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Canadian Health > Chapter 1 > Flashcards

Chapter 1 Flashcards

1
Q

The father of medicine

A

Hippocrates

- proposed that health and illness were from causes not fortune

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2
Q

Health

A

A positive concept emphasizing social and personal resources as well as physical capabilities

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3
Q

Illness vs. Disease

A

A disease is much more specific than an illness which may just be a feeling

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4
Q

Disability

A

A deviation from typical function that occurs as a result of an illness, accident or genetics

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5
Q

How does health in Canada compare

A
  • average life expectancy (82)
  • 10.7% GDP
  • one of the highest infant mortality rates (5 per 1000)
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6
Q

Medicare

A

Refers to Canada’s publicly funded health system

- through 13 P/T insurance plans

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7
Q

The Canadian Health Act

A
  • Federal 1984

- Dictates the rule provinces must abide by in order to qualify for transfer payments

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8
Q

Canadian Health Care Policy (within the Health Act)

A

Objective is to protect, promote and restore the physical and mental well-being of residents and to facilitate access to services without barriers

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9
Q

Criteria for P/T governments

A
  1. public administration
  2. comprehensiveness
  3. accessibility
  4. portability
  5. universality
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10
Q

Roles of the Federal Government

A
  • set and administer national standards
  • provide money to support delivery of health services
  • provide care to specific groups
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11
Q

Major Challenges

A
  1. geography
  2. diversity
  3. universality
  4. sustainability
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12
Q

Health insurance roman times

A

Care for widows and funeral expenses

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13
Q

Health insurance medieval times

A

Covered low income and supported families

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14
Q

Health insurance 1800s

A

Tied to employment

Insurance

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15
Q

Medicine in 1800s

A

William Kelly - sanitation
John Snow
Joseph Lister - antiseptics
Pasteur and Koch - germ theory

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16
Q

Hospitals in 1800s

A

Run by voluntary organizations (religious/charitable)

Private Practitioners

17
Q

Medical care pre-confederation

A
  • first hospital in Quebec

- first medical school in Montreal (McGill)

18
Q

Indian hospitals

A
  • operated by churches
  • youth contracting tuberculosis
  • transport to “sanatorium”
  • close with the intro of Medicare
19
Q

Confederation - BNA 1867

A
  • federal to cover marine hospitals, indigenous, quarantine

- P/T on hospitals, asylums, charities and other

20
Q

The department of health

A
  • in the wake of Spanish flu

- no known as Health Canada

21
Q

Expanded federal duties

A
  • food and drug control
  • development of public health
  • health care for civil service
  • laboratory of hygiene
  • overusing of social programs
22
Q

Saskatchewan

A

communities began to hire their own doctors

could use property tax

23
Q

Newfoundland

A

developed small voluntary cottage hospitals

24
Q

Tommy Douglas

A
  • the father of medicare
25
Q

Saskatchewan for universal coverage

A
  • Municipal and medical hospital services act
  • Hospital insurance act
  • Sask medical insurance act
26
Q

The Saskatchewan model

A
  • prepayment (premiums)
  • universal
  • high quality
  • public admin
  • acceptability
27
Q

Policies leading to medicare

A
  • hospital insurance and diagnostic services act
  • hall report (universal and double the physicians)
  • medical care act (insured services)
  • established program and financing act (block payments)
  • Canada health act
28
Q

After Medicare: Kirby report

A
  • wait times
  • cost of some medications, medical equipment
  • incentives to practice
29
Q

Romanow report

A
  • wait times
  • creation of a health council for leadership
  • stable long-term funding
  • diagnostic
  • prescription drugs
30
Q

The health accord

A

legal agreement between federal and P/T governments on health care funding

Canadian Health (9 decks)

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