week 5 - accessing healthcare services Flashcards

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1
Q

what are the two predominant ways in which majority of AUS access healthcare?

A
  • hospitals 40.4%

- primary health care - 38.2%

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2
Q

In terms of demographic - who accesses healthcare systems the most?

A
  • Young children and older people access healthcare systems the most
    • Young ppl more prone to accidents
    • Older group access more due to health-related issues with old age
  • Women more use HCS than men
    • Mostly due pregnant/childbirth
  • SES X GEOGRAPHY
    • When low SES urban areas use more HCS -> reflects poor status
    • When low SES rural/remote use LESS HCS
      • Due to lack accessibility
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3
Q

Why is primary healthcare so important?

A
  • Gateway to access more help
  • I.e. unlikely to be admitted to hospital withotu a general referral from GP
  • What happens in primary healthcare affects/matters with overall healthcare
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4
Q

what is another way that an increasing number of australians is accessig health care?

A

the internet.

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5
Q

do GPs respond in the same way towards clinents accessing the internet to seek medical advice? if not, what ways do they respond?

A
  • Some against and emphasise their over expertise
  • May actually recommend the internet to patients - i.e. health Australia etc,,
  • Help users to obtain and analyse information
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6
Q

what are lay referral networks?

A

informal networks on how people make sense of their medical condition - includes family, friends, colleagues

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7
Q

How is lay referral networks important/affect health care?

A
  • Informal networks through family/friends/colleges where one asks these people about the condition they have identified and getting tips from them
  • Individual gets confirmation about the symptoms they are worried about
  • Lay referral more stronger influence among minority groups (Low SES)
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8
Q

Out of all the users of complimentary and alternative medicine, who is more likely to use it?

A
  • Women
  • Younger population
  • More highly educated
  • High income housewholds
  • Private health insured
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9
Q

Do patients usually report their use of CAM to medical practitioners? Why and or why not?

A
  • 77% of patients do not report their use of CAM
  • Usually because the practitioner does not ask
  • Concerns of negative resposnses
  • Belief that practitioner do not need to know about their use of CAM
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10
Q

What does it mean by treatment delay?

A
  • Time elapses between when a person first notices a symptom and when medical care is commenced
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11
Q

what are the three types of treatment delays?

A
    1. Appraisal delay
    1. Illness delay - Moment between recognising your ill and deciding to seek medical treatment
    1. Utilisation delay - time taken between recognising the symptoms/illness and actually doing something about it
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12
Q

In terms of appraisal delay, in what situations are clients more likely to seek help and more likely to delay? what age group is more liley to seek help in this stage?

A
  • most of the delay occurs at this stage
  • more likely to seek help if pain/blood presnet
  • more likely to delay if someone reads about the symptoms online
  • older age groups more likely to seek help quicker
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13
Q

In terms of illness delay, when are clinents more likley to delay their recognition of illness?

A
  • more likely to delay detection of illness if
    1. re-occurring symptom and previously it wasn’t a problem
    2. low SSES
    3. fear about the result of the symptoms
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14
Q

In terms of utilisation delay, when are clinents more likely to delay seek medical help?

A
  • more likely to delay if
    1. worried about the cost
    2. not under any pain
    3. unsure about whether it can be cured or not
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15
Q

Why does a patient who is hospitalised experience their health symptom differently to a patient who is not hospitalised?

A
  • different environment
  • overwhelming when being in a hospital bed and surrounded by experts
  • loss of privacy
  • not much to do in hospitals -> therefore clients more likely to focus on their symptoms/illness more -> heightened anxiety and fear
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16
Q

Which two groups are in most risk of distress during hospitalisation?

A
  1. children

2. ABO/torres ppl

17
Q

What methods can be used to calm/reduce anxiety in hospitalised children?

