Chapter 1 Study Guide

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Health Studies
Caroline Barakat

Chapter One Evaluating health services: multidisciplinary collaboration - Research is the systematic and rigorous process of enquiry which aims to describe phenomena and to develop and test explanatory concepts and theories. - Research methods should not be seen in isolation from one another; it is recommended to use a triangulated or combined methodological approach to address different facets of a research issue. - If research aims to find information on topic that little is known about, too complex, sensitive for the development of standardized tools, then qualitative measurements should be used. - For research that aims to find cause-and-effect issues, then the experimental design is required. - Qualitative research findings can enhance quantitative data by placing it into real social contexts. - The true experimental design: randomised controlled trial (RCT), but not always ideal. - Health research: defined in relation to health generally; emphasis on health services and informing the planning and operation of services aiming to achieve health. Ex: develop tools to prevent and cure illness and mitigate its effects, and devise better approaches to health care. - Health systems: the structures used to deliver health care, the geographical boundaries of the latter, or the strategies used to attain population health. - Health systems research: Improving the health of a community, by enhancing the efficiency and effectiveness of the health system as an integrated part of the overall process of socio-economic development. - In UK and US, the focus is more on health services research, rather than on health systems research. - Health services researchhealth technology assessment: It is the evaluation of health services in relation to their appropriateness, effectiveness and costs. This type of research is not insulated from the society within which it is placed, it is often responsive to current policy and political issues, and is thus dependent upon decisions taken by others in relation to research topics and research funding. Should transcend (acquiring knowledge) and the D (translating that knowledge into action) divide. Ex: The identification of the health care needs of communities and the study of the provision, effectiveness and use of health services. Health Services Research (6) - Concerned with the relationship between the provision, effectiveness, and efficient use of health services and the health needs of the population; it is narrower than heath research: - The relationship between the populationss need and demand for health services, and the supply, use and acceptability of health services; - The process and structures, including the quality and efficiency, of health services;
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