Flashcards in 9 Key Challenges to Medicine Deck (10):
Q: What are the 2 achievements of NHS Healthcare so far?
A: 1) Longevity (people are living longer BUT this also creates challenges)
2) Access to health services
Q: Describe longevity as an achievement by NHS healthcare. Life expectancy. Health LE. Inequalities. Change in LE. Child mortality.
A: Life expectancy for F=84 M=80. Majority of people living healthier lives
Health life expectancy= people living lives without disease/disability
There are still health inequalities according to geographical location.
N.B. huge change in life expectancy in Syria and Iraq due to wars
Progress in child mortality rates across globe
Q: Name 10 challenges to medicine.
A: 1) The Evidence
2) Unhealthy behaviours
3) Burden of disease
4) Ageing population
5) Shortage of HRH
6) Organisation of Health Services (Health System Development)
7) Quality, Safety, Effectiveness
8) Information, Technology, People, Power
9) Health Leadership
10) Medical Advances- Use and Misuse
Q: How is evidence a challenge to medicine? (4)
A: It is said that half of scientific literature might be “simply untrue”
Can we trust research findings?
Can we rely on current systems of evidence?
Therefore, clinicians must try to look at the best evidence, for the sake of the patient
Q: How is unhealthy behaviour a challenge to medicine? Smoking. Obesity. Cost.
A: Inequalities in smoking prevalence due to different exposures in different ethnic groups
Those who smoke/drink/eat unhealthy food are 4 times more likely to die in the next 10 years or prematurely compared to someone who doesn’t
Childhood obesity- the less prosperity, the more obese
These unhealthy behaviours mean the NHS is losing a lot of money (billions spent as a result of smoking, obesity, alcohol and sedentary lifestyles)
Q: Name 2 illnesses that are a burden of on the health care system?
A: Coronary heart disease
Q: How is an ageing population a challenge to medicine? (3 + stat)
A: Increasing life expectancy
People living longer means these older people in the population need more resources
Many are living with non-communicable/chronic diseases or disabilities (some have more than one of these)
Sickest 3% of UK account for about 45% of hospital costs
Q: How is shortage of HRH a challenge to medicine? (4)
A: Not enough doctors
Junior doctor contract disputes which mean many graduates may not stay in UK and work for the NHS
US have more supply than demand- may attract doctors from UK
Health Care Professionals suffering because they do not have enough support (lack manpower)
Q: How is organisation of health services a challenge to medicine? (3)
A: Most countries have weak public health, hospital based(curative) and no/weak primary care.
Universal Health coverage
Moving into arena of comprehensive Proactive Primary Care (not waiting for people to see you- you go and see them)