Health Management and Social Care — Integrated Health and Social Care Data-response Test

Candidate name

Date

Sample-paper basis

the full sample's extended source booklet, health/social-care concepts, intervention design and evaluation

Scope of this paper

A written public-examination diagnostic. Field learning and SBA remain separate.

Candidate instructions

Answer all questions.
Apply concepts to the household and district data.
Avoid diagnosing individuals from limited data; distinguish need, risk and evidence.

Case — Ageing at home

35 marks

Household profile

Mrs Chan, 78, has knee pain and diabetes and lives in a third-floor walk-up flat. She fell once last year but manages personal care slowly. Her daughter works irregular shifts, sleeps about five hours on workdays and has cancelled two clinic appointments to provide care. They value staying together and do not want institutional care assumed as the first option.

District profile
District indicator	Value
Residents aged 65+	24%
Older residents living alone	29%
Median wait for subsidised home care	11 months
Households within 10-minute walk of clinic	63%

1(a)

Use the biopsychosocial model to identify one need of Mrs Chan and one need of her daughter in each domain. Show how two domains interact.

[8 marks]

1(b)

The district proposes home visits only for people aged 80+. Evaluate age as the sole eligibility criterion and propose a fairer triage approach.

[7 marks]

1(c)

Design a six-month intervention integrating primary, secondary and tertiary prevention. Identify the responsible services and one outcome measure for each level.

[9 marks]

1(d)

The pilot reports a 30% fall in emergency visits among 60 volunteers. Explain four reasons this does not yet prove effectiveness and outline a stronger evaluation.

[7 marks]

1(e)

Explain how one structural social determinant and one community resource could affect whether the family benefits from the intervention.

[4 marks]

Every question and figure is original AceDSE work; official samples were used only to calibrate format, complexity and reasoning depth.
Marking guidance is hidden by default and prints only after you reveal it.

健康管理與社會關懷
Health Management and Social Care

Integrated Health and Social Care Data-response Test