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HiC & Hadpop ESA Style Questions. HiC Week 1 – Patient Perspectives and Choices. HiC Week 1 Week 1 – Patient Perspectives and Choices. HiC Week 2 – Experiencing Health and Illness. HiC Week 2 – Experiencing Health and Illness. HiC Week 2 – Experiencing Health and Illness.
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HaDPop Week 7 Randomised Controlled Trials • Ethical dilemma • Clinical equipoise • Informed consent
Ethical dilemma • Clinician should provide best patient for each individual patient • Scientific integrity requires treatment chosen randomly • Can these requirements be reconciled?
Clinical Equipoise • Clinical equipoise: reasonable uncertainty about which treatment (including • non-treatment) is better • Randomisation does not deny any patient the best treatment “The only qualification is ignorance”
Informed Consent • It should be explained • – that the patient is invited to be in a trial • – what the alternative treatments are • (including known side effects) • – that treatment will be allocated at random • – that patients may withdraw at any time • Information should be given • – verbally and in writing with ‘cooling off’ time • – by a knowledgeable informant
20 Marks of Hic & Hadpop – Other topics worth looking at.. • HiC – Medical vs Social Model of Health • HiC – Inequality vs Inequity • HiC – Triggers for Seeking Help • HiC – Patterns of behaviour such as smoking, suicide and association with gender/SES • HiC – Behavioural/Neomaterialist/Psychosocial explanations for patterns of health • HaDPop – Definitions Incidence, Prevalence etc... • HaDPop – Sources of Health Data – QoF, Census etc • HaDPop – As Treated vs Intention To Treat • HaDPop – SMR, IRR & the 6 points of presenting information (SMR, CI, Significance etc...) • HaDPoP – Know features of cohort, RCT, other studies, pro’s and con’s.