misuse of health care

Question 1

appraisal delay

Answer 1

the time it takes for a person to interpret their symptoms as a sign of illness

Question 2

illness delay

Answer 2

the time it takes between realising that you are ill and deciding to seek medical advice

Question 3

utilisation delay

Answer 3

the time it takes between deciding to go and turning up at the surgery
different people will delay at different points in this process and different symptoms will bring about different patterns of response

Question 4

ICD 11

Answer 4

a comprehensive catalogue of known human diseases, medical conditions, and mental health disorders used for insurance coding, statistical tracking, and global health categorization. it’s designed for universal application across countries and languages

Question 5

munchausen syndrome

Answer 5

psychologicaldisorder where someone pretends to be ill ordeliberately produces symptoms of illness inthemselves. their main intention is to assumethe “sick role” so that people care forthemandthey are the centre of attention.

Question 6

malingering

Answer 6

when people deliberately make themself unwell or pretend to be to avoid doing something

Question 7

what’s the example study called

Answer 7

safer et al

Question 8

aim of safers study

Answer 8

investigated the reasons for delaying seeking medical care

Question 9

what are the three stages for people delaying seeking medical care

Answer 9

appraisal delay
illness delay
utilisation delay

Question 10

procedure of safers study

Answer 10

patients asked about when they first noticed the symptom, when they decided they were ill and when they decided to seek medical help

Question 11

results of safers study

Answer 11

mean total delay was 14 days

Question 12

evaluation of safers study

Answer 12

ethics: asking people personal questions about illness without consent
methodology: consistent reliable method but self reports could be unreliable?
sample: mixed sample gender/race but small (93)
application: helps to find factors to help people seek treatment

Question 13

main features for diagnosis of munchausen

Answer 13

pathological lying
peregrination
recurrent stimulated illness

Question 14

what was girl in aleem and ajarams case study initially reffered to hospital for

Answer 14

22 years old possible case of immune definciency

Question 15

what problems and symptoms did girl in aleem and ajarams study previously have

Answer 15

amenorrhea at 17 (failed to menstruate)
scars over abdominal wall
bacterial cultures found in her sample in hospital, then offered psychiatric help

Question 16

what happened after girl in aleem and ajrams study was referred to a psychiatrist

Answer 16

she seemed stressed and one day when she was absent a syringe with faecal matter was found in her bed
once confronted she was angry left hospital and never came back to that one

Question 17

evaluation of aleem and ajrams case study

Answer 17

sample : case study only has 1 person
cross cultural study shows these problems exist in saudi arabia not just western european countries
ethical issues: nurses searched the bed and were i formed by another patient so didn’t follow up