Health Models

Question 1

What is a consultation model?

Answer 1

• The medical consultation is a two-way encounter between a doctor or a practitioner and a patient
• This may be initiated by a patient when they are ill or by a doctor when instituting preventive medicine or screening

Question 2

What is a consultation?

Answer 2

• hallmark of patient care
• interaction with a patient
• professional Communication: verbal and nonverbal
• needs specific skills

Question 3

Consultation model helps?

Answer 3

1. To structure the encounter
2. To avoid to get lost during the process
3. To manage well the consultation in time and space
4. To reach easily to a diagnosis
5. To reach an agreement in terms of management plan
6. To bring in surface the concerns the patient may have and the
7. Hidden agenda.

Question 4

Key structures of health belief model?

Answer 4

1. Reason for coming
2. Ideas
3. Concerns
4. Expectations
   - Patient centeredness

Question 5

Key structures of motivational interviewing?

Answer 5

1. Facilitator to motivate change
2. Avoid suggestions
3. 5As approach
   - Focuses on changing behavior: lifestyle, prescribing, STIs, condom use, family planning, etc.

Question 6

Key features of 3 stages assessment?

Answer 6

Assessment & Plan :
1. Clinical:
2. Individual
3. Contextual
- Focuses on Holistic management of the patient aligning with Family medicine

Question 7

Key concepts of motivational interviewing?

Answer 7

OARS
O: Open-ended Questions
A: Affirmation
R: Reflective listening
S: Summarizing

Question 8

Skills required to do motivational interviewing?

Answer 8

1. Skills of asking,
2. Listening and
3. Informing (to draw out client’s ideas and solutions)

Question 9

The spirit of motivational interviewing?

Answer 9

1. Partnership (equal weight)
2. Acceptance (grasp client perspective)
3. Compassion (assist with empathy)
4. Evocation (what and how to change from patient’s perspective)

Question 10

5A’s of motivational interviewing?

Answer 10

Ask
Alert or Advise
Assess
Assist
Arrange

Question 11

5A’s is used in which behaviours?

Answer 11

1. Harmful alcohol
2. Smoking
3. Unhealthy diet
4. Physical inactivity
5. Poor adherence to drugs/drug-abuse
6. Addiction to internet, etc.