patien-practitioner relationships- lecture 3

Question 1

whos most likely to use health care service

Answer 1

young children (0-5)- they have developing immune systems, prone to infections, require more check-ups
older adults (45+)- failing immune systems, prone to infection, age-related diseases

Question 2

sex differences in using health care services

Answer 2

females use it more frequently
women- pregnancy and childbirth, more in tune with bodily symptoms (better homeostatic mechanisms)
men- more likely to ignore symtpoms, percieved invincibility especially when young

Question 3

fctors affecting illness reporting

Answer 3

ATTENTION
- internal focus- socially isolated, more liekly to notice illness and report
- external focus- busy/active lives, focus on environment, less likely to notice and report illness
MOOD

Question 4

2 forms of misusers for HCS

Answer 4

delayers and overusers

Question 5

delay behaviour

Answer 5

appraisal delay- time taken deciding if ill
illness delay- time between recognising symptoms and deciding to seek treatment
utilisation delay- time between deciding and actually seeking treatment
appointment delay- time between turning up for app and being seen by practitioner

Question 6

overusing HCS

Answer 6

2 reasons-
1. think need medical attention but are wrong
2. dont need medical attention but serves other need:
- emotional needs- increased attention (MSBP)
- practical need- access to controlled medication, free from responsibility, financial gains

Question 7

factors that encourage us to visit practitioner

Answer 7

• persistance of symptoms- lasts longer than expected
• critical incident- sudden change in symptoms
• treatment expectations- decide GP can make a difference

Question 8

dr centred consultation

Answer 8

dr behaviour- asks direct closed questions, concerned only ith medical facts, dr makes decisions, instructs patient
patient is passive, asks few questions, takes dr advice

Question 9

patient centred consultation

Answer 9

dr behaviour- makes observations, seeks patients ideas, actively listens, decisions involve patient, joint decision making, patient is encouraged to ask question

Question 10

role of nonverbal factors in consultation success

Answer 10

• eye contact
• age
• uniform
• tone of voice
• gender
• situational factors

Question 11

factors that affect making a successful diagnosis

Answer 11

1. primacy effect
   - extra importance given to 1st piece of info heard by physician
2. patient knowledge- frequency of GP visits
3. self report- dr must rely on what patient says