Canadian Health Care Flashcards
Identify insured health care services
Insured:
- hospital services
• in-and-out patient services
• nursing services
• laboratory, radiological, or other diagnostic procedures
• prescription medication
• medical surgical equipment and supplies
• accommodation and meals - physician services
• medically required services from medical practitioners - surgical-dental services
• services by a dentist in a hospital
Identify supplemental health care services
Services provided depending on province/territory
- prescription drugs - dental care - vision care - medical equipment - transportation services - long term residential care - home health care
Identify federal government responsibilities
- sets and administers national principles for the system
- directs delivery of services to certain groups
- regulates pharmaceuticals, food, medical devices
- supports health promotion and health research
- provides financial support for the provinces/territories
• cash and tax transfers through the Canada Health Transfer
Identify provincial/territorial government responsibilities
- manages, organizes, and delivers health care services
- negotiates fee schedules for health professionals
- manages some aspects of prescription care
- regulates health professionals
- plans, finances, and evaluates hospital, physician and public health services
Key issues facing Canada’s health care system
- government does not fund for certain procedures
- seniors are not well cared for
- overpaying for medication/care
- federal parties will not make the commitment
Pros for Canada’s health care system
- choices of primary/secondary are provider
- all residents have basic health care coverage
- coverage in province and across Canada
- no point of service charge for insured services
- providers are reasonably compensated
Cons for Canada’s health care system
- broad spectrum of services not provided
- poor care transitions and integration
- out of pocket costs could be prohibitive
- long wait times
- lacking in research and development
Approaches to medicine
- biomedical model
- biopsychosocial model
- patient-centered model
- wellness model
- complimentary and alternative model
- integrative medicine
Biomedical model
Focuses on physical processes (infections/injuries), does not take into account a persons mind
Biopsychosocial model
- has to do with disease to the biological, psychological, and social issues
- draws attention to processes that cause disease, and patients perception of their health
Patient-centered model
- all components need to be seen as intertwined in healing and management; healing the body and person are not identical
- key elements: • integrated understanding of a whole person • find common ground with patient • prevention and wellness • build on the relationship • be realistic
Wellness model
- recognizes the importance of body, mind, connectedness, and spirit
- includes taking responsibility for personal health, creating a full balanced lifestyle and being the best person one can be
Complementary and alternative medicine
- non conventional therapies that focus on the whole person: physical, mental, emotional, spiritual
- methods of treatment used separately (alternatively) and often preventatively or in association (complimentary) with conventional medicine
Integrative (holistic) medicine
- aim of prevention and healing as basic foundation; involves a balanced, whole person-centered approach
Funding distribution of Canada’s health care system
- total health expenditure: 100%
- provincial government: 65%
- health care from public: 70%
- health care from private: 30%
- other public: 5%
- non consumption: 3%
- out of pocket: 15%
- private insurance: 12%
Explain the purpose of regulated health care providers
Regulate the activities of health care professionals