Sociology Flashcards

1
Q

What is a health related behaviour?

A

Anything that promotes good health or leads to illness

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2
Q

What are examples of health related behaviours?

A

Smoking
Drinking
Exercise
Safe sex

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3
Q

What are some learning theories to help understand health related behaviour?

A

Classical conditioning
Operant conditioning
Social learning theory

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4
Q

What’s classical conditioning based on

A

Association of response with stimulus

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5
Q

What’s operant conditioning

A

The association of an action with a positive or negative rewards system

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6
Q

What’s social learning theory based on?

A

Observe and model behaviour models.

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7
Q

In social leaning theory when are behaviours likely to be performed

A

When they are valued and the person has self efficacy for them

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8
Q

What are some social cognition models associated with health related behaviour?

A

Cognitive dissonance theory
Health belief model
Theory of planned behaviour

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9
Q

What is cognitive dissonance theory?

A

Discomfort when actions or events don’t match belief

Change belief and therefore change behaviour

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10
Q

What does the health belief model state?

A

Beliefs about the threat of the health issue are put against beliefs about the health related behaviour, resulting in an action

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11
Q

What does the theory of planned behaviour state?

A

Our attitude towards the behaviour vs the subjective norm of the behaviour vs the perceived control we have over the choice leads to an intention to behave in a certain way

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12
Q

What are the 5 stages of change in the trantheroretical behavioural model

A
Preparation 
Action
Maintainance
Relapse
Precontemplation
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13
Q

What are some determinants of health?

A
Physical environment
Social 
Economic 
Genetics
Behaviour
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14
Q

What does the declaration of alma ata state?

A

Health is a fundamental right, inequalities are unacceptable.

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15
Q

What is health promotion?

A

Process of enabling people to have more control over there health

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16
Q

Acronym for health promotion principles?

What that stands for?

A
Every.           Empowering
Person.         Participatory 
Has.              Holistic
Inherited.      Intersectoral
Equal.           Equitable 
Shares in.    Sustainable
Movement.   Multi-strategy
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17
Q

What is public health and health promotion

A

Public health the end goal

Health promotion is the process of attaining it

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18
Q

What are some types of health promotion?

A
Medical/prevantitive
Behavioural change
Education 
Empowerment 
Social change
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19
Q

What is primary, secondary and tertiary health promotion?

A

Primary- stop exposure
Secondary- detect and treat early
Tertiary- reduce effects of established disease

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20
Q

What are some examples of dilemmas caused by health promotion?

A
  1. Nanny state
  2. Victim blaming
  3. Reinforces negative stereotypes
  4. Fallacy of empowerment
  5. Unequal distribution of responsibility
  6. Prevention paradox- input not reaching right people
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21
Q

What are some types of evaluation or health promotion?

A

Process eval
Impact eval
Outcome eval

22
Q

What are the two forms of rationing in resource allocation

A

Explicit and implicit

23
Q

What’s explicit rationing in regards to resource allocation

A

Based on defined rules of entitlement (NICE)

24
Q

What’s implicit rationing in regards to resource allocation

A

Allocation of resources through individual clincal decisions without criteria

25
What can implicit rationing lead to in resource allocation?
Inequalities, service abuse
26
What are some downsides to explicit rationing in resource allocation
Creates patient professional hosilitiy | Impacts on clincal freedom
27
What takes precedence a local policy or NICE guidelines
NICE
28
In healthcare economics what is; Scarcity Equity Utility
Scarcity- needs outstripping resources Equity- fair distribution Utility- value an individual places on a health state
29
What is oppurtunity cost in healthcare economics?
Cost of something when compared to where the money could have gone
30
What is technical efficiency?
The most effective way to meet a need
31
What is allocative efficiency?
Choosing between the many needs to be met
32
In healthcare economics how can benefit be measured?
Impact on health status Saving in other healthcare resources Improved productivity of patient/ family returning to work
33
How can cost be compared to benefit?
Cost minimisation analysis Cost effectiveness analysis Cost benefit analysis Cost utility analysis
34
What is cost minimisation analysis?
Purely looking at cost and not outcome. Eg which hip prosthesis is cheaper
35
What's cost effectiveness analysis?
Cost per unit outcome | Eg cost per reduction in bp by 5 mm/Hg
36
What is cost benefit analysis
Putting monetary values on non monetary benefits eg lives saved
37
What is cost utility analysis
Comparing cost to the quality of health outcomes, namely QALY
38
What is QALY
A year of perfect health is 1 QALY | Measured by Hr QOL instrument like Eq5d
39
What cost do NICE normally approve treatment? | When is its approvement contentious?
20k or below per QALY | 20-30K per QALY it gets contested
40
Why are systematic reviews beneficial in evidence based practice?
Lit reviews may be bias, helps address clinical uncertainty, saves time
41
What are some critiques of evidence based practice?
RCT not always feasible Outcomes often biomedical Doesn't allign with modes of reasoning Unreflective rule follower culture
42
What is substance misuse?
Harmful or hazardous use of psychoactive substances including alcohol and illicit drugs
43
What are some examples of stimulants
Tobacco, cocaine, amphetamine
44
What are some examples of hallucinogenic substances
LSD | Ecstasy (also stim)
45
What are some depressant substances
Alcohol Cannabis Heroin
46
What's involved in the medical model of threatening substance misuse?
Detox regimes | Substitute prescription
47
What's involved in the disease model of substance misuse?
Step facilitation eg AA
48
What's involved in the behavioural model of substance misuse
CBT | Motivational model
49
If a patient doesnt want to change in regards to substance misuse, what is done instead?
Harm reduction | Eg vit B for alcoholics, needle exchanges, sexual health screens
50
What are some substances prescribed to help detox from substance misuse
Acamprosate- anti craving | Disulfiram- alcohol deterant
51
If a patient does want to stop substance misuse, what can be prescribed to help?
Benzodiazepines for alcohol | Methadone for opiates