Ch 2. Health Care Delivery System Flashcards
Medicare
A key component of Canadian social safety net
Provides hospital and medical insurance
Funded by general taxation
Covers Permanent residents, new immigrants, and citizens of the country
Canada Health Act (1984
Public administration Comprehensiveness Universality Portability Accessibility
The Federal Government
- Sets and administers national principles
- Assists in financing of health care services through transfer payments
- Delivers health services for Indigenous people, veterans, federal inmates, and Royal Canadian Mounted Police
Provincial and Territorial Governments
- Develop and administer their own health care insurance plans
- Manage, finance, and plan insurable health care services and delivery, in alignment with CHA principles
- Determine organization and location of hospitals or long-term care facilities
Primary care
Focus is on personal health services
Primary health care
Includes primary care and health education, nutrition, maternal and child health care, family planning, immunizations, and control of locally endemic disease
Barriers to Primary Health Care
Individual-level barriers – ex lack of trust
Practice-level barriers -
System-level barriers - funding
Four Pillars of Primary Health Care
Teams
Access
Information
Healthy living
Levels of Health Care
Level 1: Health promotion Level 2: Disease and injury prevention Level 3: Diagnosis and treatment Level 4: Rehabilitation Level 5: Supportive care
Disease and Injury Prevention
Reduce risk factors for disease and injury
Prevention strategies Clinical actions --Immunizing Behavioural aspects --Support groups Environmental actions --Climate control activism
Diagnosis and treatment
- Recognizing and managing the existing health problems of individuals
- Primary care (first point of contact with health care system)
- Secondary care (provision of specialized medical service)
- Tertiary care (specialized technical care for complicated health problems)
Rehabilitation
- Improving the health and quality of life of those facing life-altering conditions
- Required after physical/mental illness, injury, or addiction
Services include
- Physiotherapy
- Occupational therapy
- Respiratory therapy
- Social services
Supportive Care
- For patients with chronic illness, progressive illness, or disability
- Long-term care and assisted-living facilities, adult day care centres, home care
- Also includes respite care and palliative care