Public Health / PPD Flashcards
Define Need by nice
The ability to benefit from an intervention
State an intervention that is supplied, but not needed or demanded
Routine caesarean section for women who have previously had a c-section
State an intervention that is demanded, supplied but not needed
Sex of unborn child at 20 weeks
Abx for sore throats
State an intervention that is supplied and needed but not demanded
health promotion
some screening
mmr for some parents
State and intervention that is needed, demanded and supplied
the nhs
State and intervention that is needed, but not supplied or demanded
Treatment of child abusers / some palliative care services / some contraception
Define epidemiological needs assessment
A top-down view of heath and health needs, the most common. Based on biomedical evidence,
Limitation of epidemiological approach to health needs assessment
- data may not be available
- doesn’t include patients’ views.
- may miss important health issues
Define comparative approach to HNA
Contrasts the needs and supplies received by one population with those needed and received by others
(spatial or social)
Limitation of comparative approach
Variables in the population, data may not be available, or of variable quality
Define corporate approach to HNA
Bringing in lots of peoples opinions on health: commissioners, providers, patients, politicians etc.
Limitation of corporate approach to HNA?
People may have vested interest, dominant parties may have undue influence
Balancing the views
hard to distinguish need from demand
How long does a DoL last for?
Up to 1 year
What does a DoL ensure?
That people who are unable to consent to their care arrangements in a care home or hospital are protected if those arrangements deprive them of their liberty
What 3 things are needed for a DoL safeguard?
- To provide the person with a representative
- To give the person (or their representative) the right to challenge a DoL in the court of protection
- To provide a mechanism for a DoL to be reviewed and monitored regularly