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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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Presentation Transcript
hadpop week 7 randomised controlled trials
HaDPop Week 7 Randomised Controlled Trials
  • Ethical dilemma
  • Clinical equipoise
  • Informed consent
ethical dilemma
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
  • 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
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
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.