A
  1. making the hospital enviornmetn as non-hospital like as possible and making it look like a fun environement
  2. putting them in a comfortable postiion
  3. only having one point of contact
  4. bringing in toys/familair things from hom e
18
Q

Why are hospitalised ABO and TORRES under more distress than non-ABO?

A
  • Hospitals viewed as unwelcoming
    • T.F presenting symptoms can be when symptoms are already at advanced stage
    • Higher rates discharge against medical advice
19
Q

look at figure on slide 24 - is direct path to health outcomes the MAIN game? why or why not?

A
  • direct path to health is NOT the main game
  • proximla outcomes that come from indirect pathway have more influence on the health outcome of the indivisual
  • Communication functions of information exchange between doctor and patient is good -> proximal outcomes of understanding and satisfaction -> intermediate outcomes of good medical decision making -> health outcomes of survival, cure/remission etc..
20
Q

what are the three styles of interaction between the practitioner and the clinet/user?

A

paternalistic: where majority of the input is from the practitioner and tends to make all the decisions
- clinent does get much input into the conversation
shared: both practitioner and clinent share their opinion and views towards an event
- decision based on both practitioner and clinet
informed: where information is one flow from prac -> user but in the end the user/user family/friends ends up making the final decisions

21
Q

what is the most predominant model in AUS? Is this accepted by everyone?

A

shared view is the most predominant

  • majority AUS accpet it but some groups do not
  • older age grops and groups from different cultural backgrounds where paternalistic view is more prevalent
22
Q

Do the majority of patients understand/know where the location of their problem is in their body? If not, why might this be a problem for the practitioner and

A
  • studies show average person on the street dont have an idea of where organs related to common diseases are located in the body
  • even patients with the ilness/disease do not know where the organ is located within the body
  • if practitioner thinks it is important for the indivisual to understand where the body part is - this is a problem
23
Q

what are some negative outcomes of poor health literacy of the patient?

A
  • patients with poor health literacy find it hard to communicate with the practitioner
  • report worse health status
  • more likely to be hospitalised
  • dont undertad their treatment and condition
24
Q

give some examples of the 6 steps in enhancing health literacy on slide 32

A
  1. using user friendly grammar - dont use tricky medical terms
  2. assess the users health literacy and cater the way you communicate to their level
  3. use teach me or show me approach to confirm the patients understanding
  4. limit the amount of information given within one consumltations and repeat instructions
25
Q

what is an effective way of communicating risk to a patient?

A
  • express their level of risk in numerical terms
    e. g. risk of developing X is reduced by 45% if treated in a particular way
  • also then explain what this % reduction actually means - is it good? is it bad? w
26
Q

what is the SPIKES protocol? what is the aim in using this protocol?

A

to avoid any misunderstanding when breaking bad news to patients

  • S = setting up the interview
    • Do not run the risk of bumping into the patient in hallway of hospital and breaking the bad news
  • P = assess patients PERSPECTIVE
    • Useful to get the patients perspective on the situation BEFORE telling them the news
  • I = obtain the user/patients INVITATION
    • Wait until you know the person is ready or accepting to hear the information you are about to give them
  • K = give KNOWLEDGE and info to user of the bad news
  • E = address emotions with empathy - make sure the emotion does not stay hidden and is actually addressed and talked about
  • S = STRATEGY - bad news HAS to lead into some plan of action
27
Q

what is compliance? AKA adherance

A
  • the extent to which the patient does what the practitioner has recommended them doing in terms of treating their illness/symptoms
28
Q

what are some types of non-compliance?

A
  1. taking too much medication
  2. not taking enough medication
  3. taking it at incorrect intervals
  4. not taking medication for long enough taking additional non prescribed medication
29
Q

In Austtralia what is the average % in adherence to treatment?

A

75.2%

30
Q

How is complimentary and alternative medicine relevant to health care? i.e. what % of people used CAM treatments? What % of people visit CAM practitioner?

A
  • Study showed approx 70% used complimentary and alternative medicine
  • 44.1% visited CAM practitioner