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GP > Public Health > Flashcards

Public Health Flashcards

1
Q

What are aims of public health

A

Prevent disease
Promote health
Prolong life
Health surveillance

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2
Q

What does public health look at

A

Population orientated

Physical, psychological and social well being

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3
Q

What are wider social determinants

A

Education
Housing
Employment
Lifestyle

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4
Q

What underpins

A

Epidemiology

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5
Q

What is healthcare services

A

Ensuring quality of provision and access of healthcare

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6
Q

What does it involve and how

A

Assess effectiveness, efficiency and acceptability

Epidemiological approach.

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7
Q

What is health protection

A

Prevent transmission of infectious disease
Ensure safety of general environment
Deal with outbreaks

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8
Q

What is health promotion

A

Enable people to increase control
Health education
Reduce social inequality
Wider NHS - local government / private sector

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9
Q

3 aims of public health

A

Healthcare services
Health protection
Health promotion

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10
Q

How is NHS made up / control

A

Government
14 territorial board - give data to ISD
Special boards
Public Health Scotland

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11
Q

What are special boards

A 
Drive national policies given to all health board
e.g. 
Health protection Scotland 
Healthcare improvement Scotland 
NES
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12
Q

What is epidemiological healthcare needs assessment

A

Decide how to organise and run NHS to improve health of population

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13
Q

What is inverse care law

A

Those in greater need are less likely to receive

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14
Q

What is need, demand and supply

A

Need - ability to benefit
Demand - services people use
Supply - what is provided

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15
Q

What is key elements

A

Incidence and prevalence
Effectiveness - RCT and other studies
Current service provision to know what needs to be changed

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16
Q

What is health economics

A

Decide which healthcare services to provide based on financial services available

17
Q

What is economic efficiency

A

Maximisation from fixed resources

18
Q

What are QALY

A

Quality Adjusted Life Years

  • How Rx improves quantity and quality of life
  • Rate between 0-1
19
Q

What can you then do

A

Cost per QALY

20
Q

What are considered acceptable for money

A

If cost per QALY under 20-30 grand

21
Q

How else can you assess

A

Comparative - contrast services

Corporate - based on partnerships / collaboration and listening to views of patient and local people

22
Q

What is issue with healthcare needs assessment

A

Inadequate info on incidence / prevalence
Inadequate info on effectiveness
Complex patient pathway through NHS
No agreement on threshold for intervention
Political / medial pressure
Broader community issues impact on health

23
Q

How do we collect health information

A

Population census data
Birth and deaths (vital events)
Morbidity

24
Q

Why is it important to get

A

Plan health services and other public services

25
Q

Wha data is recorded every 10 years

A 
Sex and DOB
Marital status
Family size
Country of birth 
Employment 
Housing details - post code for deprivation
Car ownership
26
Q

What are issues

A

Under coverage of children / homeless
Accuracy
Population changes

27
Q

What is Carstairs deprivation

A

Uses

  • 1+ person in a room
  • No car
  • Male unemployment
  • Low social class

Lower score = more affluent

28
Q

What is Scottish Index of Multiple Deprivation

A

Data from a wider range of sources
Used to target policies to greatest need
Divide Scotland into data zone

Lower score = more deprived

29
Q

What domains

A 
Health
Geographic access to services
Employment and income 
Housing and crime
Education, skills and training
30
Q

When are births recorded

A

Within 6 weeks

31
Q

How are deaths recorded

A

Qualified informant, doctor and local registry involved

Info should be accurate but age, occupation or specific cause can be inaccurate

32
Q

What type of morbidity data is there

A 
Notfiable disease
Hospital activity data
Disease registers
Specific survey 
Primary care data
33
Q

What are notifiable disease

A

Report to health protection team in NHS board

34
Q

What is hospital activity data

A

All discharges and care received

35
Q

What are disease registers

A

Specific diseases e.g. cancer

Can monitor change in incidence and survival

36
Q

What does primary care data look at

A

GP consultation
Prescribing
Practice size
Quality and Outcomes Framework

37
Q

What is a CHI

A

Register with all Scottish residents registered with a GP

GP (4 decks)

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