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E4 Health And Disease In Society > Session 9 > Flashcards

Flashcards in Session 9 Deck (12):

Explain the options for accessing patients' views on healthcare, including qualitative and quantitative approaches

Indirectly - patient complaints, Ombudsman reports
Directly - qualitative/quantitative methods


Offer a critical perspective on the concept of 'patient satisfaction'

Patient views not reasonable or rational
Dodgy professionals


List some ways patients can give feedback

NHS friends and family test
Rating on NHS choices website
Other non NHS websites and forums


Describe different sociological approaches to understanding the patient-professional relationship

1. Functionalism - consensus, reciprocity
2. Conflict theory - conflict
3. Interpretism/interactionism - meanings that people ascribe to social situations
4. Patient centred/partnership - partnership


Distinguish between explanatory approaches and aspirational models of the patient-professional relationship

Explanatory approaches:
1. Functionalism - asymmetrical relationship, many taboos broken, sick person is helpless (sick role), doctor tends to sickness in society
2. Conflict theory - medical dominance --> suppressed conflict of patient
3. Interpretism/interactionism - patterns, how does order emerge through interaction?
Aspirational model:
4. Patient centred/partnership - less hierarchical, more cooperative, egalitarian relationship (patient and professional are equal), shared decision making


Explain the term 'complementary therapy'

Traditional medicine + alternative medicine used together


List some examples of complementary therapy

Indian head massage


Suggest reasons for the increased interest in complementary therapies

Persistent symptoms not relieved by conventional treatment
Real/perceived adverse effects - unpleasant side effects, drug reactions
Preference for a holistic approach to problem - treated as a whole person
Receive more time and attention - paid for


Describe common concerns held by patients and HCPs about complementary therapies

Patients - safety and competence, guilt (time and money), denial, cost, social factors (afford therapy?)
HCPs - unqualified/unregulated practitioners, missed/delayed diagnosis, refuse conventional treatment, waste money on ineffective treatment, mechanism so implausible that is cannot work


Describe what implications patients' use of complementary therapies may have for medical practice

More fragmented care (more people involved)
Lack of communication - not in touch with primary/secondary care


Explain NICEs perspective on complementary medicine and the challenges in conducting trials

NICE - recommended in a limited number of circumstances, evidence base must be transparent, accountable, meet same standards as traditional medicine
Challenges - resources (who will fund?), patients agreement to randomisation, finding placebo/shams is challenging, difficult to make double blinded


Describe the policy background to the growth of interest in patients' views of health services

NHS Plan (2000) - patient prospectus published, annual account of patients' views and actions taken
NHS Act (2006) - involve and consult patients and public