Why do people consult? Flashcards
1
Q
Explain the role of the lay referral system
A
network of people in the community, who give informal, medical advice
2
Q
Explain what is meant by the clinical iceberg
A
Tip = symptoms that the doctor sees Iceburg = all the symptoms out there
3
Q
List and explain the 3 healthcare systems described by Kleinman (1985)
A
Popular sector = lay people, symptoms first experienced in the community,
Professional sector = doctors and healthcare professionals
Folk sector = CAM, old wives tales
4
Q
Describe how consulting behaviour may differ by age, ethnicity, gender, social class, employment status
A
age = top and bottom ends ethnicity = not much research gender = females > males social class = balance between health awareness in upper class and free prescriptions in bottom class employment status =
5
Q
List and explain 10 variables known to influence illness behaviour according to Mechanic (1978)
A
- visibility, recognisability of signs and symptoms
- perceived as serious?
- disrupt family, work, other social activities
- frequency of symptoms/signs
- tolerance threshold
- available information, cultural assumptions and understandings
- basic needs that lead to denial
- needs competing with illness responses
- competing possible interpretation that can be assigned to the symptoms
- availability of treatment resources, physical proximity, costs
6
Q
List and explain 5 triggers to consultation according to Zola.
A
- perceived interference with vocational/physical activity
- perceived inference with social or personal relations
- the occurrence of an interpersonal crisis
- a kind of temporising of symptomatology
- sanctioning
7
Q
Describe the ‘sick role’ according to Parson’s
A
- must want to get well
- should seek medical advice and cooperate
- allow/be expected to shed some normal activities/responsibilities
- regarded as being in need of care and unable to get better by his or her own decisions and will
