Social exclusion and health Flashcards
3 core principles of the NHS?
Meets the needs of everyone
Based on clinical need, not on ability to pay
Free
What are health inequalities?
Preventable, unfair and unjust differences in health status between groups, populations or individuals that arise from the unequal distribution of social, environmental and economic conditions.
What is the inverse care law?
The inverse care law is the principle that the availability of good medical or social care tends to vary inversely with the need of the population served.
What are some vulnerable groups of patients in the NHS?
Homeless Gypsies and Travellers Asylum Seekers LGBTQ Those with learning disabilities Those with mental health problems Ex prisoners and care leavers
What are some causes of homelessness?
Eviction by landlord (main reason) Relationship Breakdown Domestic abuse Disputes with parents Poverty Housing supply and affordability Unemployment or insecure employment
Health problems faced by homeless adults?
Severe mental illness Addictions/Substance misuse Infectious disease i.e TB/Hepatitis Injuries following violence, rape Sexual health, smears, contraception Poor condition of feet and teeth Poor nutrition
What are some barriers to healthcare faced by the homeless??
1) Difficulties with access to health care –> due to opening times, perceived or actual discrimination
2) Lack of integration between mainstream primary care services and other agencies
3) Health is not their priority
4) Homeless do not know where to seek health
5) Reluctance of GPs to register Gypsies and travellers
6) Poor literacy
7) Communication difficulties
8) Frequent movement/transient sites
9) Mistrust of professionals
What are some services offered by Sheffield for the homeless?
Homelessness Assessment and Support Service (HASS)
Traveller’s team Sheffield –> specialist health visitor with mobile clinics and liaise with GPs, hospitals
Health problems faced by LGBTQ?
Depression Suicide and self harm Drugs and addiction problems Sexually transmitted infections Social isolation Homelessness Workplace discrimination Relationship problems Victims of crime and violence
Barriers to accessing healthcare by LGBTQ?
Stigma/prejudice
Discomfort/fear of disclosing LGBTQ status due to real or perceived Homophobia
Previous negative experiences
