Use of Health Services Flashcards

1
Q

Why is seeking health care important?

A

Treatment success

Degree of procedure used

Survival

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2
Q

What happens to woman to delay seeking help with breast cancer?

A

Increased mortality

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3
Q

What factors affect utilisation of health services?

A

Differences in symptom perception

Influence of prior experience

Individual health beliefs and ideas held

Cost-benefit evaluation of seeking medical attention

Social and emotional factors

Quality of relationship with doctor

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4
Q

What factors affect symptom perception?

A

Features of symptoms

Variation

Competing environmental stimuli

Psychosocial influences

Socio-cultural differences

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5
Q

What are the different features of symptoms?

A

Intensity/severity

Familiarity

Duration and frequency

Difficulty in perceiving symptoms

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6
Q

What are the different individual variations in regards to symptom perception?

A

How quickly a physical experience is noticed

Number/intensity of sensations experienced

Amount of attention paid to internal states

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7
Q

Describe competing environmental stimuli?

A

Extent of attention paid to internal stimuli at any given time influence by nature of environment stimuli present

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8
Q

What are some psychosocial influences?

A

Cognition

Mass psychogenic illness

Combined roles of cognitive social and emotional forces

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9
Q

How does socio-cultural differences effect symptom perception?

A

Differences in awareness of, attention to symptoms

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10
Q

What is an individual’s response to a symptoms dependent on?

A

Their prior experiences

Individual’s experienced based knowledge

“Lay referral”

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11
Q

What is lay referral?

A

E.g Gill had a rash you should get it checked out

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12
Q

What are health beliefs and ideas?

A

The development of ideas and expectations about a disease and using this information to construct a common sense model for different illnesses

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13
Q

What can common sense models be used for?

A

Acquire meaning

Predict outcomes

Control changing behaviour

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14
Q

What is the Health Belief Model?

A

Model where symptoms initiate a decision-making process about seeking medical care

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15
Q

What was the HBM designed with?

A

Perceive susceptibility

Perceived severity of the illness

Cost of carrying out the behaviour

Benefit of the behaviour

Cues to action

Self-efficacy

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16
Q

What is perceived threat of a disease influenced by according the HBM?

A

Cues to action

Perceived susceptibility

Age, sex, ethnicity, personality etc

17
Q

Which patients would delay seeking medical care?

A

Symptom aware but belief that cancer cannot be treated effectively or cured

18
Q

E.g of cues to action?

A

Posters

Leaflets

Campaigns

19
Q

What are some social factors influencing use of health services?

A

Sex-role stereotypes

Environmental factors and access

Family income

Sanctioning- social trigger

20
Q

What are some emotional factors that influence the use of health services?

A

Emotional reactions to symptoms

Anxiety and fear

Fear of serious diagnosis

Expectation/fear of pain in investigation

Embarrassment

Belief in treatment

Sense of control over events

21
Q

What effects the quality of relationship with the Doctor?

A

Negative previous experiences

Beliefs and attitudes of health professional

Trust

Confidentiality

Discrimination

Communication skills

22
Q

Who would use the health service?

A

Age- infants and very young children, elderly

Gender- woman vs men

Chronic regular user- asthma

Acute irregular user- broken arm from holiday

23
Q

What are the three stages to treatment delay?

A

Appraisal delay

Illness delay

Utilisation delay

24
Q

What is appraisal delay?

A

The time a person takes to interpret a symptoms

25
Q

What is illness delay?

A

Do I need to seek medical care

26
Q

What is utilisation delay?

A

How to get medical care. transport etc