Session 9 - Patient evaluation of healthcare and doctor patient relationships

Question 1

What does Health Watch do?

Answer 1

• Influences how services are set up and commissioned
• Influence the way services are designed
• Provide info to the care quality commission

Question 2

What does the patient advice liaison services (PALS) do?

Answer 2

Patient advice
Answers health related questions
Advice on complaints procedure

Question 3

What is the parliamentary and health service ombudsman?

Answer 3

• undertakes independent investigations into complaints NHS England has not acted in properly or fairly

Question 4

What are the main problems with the complaint system?

Answer 4

• people still lack info on complaining
• System is complex and confusing
• Many need support when making a complaint
• Lack of confidence that change will occur as a result of a complaint

Question 5

What are something’s people like to complaint about?

Answer 5

poor communication
competency
the food
Poor bedside manner
waiting times
culturally inappropriate care

Question 6

Why are quantitative methods of making complaints beneficial?

Answer 6

Does not require staff training
Cheap and easy
Anonymity more easily guaranteed
Great for measuring stuff

Question 7

What are some criticisms of patient complaints?

Answer 7

• Some patient views are not rational or reasonable

- How many resources can be diverted to satisfying issues that arise in complaints?

Question 8

What are the three sociological approaches to the relationships between patients and their doctor?

Answer 8

1. Functionalist approach
2. Conflict approach
3. Interpretive/ interactionist approach

Question 9

Describe the functionalist approach

Answer 9

A harmonious relationship exists between the doctor and patient
Trust is based in abstract codes of conduct
The doctor has the role of being a do gooder and should have the privilege to gain access to personal stuff
The patient should want to get better and has dependance on the HCP

Question 10

Describe the conflict approach

Answer 10

A conflict exists between the patient and doctor.
The doctor is in a position of technical and bureaucratic power and the patient has no choice by to listen and be at the mercy of the doctor.
Lay beliefs are marginalised and discredited

Question 11

What is meant by the medicalisation of things?

Answer 11

The medical profession has medicalised things into becoming pathologies that are a normal aspects of life. This has lead to dependance on healthcare and loss of independence

Question 12

What are some of the criticisms to the conflict approach?

Answer 12

Patients can exert control over their own health by self medicating and ignoring the doctors advice
Patients can medicalise things too
Is it completely accurate?

Question 13

What is the aspirational model?

Answer 13

The aspiration that patient-professional relationships could be less hierarchical and more co operative if patient views were taken more seriously

Question 14

what are some some of the key aims of the aspirational model?

Answer 14

• shared decision making (concordance)
• working together in formation of care plan
• sharing information
• treat and decisions are made when in agreement

Question 15

In a consultation what can a patient offer?

Answer 15

ICE
Complex judgements
Trade of issues of survival at cost of QoL
Personal opinion of the cost/ benefit a treatment may have in their lives

Question 16

What are the challenges of concordance?

Answer 16

• Some patients like being told what to do
• In a 10 minute consultation is there really time to address everything?
• Who does the final responsibly rest with if a decision goes wrong…the doctor or the patient?
• Unknown consequences of patient involvement

Question 17

Why is patient evaluation important?

Answer 17

• Move towards patient centred care
• involves the public in healthcare
• What are the failing of healthcare and what can be done about it
• Helps inform patients of what hospitals to go to
• Encourages providers to be more responsible