requires age specific rates which are not always available at a local level
rates may be unstable for rarer conditions as their is a smaller no of events

17
Q

Indirect Standardisation? What are the advantages disadvantages?

A

use identify diseases that have a higher mortality than national rates and need intervention

Advantages:
does not require local rates only absolute number of events
easier to interpret rate

Disadvantages:
ares cannot be directly compared only comparable to standard population
does not give an idea of actually burden of disease