Session 9 - Patient Evaluations of Healthcare Flashcards
In what ways can feedback be given in the NHS?
Friends and family test
Service users can rate and comment on NHS services on the NHS choices website
Non-NHS websites and forums
What is HealthWatch?
Can enter and view services
Have a seat on the local health and wellbeing board
Produce reports which influence the way services are designed and delivered
Provide information, advice and support about local services
Pass information and recommendations to Healthwatch England and Care Quality Commission
What is PALS?
Patient-Advice and Liaison Service
Help with health related question
Help resolve concerns or problems when using NHS
How to get more involved in own healthcare
Give info about the NHS
Advise on complaints procedure
What is the parliamentary and health service ombudsman?
Undertakes independent investigations into complaints that the NHS in England has not acted properly or fairly or has provided a poor service. Has the ultimate, independent view of what has happened.
What is the functionalism approach to the doctor-patient relationship?
Interested in understanding how the relationship works as patients are vulnerable and doctors are powerful. Trust has to be base on abstract codes of conduct. Reels on people fulfilling sick and doctor roles. Medicine restores people to good health and by so restores social equilibrium.
What is the rights and duties of the ‘sick role’?
Given a legitimate reason to be freed of social responsibilities and obligations
The sick person is placed in a situation of dependance: status demands the attention of medical care
The sick person should want to get well and not abuse their legitimised exemption from normal responsibilities.
The sick person is expected to seek out the requisite technical help in the role of the physician and cooperate with them in the healing process.
What is the ‘Doctors role’?
Tending to sickness in society
Should use skills for the benefit of patients, act out of welfare of patients not their own self interests, be objective and non-discriminatory.
As a consequence doctors are granted intimate access to patients, autonomy, status and financial reward.
What are the criticisms of the functionalist approach?
What about patients with chronic illness, the sick role is not suited to them.
It assumes patients are incompetent and must have a passive role.
Assumes rationality and beneficence of medicine
Also doesn’t explain why things go wrong.
What is the conflict approach to the doctor-patient relationship?
Doctor holds bureaucratic power - is a gatekeeper to services. Doctors have a monopoly on defining health and illness which they can exploit. The patient has no choice to submit to the institutionalised dominance of the doctor.
Lay ideas are marginalised and discounted.
There has been a great deal more medicalisation. People become dependant on medicine, lose self reliance and become sick.
What are some of the criticisms of the conflict approach?
Patients are not always passive and can exert control through non-adherence or use of complementary therapies.
Patients may appear deferential in consultation but assert themselves outside of this.
Patients can seek to medicalise issues too
What is the interpretive/Interactionist approach to the doctor-patient relationship?
This focuses on the meanings that both parties give to the encounter.
Informal unwritten rules govern almost every aspect of social life, may be much more important than formal rules.
What is the Patient-centred approach to the doctor-patient relationship?
Aspiration that the patient-professional relationship should be less hierarchical and more cooperative if patient views were taken more seriously.
Emphasis on more egalitarian relationship.
